76
Clinical Handbook PURPOSE OF CLINICAL HANDBOOK This handbook is designed to serve as an information guide to assist in the orientation of students and to clarify policies and procedures for all Associate in Science Radiologic Technology students as necessary. It is expected that each radiography student will be familiar with information contained within this handbook. College Website: http://www.bakersfieldcollege.edu Program Website: http://www.bakersfieldcollege.edu/allied-health/radtech Bakersfield College Radiologic Technology Program Summer 2020 May 2020

Clinical Handbook

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Page 1: Clinical Handbook

Clinical Handbook

PURPOSE OF CLINICAL HANDBOOK

This handbook is designed to serve as an information guide to assist in the orientation of students and to clarify policies and

procedures for all Associate in Science Radiologic Technology students as necessary It is expected that each radiography

student will be familiar with information contained within this handbook

College Website httpwwwbakersfieldcollegeedu

Program Website httpwwwbakersfieldcollegeeduallied-healthradtech

Bakersfield College Radiologic Technology Program

Summer 2020

May 2020

2

Radiologic Technology Program Clinical Education Handbook

Table of Contents

I Radiation Safety and Protection Guidelines

II Student Orientation to Clinical Education Center

III Attendance Grade Computation and Progression

IV Guidelines for Professional Clinical Appearance

V Insurance Accidents and Incidents

VI Clinical Objectives

VII Record of Clinical Procedures

VIII Enrollment Into Trajecsys

IX Performance Evaluation in the Clinical Education Center

X Student Evaluation of Clinical Experiences

XI Clinical Education Center Information

XII Program Faculty and Staff

XIII Student Complaint Procedures

XIV Handbook Agreement

Supportive Services at Bakersfield College Students with disabilities needing accommodation including those who had an IEP or 504 Plan in high school should

make requests to Disabled Students Programs and Services in CSS 10 (661-395-4334) dspsdeskbakersfieldcollegeedu

or Delano room 1001 (661-720-2000) All requests for accommodations require appropriate advance notice to avoid a delay in services Please discuss approved accommodations with me so we can work together to ensure your access and

success at BC

3

I Radiation Safety and Protection Guidelines

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS

A GENERAL

Pursuant to Title 17 Public Health Subchapter 4 and 45 of the California Code of Regulations and recognized

national standards pursuant to the published regulations of the National Council on Radiation Protection and

Measurement (NCRP) the following radiation safety and protection standards have been established Every

reasonable effort shall be made by the user of radiation to control radiation to as low as reasonable achievable

(ALARA) levels

The specific requirements are mandatory and must be followed by college faculty and staff clinical

coordinators clinical instructors and students during on-campus energized laboratories and clinical education

B SPECIFIC

1 Personnel Monitoring and Monitoring Reports

a A personnel-monitoring device must be worn by all students and instructors when operating

radiographic and fluoroscopic equipment both at

the college and clinical education centers The thermoluminescent device (TLD) or other designated

monitoring device shall be the accepted monitoring method and will be provided by the college on a

quarterly basis to all instructorsstudents respectively who enter controlled radiation areas

b During fluoroscopic procedures the TLD shall be worn at or near the collar outside the lead

protective apron For consistent monitoring purposes the monitoring device should be worn in the same

place at all times

c The TLD issued to you is your responsibility Never wear a monitoring device issued to another

person and do not tamper with the device

d Report loss or damage of the TLD through completion of the Radiation Monitoring Incident

Report immediately to your instructor (students) or program director (faculty)

e Student radiation monitoring reports are posted quarterly in the x-ray laboratory following

review by the program director Instructor radiation monitoring reports are distributed to the faculty via

interoffice mail following review by the program director Both students and instructors are required to

initial the report upon posting and review All radiation-monitoring reports are maintained on

permanent file in the program office Upon program graduation graduate students upon signing a

release are provided a written report of their radiation exposure received while attending the college

4

2 Occupational Dose Limits

The occupational effective dose limits set by the California Code of Regulations- Title 17 Public Health

and the National Council on Radiation Protection and Measurements (NCRP) shall be observed at all

times Dose limits are defined below

Effective Dose LimitsArea cSv or rem per year

1 Occupational Exposure

(whole body)

a Annual

b Cumulative

a 5 cSv or rem

b 1 cSv or rem x age

2 Equivalent dose for tissues and

Organs

a Lens of eye

b Skin hands amp feet

a 15 cSv or rem

b 50 cSv or rem

3 Embryo-Fetus Exposure

a Equivalent dose limit

1 Monthly 1 005 cSv or rem

2 Entire gestation 2 05 cSv or rem

4 Education and Training

Exposures

(minor under the age of 18 years)

a Effective dose limit

b Equivalent dose limit for

1 01 cSv or rem

tissues and organs 2a 15 cSv or rem

1 Lens of eye

2 Skin hands feet

2b 50 cSv or rem

5 Negligible Individual Dose 0001 cSv or rem

not annual dose

Threshold Dose

A Radiation Monitoring Device Incident Report must be completed if a dose

meets or exceeds 60 of the dose limits as defined above

Example If the effective annual Occupational Exposure dose (whole body)

meets or exceeds 30 cSv or remyear (60 of 5 cSv or remyear) then the

dose will be reported on the ldquoRadiation Monitoring Device Incident Reportrdquo

The incident report will include a description of the incident that led to the

dose the action taken by the Program which will include an investigation

with the student college faculty andor clinical education center as

applicable Individuals will be counseled regarding safe dose limits

Individuals may not exceed the effective dose limits as defined by

regulations Exclusion from workschool will occur until limits are lowered

to within acceptable levels

3 Presence of Individuals in RadiographicFluoroscopic Room during Energized Exposures

Except for three specific situations a student may not remain at any time in an

5

x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile

radiography and fluoroscopy

a During fluoroscopic procedures the following rules must be followed by both faculty and

students

1 Protective lead (Pb) aprons shall be worn at all times

2 The TLD will be worn as noted under B1b

3 When consistent with the conduct of the examination maximum distance must be

maintained between the studentinstructor and the fluoroscopic tube during the time the

x-ray beam is on

b During mobile and surgical radiography the following rules must be followed by both faculty

and students

1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and

the useful beam The operator must wear a protective apron during the procedure

2 The target-to-skin distance shall not be less than 12 inches (30 cm)

3 The room shall be cleared of all visitors and other non-essential

personnel (unless circumstances dictate otherwise) while the actual exposure is being

made

4 Holding of Patients andor Immobilization Devices during Exposures

a Students must not hold or support a patient or image receptor during exposures

b No radiation worker should be permitted to hold patients during exposures

except during emergencies nor shall any other person be regularly used to hold patients When

patients must be held by another individual the individual shall be protected with appropriate

lead (Pb) shielding devices

c Under no circumstances will a student permit themselves or another individual to serve as

patients for test exposures or experimentation

5 Collimation

Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest

6 Machine Safety Operations

The radiation operator must adhere to any radiation safety instructions related to a specific machine

a For on-campus radiation exposures refer to the operating instructions providedposted for each

energized x-ray unit in the radiologic technology laboratory

b For use of radiation equipment at the clinical education center refer to each departments

procedure manual and operating instructions

7 General Shielding

Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age

during procedures in which the gonads are in the direct beam except in cases in which this would

interfere with the diagnosis

8 Supervision of Students

6

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 2: Clinical Handbook

2

Radiologic Technology Program Clinical Education Handbook

Table of Contents

I Radiation Safety and Protection Guidelines

II Student Orientation to Clinical Education Center

III Attendance Grade Computation and Progression

IV Guidelines for Professional Clinical Appearance

V Insurance Accidents and Incidents

VI Clinical Objectives

VII Record of Clinical Procedures

VIII Enrollment Into Trajecsys

IX Performance Evaluation in the Clinical Education Center

X Student Evaluation of Clinical Experiences

XI Clinical Education Center Information

XII Program Faculty and Staff

XIII Student Complaint Procedures

XIV Handbook Agreement

Supportive Services at Bakersfield College Students with disabilities needing accommodation including those who had an IEP or 504 Plan in high school should

make requests to Disabled Students Programs and Services in CSS 10 (661-395-4334) dspsdeskbakersfieldcollegeedu

or Delano room 1001 (661-720-2000) All requests for accommodations require appropriate advance notice to avoid a delay in services Please discuss approved accommodations with me so we can work together to ensure your access and

success at BC

3

I Radiation Safety and Protection Guidelines

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS

A GENERAL

Pursuant to Title 17 Public Health Subchapter 4 and 45 of the California Code of Regulations and recognized

national standards pursuant to the published regulations of the National Council on Radiation Protection and

Measurement (NCRP) the following radiation safety and protection standards have been established Every

reasonable effort shall be made by the user of radiation to control radiation to as low as reasonable achievable

(ALARA) levels

The specific requirements are mandatory and must be followed by college faculty and staff clinical

coordinators clinical instructors and students during on-campus energized laboratories and clinical education

B SPECIFIC

1 Personnel Monitoring and Monitoring Reports

a A personnel-monitoring device must be worn by all students and instructors when operating

radiographic and fluoroscopic equipment both at

the college and clinical education centers The thermoluminescent device (TLD) or other designated

monitoring device shall be the accepted monitoring method and will be provided by the college on a

quarterly basis to all instructorsstudents respectively who enter controlled radiation areas

b During fluoroscopic procedures the TLD shall be worn at or near the collar outside the lead

protective apron For consistent monitoring purposes the monitoring device should be worn in the same

place at all times

c The TLD issued to you is your responsibility Never wear a monitoring device issued to another

person and do not tamper with the device

d Report loss or damage of the TLD through completion of the Radiation Monitoring Incident

Report immediately to your instructor (students) or program director (faculty)

e Student radiation monitoring reports are posted quarterly in the x-ray laboratory following

review by the program director Instructor radiation monitoring reports are distributed to the faculty via

interoffice mail following review by the program director Both students and instructors are required to

initial the report upon posting and review All radiation-monitoring reports are maintained on

permanent file in the program office Upon program graduation graduate students upon signing a

release are provided a written report of their radiation exposure received while attending the college

4

2 Occupational Dose Limits

The occupational effective dose limits set by the California Code of Regulations- Title 17 Public Health

and the National Council on Radiation Protection and Measurements (NCRP) shall be observed at all

times Dose limits are defined below

Effective Dose LimitsArea cSv or rem per year

1 Occupational Exposure

(whole body)

a Annual

b Cumulative

a 5 cSv or rem

b 1 cSv or rem x age

2 Equivalent dose for tissues and

Organs

a Lens of eye

b Skin hands amp feet

a 15 cSv or rem

b 50 cSv or rem

3 Embryo-Fetus Exposure

a Equivalent dose limit

1 Monthly 1 005 cSv or rem

2 Entire gestation 2 05 cSv or rem

4 Education and Training

Exposures

(minor under the age of 18 years)

a Effective dose limit

b Equivalent dose limit for

1 01 cSv or rem

tissues and organs 2a 15 cSv or rem

1 Lens of eye

2 Skin hands feet

2b 50 cSv or rem

5 Negligible Individual Dose 0001 cSv or rem

not annual dose

Threshold Dose

A Radiation Monitoring Device Incident Report must be completed if a dose

meets or exceeds 60 of the dose limits as defined above

Example If the effective annual Occupational Exposure dose (whole body)

meets or exceeds 30 cSv or remyear (60 of 5 cSv or remyear) then the

dose will be reported on the ldquoRadiation Monitoring Device Incident Reportrdquo

The incident report will include a description of the incident that led to the

dose the action taken by the Program which will include an investigation

with the student college faculty andor clinical education center as

applicable Individuals will be counseled regarding safe dose limits

Individuals may not exceed the effective dose limits as defined by

regulations Exclusion from workschool will occur until limits are lowered

to within acceptable levels

3 Presence of Individuals in RadiographicFluoroscopic Room during Energized Exposures

Except for three specific situations a student may not remain at any time in an

5

x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile

radiography and fluoroscopy

a During fluoroscopic procedures the following rules must be followed by both faculty and

students

1 Protective lead (Pb) aprons shall be worn at all times

2 The TLD will be worn as noted under B1b

3 When consistent with the conduct of the examination maximum distance must be

maintained between the studentinstructor and the fluoroscopic tube during the time the

x-ray beam is on

b During mobile and surgical radiography the following rules must be followed by both faculty

and students

1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and

the useful beam The operator must wear a protective apron during the procedure

2 The target-to-skin distance shall not be less than 12 inches (30 cm)

3 The room shall be cleared of all visitors and other non-essential

personnel (unless circumstances dictate otherwise) while the actual exposure is being

made

4 Holding of Patients andor Immobilization Devices during Exposures

a Students must not hold or support a patient or image receptor during exposures

b No radiation worker should be permitted to hold patients during exposures

except during emergencies nor shall any other person be regularly used to hold patients When

patients must be held by another individual the individual shall be protected with appropriate

lead (Pb) shielding devices

c Under no circumstances will a student permit themselves or another individual to serve as

patients for test exposures or experimentation

5 Collimation

Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest

6 Machine Safety Operations

The radiation operator must adhere to any radiation safety instructions related to a specific machine

a For on-campus radiation exposures refer to the operating instructions providedposted for each

energized x-ray unit in the radiologic technology laboratory

b For use of radiation equipment at the clinical education center refer to each departments

procedure manual and operating instructions

7 General Shielding

Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age

during procedures in which the gonads are in the direct beam except in cases in which this would

interfere with the diagnosis

8 Supervision of Students

6

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 3: Clinical Handbook

Radiologic Technology Program Clinical Education Handbook

Table of Contents

I Radiation Safety and Protection Guidelines

II Student Orientation to Clinical Education Center

III Attendance Grade Computation and Progression

IV Guidelines for Professional Clinical Appearance

V Insurance Accidents and Incidents

VI Clinical Objectives

VII Record of Clinical Procedures

VIII Enrollment Into Trajecsys

IX Performance Evaluation in the Clinical Education Center

X Student Evaluation of Clinical Experiences

XI Clinical Education Center Information

XII Program Faculty and Staff

XIII Student Complaint Procedures

XIV Handbook Agreement

Supportive Services at Bakersfield College Students with disabilities needing accommodation including those who had an IEP or 504 Plan in high school should

make requests to Disabled Students Programs and Services in CSS 10 (661-395-4334) dspsdeskbakersfieldcollegeedu

or Delano room 1001 (661-720-2000) All requests for accommodations require appropriate advance notice to avoid a delay in services Please discuss approved accommodations with me so we can work together to ensure your access and

success at BC

3

I Radiation Safety and Protection Guidelines

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS

A GENERAL

Pursuant to Title 17 Public Health Subchapter 4 and 45 of the California Code of Regulations and recognized

national standards pursuant to the published regulations of the National Council on Radiation Protection and

Measurement (NCRP) the following radiation safety and protection standards have been established Every

reasonable effort shall be made by the user of radiation to control radiation to as low as reasonable achievable

(ALARA) levels

The specific requirements are mandatory and must be followed by college faculty and staff clinical

coordinators clinical instructors and students during on-campus energized laboratories and clinical education

B SPECIFIC

1 Personnel Monitoring and Monitoring Reports

a A personnel-monitoring device must be worn by all students and instructors when operating

radiographic and fluoroscopic equipment both at

the college and clinical education centers The thermoluminescent device (TLD) or other designated

monitoring device shall be the accepted monitoring method and will be provided by the college on a

quarterly basis to all instructorsstudents respectively who enter controlled radiation areas

b During fluoroscopic procedures the TLD shall be worn at or near the collar outside the lead

protective apron For consistent monitoring purposes the monitoring device should be worn in the same

place at all times

c The TLD issued to you is your responsibility Never wear a monitoring device issued to another

person and do not tamper with the device

d Report loss or damage of the TLD through completion of the Radiation Monitoring Incident

Report immediately to your instructor (students) or program director (faculty)

e Student radiation monitoring reports are posted quarterly in the x-ray laboratory following

review by the program director Instructor radiation monitoring reports are distributed to the faculty via

interoffice mail following review by the program director Both students and instructors are required to

initial the report upon posting and review All radiation-monitoring reports are maintained on

permanent file in the program office Upon program graduation graduate students upon signing a

release are provided a written report of their radiation exposure received while attending the college

4

2 Occupational Dose Limits

The occupational effective dose limits set by the California Code of Regulations- Title 17 Public Health

and the National Council on Radiation Protection and Measurements (NCRP) shall be observed at all

times Dose limits are defined below

Effective Dose LimitsArea cSv or rem per year

1 Occupational Exposure

(whole body)

a Annual

b Cumulative

a 5 cSv or rem

b 1 cSv or rem x age

2 Equivalent dose for tissues and

Organs

a Lens of eye

b Skin hands amp feet

a 15 cSv or rem

b 50 cSv or rem

3 Embryo-Fetus Exposure

a Equivalent dose limit

1 Monthly 1 005 cSv or rem

2 Entire gestation 2 05 cSv or rem

4 Education and Training

Exposures

(minor under the age of 18 years)

a Effective dose limit

b Equivalent dose limit for

1 01 cSv or rem

tissues and organs 2a 15 cSv or rem

1 Lens of eye

2 Skin hands feet

2b 50 cSv or rem

5 Negligible Individual Dose 0001 cSv or rem

not annual dose

Threshold Dose

A Radiation Monitoring Device Incident Report must be completed if a dose

meets or exceeds 60 of the dose limits as defined above

Example If the effective annual Occupational Exposure dose (whole body)

meets or exceeds 30 cSv or remyear (60 of 5 cSv or remyear) then the

dose will be reported on the ldquoRadiation Monitoring Device Incident Reportrdquo

The incident report will include a description of the incident that led to the

dose the action taken by the Program which will include an investigation

with the student college faculty andor clinical education center as

applicable Individuals will be counseled regarding safe dose limits

Individuals may not exceed the effective dose limits as defined by

regulations Exclusion from workschool will occur until limits are lowered

to within acceptable levels

3 Presence of Individuals in RadiographicFluoroscopic Room during Energized Exposures

Except for three specific situations a student may not remain at any time in an

5

x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile

radiography and fluoroscopy

a During fluoroscopic procedures the following rules must be followed by both faculty and

students

1 Protective lead (Pb) aprons shall be worn at all times

2 The TLD will be worn as noted under B1b

3 When consistent with the conduct of the examination maximum distance must be

maintained between the studentinstructor and the fluoroscopic tube during the time the

x-ray beam is on

b During mobile and surgical radiography the following rules must be followed by both faculty

and students

1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and

the useful beam The operator must wear a protective apron during the procedure

2 The target-to-skin distance shall not be less than 12 inches (30 cm)

3 The room shall be cleared of all visitors and other non-essential

personnel (unless circumstances dictate otherwise) while the actual exposure is being

made

4 Holding of Patients andor Immobilization Devices during Exposures

a Students must not hold or support a patient or image receptor during exposures

b No radiation worker should be permitted to hold patients during exposures

except during emergencies nor shall any other person be regularly used to hold patients When

patients must be held by another individual the individual shall be protected with appropriate

lead (Pb) shielding devices

c Under no circumstances will a student permit themselves or another individual to serve as

patients for test exposures or experimentation

5 Collimation

Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest

6 Machine Safety Operations

The radiation operator must adhere to any radiation safety instructions related to a specific machine

a For on-campus radiation exposures refer to the operating instructions providedposted for each

energized x-ray unit in the radiologic technology laboratory

b For use of radiation equipment at the clinical education center refer to each departments

procedure manual and operating instructions

7 General Shielding

Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age

during procedures in which the gonads are in the direct beam except in cases in which this would

interfere with the diagnosis

8 Supervision of Students

6

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 4: Clinical Handbook

I Radiation Safety and Protection Guidelines

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS

A GENERAL

Pursuant to Title 17 Public Health Subchapter 4 and 45 of the California Code of Regulations and recognized

national standards pursuant to the published regulations of the National Council on Radiation Protection and

Measurement (NCRP) the following radiation safety and protection standards have been established Every

reasonable effort shall be made by the user of radiation to control radiation to as low as reasonable achievable

(ALARA) levels

The specific requirements are mandatory and must be followed by college faculty and staff clinical

coordinators clinical instructors and students during on-campus energized laboratories and clinical education

B SPECIFIC

1 Personnel Monitoring and Monitoring Reports

a A personnel-monitoring device must be worn by all students and instructors when operating

radiographic and fluoroscopic equipment both at

the college and clinical education centers The thermoluminescent device (TLD) or other designated

monitoring device shall be the accepted monitoring method and will be provided by the college on a

quarterly basis to all instructorsstudents respectively who enter controlled radiation areas

b During fluoroscopic procedures the TLD shall be worn at or near the collar outside the lead

protective apron For consistent monitoring purposes the monitoring device should be worn in the same

place at all times

c The TLD issued to you is your responsibility Never wear a monitoring device issued to another

person and do not tamper with the device

d Report loss or damage of the TLD through completion of the Radiation Monitoring Incident

Report immediately to your instructor (students) or program director (faculty)

e Student radiation monitoring reports are posted quarterly in the x-ray laboratory following

review by the program director Instructor radiation monitoring reports are distributed to the faculty via

interoffice mail following review by the program director Both students and instructors are required to

initial the report upon posting and review All radiation-monitoring reports are maintained on

permanent file in the program office Upon program graduation graduate students upon signing a

release are provided a written report of their radiation exposure received while attending the college

4

2 Occupational Dose Limits

The occupational effective dose limits set by the California Code of Regulations- Title 17 Public Health

and the National Council on Radiation Protection and Measurements (NCRP) shall be observed at all

times Dose limits are defined below

Effective Dose LimitsArea cSv or rem per year

1 Occupational Exposure

(whole body)

a Annual

b Cumulative

a 5 cSv or rem

b 1 cSv or rem x age

2 Equivalent dose for tissues and

Organs

a Lens of eye

b Skin hands amp feet

a 15 cSv or rem

b 50 cSv or rem

3 Embryo-Fetus Exposure

a Equivalent dose limit

1 Monthly 1 005 cSv or rem

2 Entire gestation 2 05 cSv or rem

4 Education and Training

Exposures

(minor under the age of 18 years)

a Effective dose limit

b Equivalent dose limit for

1 01 cSv or rem

tissues and organs 2a 15 cSv or rem

1 Lens of eye

2 Skin hands feet

2b 50 cSv or rem

5 Negligible Individual Dose 0001 cSv or rem

not annual dose

Threshold Dose

A Radiation Monitoring Device Incident Report must be completed if a dose

meets or exceeds 60 of the dose limits as defined above

Example If the effective annual Occupational Exposure dose (whole body)

meets or exceeds 30 cSv or remyear (60 of 5 cSv or remyear) then the

dose will be reported on the ldquoRadiation Monitoring Device Incident Reportrdquo

The incident report will include a description of the incident that led to the

dose the action taken by the Program which will include an investigation

with the student college faculty andor clinical education center as

applicable Individuals will be counseled regarding safe dose limits

Individuals may not exceed the effective dose limits as defined by

regulations Exclusion from workschool will occur until limits are lowered

to within acceptable levels

3 Presence of Individuals in RadiographicFluoroscopic Room during Energized Exposures

Except for three specific situations a student may not remain at any time in an

5

x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile

radiography and fluoroscopy

a During fluoroscopic procedures the following rules must be followed by both faculty and

students

1 Protective lead (Pb) aprons shall be worn at all times

2 The TLD will be worn as noted under B1b

3 When consistent with the conduct of the examination maximum distance must be

maintained between the studentinstructor and the fluoroscopic tube during the time the

x-ray beam is on

b During mobile and surgical radiography the following rules must be followed by both faculty

and students

1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and

the useful beam The operator must wear a protective apron during the procedure

2 The target-to-skin distance shall not be less than 12 inches (30 cm)

3 The room shall be cleared of all visitors and other non-essential

personnel (unless circumstances dictate otherwise) while the actual exposure is being

made

4 Holding of Patients andor Immobilization Devices during Exposures

a Students must not hold or support a patient or image receptor during exposures

b No radiation worker should be permitted to hold patients during exposures

except during emergencies nor shall any other person be regularly used to hold patients When

patients must be held by another individual the individual shall be protected with appropriate

lead (Pb) shielding devices

c Under no circumstances will a student permit themselves or another individual to serve as

patients for test exposures or experimentation

5 Collimation

Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest

6 Machine Safety Operations

The radiation operator must adhere to any radiation safety instructions related to a specific machine

a For on-campus radiation exposures refer to the operating instructions providedposted for each

energized x-ray unit in the radiologic technology laboratory

b For use of radiation equipment at the clinical education center refer to each departments

procedure manual and operating instructions

7 General Shielding

Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age

during procedures in which the gonads are in the direct beam except in cases in which this would

interfere with the diagnosis

8 Supervision of Students

6

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 5: Clinical Handbook

2 Occupational Dose Limits

The occupational effective dose limits set by the California Code of Regulations- Title 17 Public Health

and the National Council on Radiation Protection and Measurements (NCRP) shall be observed at all

times Dose limits are defined below

Effective Dose LimitsArea cSv or rem per year

1 Occupational Exposure

(whole body)

a Annual

b Cumulative

a 5 cSv or rem

b 1 cSv or rem x age

2 Equivalent dose for tissues and

Organs

a Lens of eye

b Skin hands amp feet

a 15 cSv or rem

b 50 cSv or rem

3 Embryo-Fetus Exposure

a Equivalent dose limit

1 Monthly 1 005 cSv or rem

2 Entire gestation 2 05 cSv or rem

4 Education and Training

Exposures

(minor under the age of 18 years)

a Effective dose limit

b Equivalent dose limit for

1 01 cSv or rem

tissues and organs 2a 15 cSv or rem

1 Lens of eye

2 Skin hands feet

2b 50 cSv or rem

5 Negligible Individual Dose 0001 cSv or rem

not annual dose

Threshold Dose

A Radiation Monitoring Device Incident Report must be completed if a dose

meets or exceeds 60 of the dose limits as defined above

Example If the effective annual Occupational Exposure dose (whole body)

meets or exceeds 30 cSv or remyear (60 of 5 cSv or remyear) then the

dose will be reported on the ldquoRadiation Monitoring Device Incident Reportrdquo

The incident report will include a description of the incident that led to the

dose the action taken by the Program which will include an investigation

with the student college faculty andor clinical education center as

applicable Individuals will be counseled regarding safe dose limits

Individuals may not exceed the effective dose limits as defined by

regulations Exclusion from workschool will occur until limits are lowered

to within acceptable levels

3 Presence of Individuals in RadiographicFluoroscopic Room during Energized Exposures

Except for three specific situations a student may not remain at any time in an

5

x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile

radiography and fluoroscopy

a During fluoroscopic procedures the following rules must be followed by both faculty and

students

1 Protective lead (Pb) aprons shall be worn at all times

2 The TLD will be worn as noted under B1b

3 When consistent with the conduct of the examination maximum distance must be

maintained between the studentinstructor and the fluoroscopic tube during the time the

x-ray beam is on

b During mobile and surgical radiography the following rules must be followed by both faculty

and students

1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and

the useful beam The operator must wear a protective apron during the procedure

2 The target-to-skin distance shall not be less than 12 inches (30 cm)

3 The room shall be cleared of all visitors and other non-essential

personnel (unless circumstances dictate otherwise) while the actual exposure is being

made

4 Holding of Patients andor Immobilization Devices during Exposures

a Students must not hold or support a patient or image receptor during exposures

b No radiation worker should be permitted to hold patients during exposures

except during emergencies nor shall any other person be regularly used to hold patients When

patients must be held by another individual the individual shall be protected with appropriate

lead (Pb) shielding devices

c Under no circumstances will a student permit themselves or another individual to serve as

patients for test exposures or experimentation

5 Collimation

Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest

6 Machine Safety Operations

The radiation operator must adhere to any radiation safety instructions related to a specific machine

a For on-campus radiation exposures refer to the operating instructions providedposted for each

energized x-ray unit in the radiologic technology laboratory

b For use of radiation equipment at the clinical education center refer to each departments

procedure manual and operating instructions

7 General Shielding

Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age

during procedures in which the gonads are in the direct beam except in cases in which this would

interfere with the diagnosis

8 Supervision of Students

6

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 6: Clinical Handbook

x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile

radiography and fluoroscopy

a During fluoroscopic procedures the following rules must be followed by both faculty and

students

1 Protective lead (Pb) aprons shall be worn at all times

2 The TLD will be worn as noted under B1b

3 When consistent with the conduct of the examination maximum distance must be

maintained between the studentinstructor and the fluoroscopic tube during the time the

x-ray beam is on

b During mobile and surgical radiography the following rules must be followed by both faculty

and students

1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and

the useful beam The operator must wear a protective apron during the procedure

2 The target-to-skin distance shall not be less than 12 inches (30 cm)

3 The room shall be cleared of all visitors and other non-essential

personnel (unless circumstances dictate otherwise) while the actual exposure is being

made

4 Holding of Patients andor Immobilization Devices during Exposures

a Students must not hold or support a patient or image receptor during exposures

b No radiation worker should be permitted to hold patients during exposures

except during emergencies nor shall any other person be regularly used to hold patients When

patients must be held by another individual the individual shall be protected with appropriate

lead (Pb) shielding devices

c Under no circumstances will a student permit themselves or another individual to serve as

patients for test exposures or experimentation

5 Collimation

Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest

6 Machine Safety Operations

The radiation operator must adhere to any radiation safety instructions related to a specific machine

a For on-campus radiation exposures refer to the operating instructions providedposted for each

energized x-ray unit in the radiologic technology laboratory

b For use of radiation equipment at the clinical education center refer to each departments

procedure manual and operating instructions

7 General Shielding

Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age

during procedures in which the gonads are in the direct beam except in cases in which this would

interfere with the diagnosis

8 Supervision of Students

6

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 7: Clinical Handbook

a On-Campus Laboratory

Radiation exposures may be made only under direct supervision by the qualified

licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The

qualified instructor must be present in the lab and must meet the requirements of Title 17 section

30418

b First Year Clinical

When performing radiographic procedures dur ing the first year of the program students w ill

function under the direct supervision of a licensedcertified (CRT or ARRTCRT)

radiographer The supervising qualified radiographer reviews t he procedure in relation to the

studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos

knowledge is phy sically present during the exam and reviews and approves t he procedure

andor image

c Second Year Clinical

When performing radiographic procedures dur ing the second year of the program students m ay

function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a

licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency

for a particular procedure Until competency is a chieved students must be directly supervised

Indirect supervision indicates t hat the supervising qualified radiographer will be immediately

available to assist students r egardless o f the level of student achievement Immediately available

is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or

location where a radiographic procedure is b eing performed This a vailability applies to all areas

where ionizing radiation equipment is in use on patients

d Repeat Exposures

Ensure that repeats made by all students are under direct supervision of a

licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer

reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the

patient in relation to the studentrsquos knowledge is physically present during the conduct of the

repeat image and must approve the studentrsquos procedure prior to re-exposure

e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section

must have a minimum of two years of experience as a radiologic technologist These are the

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student

C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner

1 Posted in the radiologic technology laboratory (MS 21-22)

2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators

and the clinical faculty at each clinical orientation meeting

3 Published or made available in all radiologic technology laboratory courses involving energized x-ray

exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)

4 Published in the programs Master Plan of Education

7

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 8: Clinical Handbook

D REFERENCES

1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic

Technology)

2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)

3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial

Facilities (1991)

4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for

Medical and Dental Personnel (1990)

5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)

6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50

MeV (1989)

7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)

8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)

9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)

10 NCRP Report 134-Operational Radiation Safety Training (2010)

Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and

online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg

Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)

Rev 72016

8

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
Page 9: Clinical Handbook

II Student Orientation to Clinical Education

SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional

imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography

Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff

technologists have access to this information

B Procedure The orientation will include

1 Orientation and Expectations of this Department

a Review of routine proceduresviews for procedures

b Patient transportation procedures for the department c Operation of equipment

1 Radiographic equipment

2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units

4 Mobile FluoroscopyC-Arm Units

5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)

7 Mobility Devices (transfersliding boards)

d Expectations of Student Performance

1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions

3 Conduct and Professionalism

4 Study and Free Time in Clinic e Student Supervision

1 Direct Supervision 1st year students i 2nd year students prior to competency ii

iii Repeat exams

2 Indirect Supervision 2nd year students i

3 Clinical Competencies

f Department telephone procedures for students

2 Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and IV accessories Immobilization aides

Lead markers

Emesis basins bedpans IV poles etc Stocking Rooms

Linen

Cleaning Procedures

3 Radiation Safety Policies and Procedures for Department

a Shielding Devices Available

b Procedures

4 Confidentiality Safety and Emergency Procedures

9

5

6

7

8

9

10

a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care

c Standard Precautions Infection Control and Blood Borne Pathogen Procedures

d Hazard Regulations (Fire Electrical and Chemical)

e Emergency Procedures and Preparedness i Codes

ii Carts

iii Disaster Plan f Reporting accidents and incidents Department and BC requirements

g Access to Patient Exam Areas Outside of Imaging and Restricted Areas

h Security Services of Facility Student Assignments

a Schedule and Room Assignments

b Specific objectives

c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy

a Contact Information for Personnel amp Department

Introduction to Department Personnel a Supervisors

b Radiologists

c Staff technologists d Clinical support staff

Personal Communication during Clinical Assignment

a Department telephone use

b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain

confidentiality)

c Emergency Contact Clinical Education Center Information

a History of Facility

b Bed Capacity (hospital)

c Administrative personnel d Parking regulations (include day and evening rules)

e Cafeteria Use

f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department

h Restroom Facilities

i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department

a Case StudyFilm Critique Preparation and Procedures for Image Utilization

Rtshareclinical handbooksection II orientation 5-2020

10

III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION

III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION

ATTENDANCE

Students are expected to be knowledgeable about and fully comply with the procedures of the College and

Program

Lecture andor LectureLab Class

A student will be dropped from class when absences exceed the following equivalencies

Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week

course Example If a class meets t hree times per week in a sixteen week course then six absences would be the

maximum number allowed Further absences would result in a progress review with the course instructor and the

program director

Clinical Education

Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano

Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging

department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch

break

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology (Radnet)-BahamasOld River

Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)

Southern California Orthopedic Institute

Day Shift PM Shift

600 am ndash 230 pm 230 pm ndash 1100 pm

700 am ndash 330 pm

730 am ndash 400 pm

800 am ndash 430 pm

830 am ndash 500 pm

These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical

hours are NOT adjusted for student convenience or request

11

A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen

week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation

Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the

maximum number allowed Further absences would result in a progress review with the clinical coordinator and

the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of

absence prior to the scheduled clinical experience

Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments

are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and

complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical

education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo

time within one week of the absence If all clinic hours have not been made up by the end of the term an

incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved

by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In

addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be

met

In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic

hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic

hours

Mandatory Clinic Hours

The required number of clinical education hours for students are specified by the State of California Department

of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology

Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure

Absences in Clinical Education 1-5

Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education

1-5 This absence does not have to be made-up by the student

Personal Leave During all Clinical Education Courses Introduction and Course 1-5

Students may take one personal leave day (8 hours) for clinical education This personal leave absence

must be made-up Students may bank hours in advance of the personal leave day or make it up after the

leave Hours must be made up during the same semesterterm of the absence The personal leave

dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A

Verification of Additional Clinical Hours form is used for this approval process Submission of this form

does not preclude notification of the absence to the Clinical Instructor

Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or

banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance

of an absence and not used for that course is not carried over to future courses

Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters

Personal leave and absences may not be made up on the following days

12

Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess

Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day

Thanksgiving Christmas Recess Any Holiday Weekend

AbsencesMake-up Assignments in the Program

All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances

Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor

of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for

missed assignments Make-up assignments a re at the instructorrsquos d iscretion

Tardiness

Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern

of tardiness is disruptive to the instructional process Students will be counseled according to the

conferenceprobation procedures

Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week

of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two

(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a

student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be

graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days

for second year Summer and six (6) clinical days for second year FallSpring]

Request for Leave from the Program

Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and

make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the

Director will notify the student by memorandum with a final decision If a leave is granted the student must

arrange ldquomake-uprdquo needs with instructor(s)

HolidaysVacation

Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)

Students are advised that summer sessions for the radiologic technology program do not always follow the

collegersquos r egular summer session

Trajecys Time Reporting System

Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and

clock out again at the end of the shift (See pg 61 to enroll)

1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their

shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to

Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with

Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button

toward the bottom of the screen

2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason

typically students use the clock inout menu item However if they forget they must file a time

exception for each missing clock record If a student forgot to clock in AND out on the same day the

13

student must file two time exceptions ndash one for each missing clock record If filing a time exception on a

day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason

Change in Health StatusExtended Illness

If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic

Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to

the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made

to assist the individual in completing the technical standards required to complete the job-related radiography

tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives

and standards must be met by the student Any restriction of activity will be considered in terms of meeting

program objectives

Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical

area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is

required for a pregnant student to remain in the program and again before the student can return to school

following delivery

Any change in health status or medication use must be reported to the Director of the Radiologic Technology

Program andor Clinical Coordinator

GRADE COMPUTATION

A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The

percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows

100-90 = A 89-82 = B 81-75 = C 74-65 = D

64- 0 = F

Minimum level for passno pass courses

A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal

progress within the Radiologic Technology Program

Lecture Course

A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic

technology program course The probation status w ill continue until the end of the semester A probation report

will be completed with the original provided to the student following a conference with the instructor andor

program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed

if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the

semesterterm

Clinical Education Course

The clinical performance of the student is based upon a percentage () of the total points possible for the entire

course and is graded on a passno pass basis The evaluation process consists of the following clinical competency

examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The

exact evaluation process is described in each individual course description

Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of

unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student

will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor

comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory

performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14

analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe

and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one

category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written

performance evaluation This unsatisfactory performance results i n a student being placed on probation Students

dropped due to documented unsafe clinical practice(s) will not be re-admitted

Incomplete Grades

A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has

maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will

make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior

to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade

PROGRAM PROGRESSION

To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in

radiography and required related courses that are prerequisites for advanced radiologic technology courses

Conferences

A conference will be held for unsatisfactory progress such as but not limited to

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports andor clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge skill and judgment at expected program level

Failure to demonstrate compliance with collegeclinical policies and procedures

Conference reporting is based upon a three step process in which a verbal warning is given first a written

warning second and probationary action last However if unsafe clinical practice occurs the student will be

immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for

the conference and remediation If satisfactory progress is not made following the issuance of a written

conference report the student will be placed on probation Conference reports from prior semesters will be

considered when assessing unsatisfactory progress and when placing students on probation

Probation

The instructor will discuss probationary actions with the student A probation report will specify the cause of

probation steps for remediation terms of the probation and length of time for improvement and re-evaluation

The original report will be given to the student and a copy will be placed in hisher personal file in the

Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the

program Notification of student dismissal will be made by the Program Director after consultation with the

student and instructor

Withdrawal and Exit Interview

The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason

15

Re-entry Into Program

Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during

the regular enrollment filing dates a ndor in accordance with program direction instructions RE-

ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for

entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be

re-enrolled

Students who are re-enrolled will be required to comply with all current Program entrance requirements and

regulatory requirements of program accreditation agencies such as but not limited to the physical examination

immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR

certification and safety tests Competency testing will also be completed for clinical procedures previously

performed

Students must complete program requirements within 150 of the published program length following

program enrollment

16

____________________________________________________________________________________

____________________________________________________________________________________

Rev 62012

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS

This form will be used to give permission and to verify any additional hours other than regularly scheduled

clinical hours at your currently assigned clinical site Please note the following guidelines

1 This form must be completed prior to the date and time of schedule change

2 The hours should be minimally scheduled in four or eight hour increments for hospitals and

onetwo hour increments for imaging centers

3 All signatures must be included

4 The Clinical Coordinator will document all additional hours on the student attendance sheet

5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed

6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be

invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of

BCs Radiologic Technology Program

7 After submission of Verification of Additional Clinical Hours any further changes of the times

submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor

by re-submission of this form

8 To ensure proper documentation of hours students must have the supervising technologist initial the

students in and out time on the Verification Time Sheet

ADDITIONAL INSTRUCTIONS TO STUDENTS

Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code

(1) Makeup hours for ____________ (date) due to absence (illness injury etc)

(2) Banking of 8 hours (personal necessity leave)

(3) Additional clinical experience based on individual demonstrated need and as

recommended by a clinical instructorcoordinator

This form must be completed and turned in prior to the date of additional hours

FACILITY DATE amp DAY

OF WEEK

STARTING

TIME

ENDING

TIME

TOTAL

HOURS

CODE

Students Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

17

_______________________________________ ____________________________

Bakersfield College Radiologic Technology Program

Verification Time Sheet for Banked or Make-up Hours

Student Name Clinical Site

Instructions This form is used to verify non-routine clinical hours by completing the form below A staff

technologist signature is required for start and stop times for each shift completed outside of the

regular shift assignment Non-verified hours will not be counted towards mandatory clinical

hours It is the studentrsquos responsibility to obtain signatures as required

Note Students must have the permission of both the Clinical Instructor and the college Clinical

Coordinatorfaculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

18

IV Guidelines for Professional Clinical Appearance

IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements

of the task and the professional image of students in the Associate Degree Radiologic Technology Program

The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education

environment be maintained Street clothing should be kept separate from uniform clothing for infection control

Procedures

Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in

this handbook

Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie

surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed

Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe

bleachable materials Shoes must be clean

Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor

clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded

from the clinical area for inappropriate dress a ndor grooming on the second offense

Dress Code

Uniforms

Tops and Pants o r Skirts

Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee

length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform

White Lab Coat ndash May be worn over the uniform but are not required

Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area

Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted

Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the

black uniform pants

Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes

Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals

canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted

on the shoes Shoes m ust be tied securely

Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to

be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the

college

Guidelines for Professional Clinical Appearance

Grooming

Student and uniforms must be clean and free of odor No fragrances cologne or sprays

Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does

not come in contact with the patient or visitors Extremes in hair style color and hair adornments must

be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde

19

Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the

clinical education center Beards a re not permitted at some clinical education centers Facial hair must

not interfere with or compromise the proper fit of respirator devices

Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical

assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements

are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an

enhancement

This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any

additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed

Makeup must be conservative

Jewelry and Adornment

Jewelry may be worn but must not impede radiographic procedures Students m ay be required to

remove jewelry when assigned to surgery or other special procedures

Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each

hand and one short neck chain Visible facialbody piercings a re not permitted These include but are

not limited to the tongue nose eyebrows lips chin and neck

Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids

make-up etc)

Photo ID

Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield

College Radiologic Technology Student

The photo identification badge must be attached to clothing above the waist and visible at all times

Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed

Miscellaneous

Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is

recommended that items o f value not be taken to class o r to the clinical areas

Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some

clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all

times

Neither profanity nor chewing gum is pe rmitted while attending patients

On-Campus Laboratory Attire

For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the

following guidelines must be followed

MS-21 Radiologic Technology Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely

Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short

shortsskirts a nd low cut tops a re not permitted

MS-58 Skills Lab

Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on

the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab

Revised 32018

20

V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE

Malpractice Insurance

Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern

Community College District

Accident Insurance

Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents

that happen on campus or at college related activities including clinical experience for students in Allied Health

Programs Students who are injured in clinic or in any school related activity may be treated in the hospital

Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not

free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents

reports must be completed according to the procedures of the individual clinical facility

ACCIDENTSEXPOSURESINCIDENTS

AccidentsExposures

Facility accident reports must be completed according to the procedures of the individual facility as well as the

District Safety Coordinator as follows

Students are required to immediately report a work (class) related incident injury or illness to their

Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator

Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007

The District Safety Coordinator will obtain the details of the accident exposure andor incident from the

student andor Instructor and make the initial referral to the medical facility physician or BC Student

Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and

may be contacted by (661) 395-4336

Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the

medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work

(class) activities diagnosis and date of your re-examination or follow-up appointment

In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department

office

While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the

entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the

responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students

are encouraged to carry their own medical insurance Students who have private insurance should file a claim

with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits

for better coverage

Incident Reports

Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs

involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center

does not require that an official report be submitted

21

VI CLINICAL OBJECTIVES

IV Introduction to Clinical Objectives and Examples

As Students progress through the radiography program they must attain several specific Clinical Objectives

Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual

reading and writing assignments that relate to these objectives are included in the pages that follow this

introduction

A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures

Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form

throughout every clinical rotation the student will learn the image processing reception archiving

and transportation procedures for the individual Clinical Education Center Detailed descriptions of

each of the above Procedures are presented in the RADT B4a Syllabus

A few of the Clinical Education Centers do not have transportation Students assigned to these

facilities will experience these procedures at their next center during their next clinical rotation

As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation

procedures occurs e very semester at the Education Centers During the first few weeks o f every

semester at the Centers the students r otate through the image processing archiving and

Transportation Department and learn how these essential tasks a re performed Each studentrsquos

rotation through these tasks s hould be two days o r approximately 16 hours The specific writing

assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned

during RADT B4a and RADT B4b Consequently these writing assignments a re not given in

subsequent semesters wh en students r epeatedly rotate through these areas These writing

assignments a re described in the RADT B4a and RADT B4b Syllabi

B Operating Room Rotations

Surgical room rotations offer the student an opportunity learn procedures in a sterile environment

Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the

program students will be assigned mandatory rotation(s) with each clinical course Starting with the

RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each

student rotating in a facility that has a surgery department

C Evening Rotation

All second year (RADT B7 10 and 13) students a re required to experience one rotation of

approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the

hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is

to provide an opportunity for students to experience a higher level of non-scheduled and trauma type

exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the

program with indirect supervision on completed competency exams they will experience a more

challenging level of independence in working on exams o n the evening shift This further enables

them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams

Prior to rotating through the evening shift each student must read the sections o n trauma

radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student

must complete a writing assignment after the evening rotation

22

D CT - Computed Tomography

Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the

students will experience CT during an approximate one-week rotation each semester There is a

reading assignment for the CT rotation but there is no writing assignment CT is a mandatory

rotation because it fulfills a California requirement of radiologic technology programs The students

must also keep a record of CT exams

E Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is r adiography studentsrsquo

participating in angiography Consequently students s pend approximately 64 hours i n angiography

after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The

student should complete a reading assignment before the student arrives a t the angiography

department also the student must complete a writing assignment after the studentrsquos a ngiography

rotation A careful record of assisted exams must be recorded and submitted by the student

F Specialized Imaging ModalitiesRotations

Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of

experiencing a diagnostic imaging modality other that CT and Angiography The specialized

Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their

rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted

exams must be recorded and submitted by the students dur ing and after their rotation Also the

students m ust complete a writing assignment and reading assignment pertaining to the Modality

The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their

rotation during the first spring semester in the program

G Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is F ilm Critique Consequently

beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second

Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical

classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester

Sample forms o f the case study assignment are included in the Handbook immediately following this

introduction

23

Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable

about diseases and conditions and about available examinations and treatments As this knowledge has improved patients

and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients

must have information and they must be able to understand and act on that information However people from some

populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with

them Patient-centered care also places a high priority on safety quality and transparency

To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10

Course and Topic Due Date in SemesterTerm

RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence

First Spring of Program

Week 6 of term Week 12 of term

RADT B7- Clinical Education 3

Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term

RADT B10- Clinical Education 4

Module 9- Chronically Ill Patients Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term Week 12 of term

After completing the 10 modules a certificate of

completion will be issued

End of Second Fall of Program

Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic

Technology Each module has a video and a written transcript The student must review these materials and then

complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10

points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules

RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations

24

RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and

archiving and front officepatient registration skills the student will be rotated through the following areas

during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability

at their clinical site of these rotations then the requirements will carry forward to a subsequent semester

Each rotation will be one week (2 days) in length

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient RegistrationArchiving

Delano Regional Medical Center Image Processing

Patient RegistrationArchiving

Transportation

Kern Medical Image Processing

Patient RegistrationArchiving

Transportation

Kern Radiology Medical Group

(Bahamas amp Old River)

Image Processing

Patient RegistrationArchiving

Mercy Southwest Hospital

Mercy Hospital Downtown

Image Processing

Transportation

Patient RegistrationArchiving

Adventist Health Bakersfield

Quest Imaging (Chester amp Stockdale)

Image Processing

Patient RegistrationArchiving

Adventist Health Bakersfield

(San Joaquin Community Hospital)

Image Processing

Patient RegistrationArchiving

Transportation

Southern California Orthopedic Institute Image Processing

Patient RegistrationArchiving

Truxtun Radiology Medical Group Downtown Image Processing

(clinhndbk)sectionvidoc Rev 220

25

Bakersfield College

Radiologic Technology Program CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in

1 Locate the Computerized or Digital image monitor

2 Locate the Cassette holding bin and describe cassette storage procedure

3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader

4 Demonstrate proper screen handling and cleaningerasing

5 Identify the tethered versus non-tethered Digital Imaging Plate

6 Describe the correct daily care for Digital Imaging Plates cords andor batteries

Patient Registration amp Image Archiving

The student will be able to demonstrate knowledge and practice in

1 Method of patient registration

2 Level of confidentiality required for patients

3 Use of the computer system to locate and retrieve patient records

4 How to revise and update image data with appropriate patient and exam information

5 Release or mail patient image data

(clinhndbk)sectionvidoc revised 0520

Transportation Procedures

The student will be able to demonstrate knowledge and practice in

1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and

other patient care areas

2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation

3 Clinical education center fire evacuation plan and procedure

4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables

5 Patient identification confirmation

6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed

7 Proper use of oxygen and other equipment related to patient care

8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care

9 Proper procedure for the care and storage of transporting equipment Operation of the department work

schedule as it relates to the control of patient flow equipment utilization and patient transportation

10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department

(clinhndbk)sectionvidoc revised 0520)

26

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5

RADT B7 10 and 13 Summer Fall and Spring Terms

INTRODUCTION

The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur

after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims

and in the operating room

READING ASSIGNMENT

Before beginning the evening rotations students should read about trauma and mobile radiography in the

appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also

students should review the current standards on universal precautions and patient care skills in handling patients

with injuries

CLINICAL OBJECTIVES

After completion of the assigned reading and near the end of a rotation a student will

1 Identify and analyze the specific differences in the operation of an imaging department during the PM

hours as compared to regular day operations This would include duties responsibilities and exams

performed and the interpersonal relationships with the entire health care team including the emergency

room and intensive care personnel

2 Perform routine radiographic procedures

3 Adapt routine procedures to trauma and emergency room patients requiring special care

4 Operate and manipulate radiographic equipment specific to trauma radiography

5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and

yourself

6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form

(clinhndbk)sectionvidoc

27

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION OPERATING ROOM OBJECTIVES

INTRODUCTION

Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile

environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge

and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must

complete the operating room objectives dur ing the Clinical Education courses in the second year of the

program

OPERATING ROOM POLICY

In the course of providing clinical education any person connected with the Bakersfield College Allied Health

programs a grees to keep all patient information in strict confidence and to ensure the protection of patient

privacy In addition to observing the confidentiality of patient information it is a lso the expectation that

students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This

practice is s pecific to the studentrsquos c arepresence in the operating room

To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by

the agency Prior to assuming care of the patient in the Operating Room the student will

Check the patient name

If the patient is k nown to the student the student will inform the charge nurse or department manager

AND the instructor

The student will be required to accept an alternate assignment

STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5

Summer Fall and Spring Terms

Under direct technologist supervision the student will

1 Identify routine procedures used in surgical radiography examinations

2 Perform routine operating room radiographic procedures

3 Operate and manipulate mobile and c-arm radiographic equipment

4 Differentiate between sterile and non-sterile fields in the surgery department

5 Explain the preparation cleaning and safe use of radiographic equipment in surgery

6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and

recovery room

7 Adapt routine procedures to accommodate for a sterile environment

8 Explain the features operating procedures and uses of mobile fluoroscopy units

9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program

10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed

11 Complete answers to assigned questions on the Operating Room Objective Form

READING ASSIGNMENT

Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma

Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related

Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical

radiography)

28

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program

READING ASSIGNMENT

Prior to reporting for your rotation through radiation oncology each student must read the

following materials as an introduction to this clinical field In addition other reading materials

will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic (section on oncology)

STUDENT OBJECTIVES

After reading the introduction and reference materials by the end of the rotation a student will

be able to

1 Define terminology specific to radiation therapy

2 State the possible causes of cancer and identify common classifications of cancer

3 Apply radiation safety procedures for patients undergoing irradiation and for technologists

4 Understand the early and late effects of radiation treatment

5 Identify the types of equipment and discuss the levels of energy utilized for treatment

6 Describe and assist with patient preparation and positioning for conditions primarily treated with

radiation

7 Assist with taking port films processing them and reloading cassettes

8 Discuss the overall care of patients undergoing irradiation for treatment of disease

(clinhndbk)sectionivdoc revised 416

29

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

DIAGNOSTIC ULTRASOUND

INTRODUCTION

The rotation through this modality will serve to familiarize each student with the basic principles and theory of

ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of

patients for specific areas of the body In addition each student will observe and participate in computer

operations the processing of films and patient care Student selecting this optional rotation will spend

approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the

program

Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is

useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part

such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the

capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of

organs or selected anatomical areas

READING ASSIGNMENT

Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following

materials as an introduction to this imaging field In addition other reading materials will be assigned at the

clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)

STUDENT OBJECTIVES

After completion of assigned reading materials and thirty-two (32) hour rotation a student will be

able to

1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects

of the exam

2 Discuss the operation of the transducer and display monitor and operate the equipment under direct

supervision Review quality control procedures for operation of equipment

3 Assist the sonographer in preparing patients for ultrasound examination

4 Process filmsimages

(clinhndbk)sectionvidoc revised 416

30

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

NUCLEAR MEDICINE

INTRODUCTION

This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation

protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct

supervision each student will observe and participate in the various nuclear medicine procedures the

processing of films and patient care Students selecting this optional rotation will spend approximately thirty-

two (32) hours in this specialty

READING ASSIGNMENT

Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear

medicine In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history

4 Route patients from the Nuclear Medicine Department to other departments for complementary studies

5 Recognize basic and sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes on the acquisition and processing computers

7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist

8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and

dosages for exam protocols

9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging

10 Relate the differences between scintillation detectors and radiography equipment

(clinhdnbk)sectionvidoc revised 416

31

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

MAGNETIC RESONANCE IMAGING

INTRODUCTION

Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality

which examines the interactions of magnetism and radio waves with tissue to obtain images

This technique provides both anatomic and physiologic information non-invasively No

ionizing radiation of any kind is used The rotation through this imaging modality will serve

to familiarize the student with the history and basic physic principles and theories of magnetic

resonance Additionally the student will learn basic scanning computer applications patient

preparations contrast media agents and positioning techniques used in imaging the patient Students

selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty

READING ASSIGNMENT

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Additional Diagnostic and Therapeutic Modalities (Section on MRI)

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the

completion of scans performed

2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these

words relate to MRI

3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the

patient

4 Demonstrate a good working knowledge of MRI safety

5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans

6 Perform basic functions at the computer console for routine patient exams

7 Position the patient for routine scans under direct supervision of the MRI technologist

8 List and explain what types contrast media agents are currently used in routine procedures

9 Compare and contrast MR images with conventional radiographers

(clinhndbk)sectionvidoc revised 0419

32

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects

and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called

ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs

Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology

and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter

the MRI environment

This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology

program This safety training must be completed yearly prior to the first day of clinical education center attendance

Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office

Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the

device and completion of a new MRI Screening form

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or

assist in MRI Hair clips Necklaces

TLDrsquos (alligator clips) Wallets (credit cards erase)

Name tags Coins

Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)

Watches Clothing with metal in the material

Earringsbody rings

Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic

objects could include but are not limited to

Cardiac pacemaker

Aneurysm clip(s)

Implanted cardiac defibrillator Neurostimulator

Biostimulator

Any type of internal electrode(s) includingPacing wires

Cochlear implant

Implanted insulin pump Swan-Ganz catheter

Halo vest or metallic cervical fixation device

Implant electronic mechanical or magnetic

Diaphragm IUD

Pessary (intra-vaginal device)

Wire mesh implants

Hearing aid

Metallic foreign body shrapnel or bullet

Heart valve prosthesis Ear implant

Penile prosthesis

Orbitaleye prosthesis Any type of implant held in place by a magnet

Any type of surgical clip or staple(s)

Vascular access port Intraventricular shunt

Artificial limb or joint

Dentures

Tattooed makeup (eyeliner lips etc) Body piercing(s)

Internal Pacing wires

Any metallic or foreign body

Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement

33

MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown

If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before

signing the MRI Safety Form The safety form will be provided in the first summer of the program

Revised June 2016

34

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 3-5 RADT B7 10 and 13

Summer Fall and Spring Terms

CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

The rotation through this modality will serve to orientate the student with the basic principles of angiographic

equipment sterile technique and examination procedures Under direct supervision each student will observe

and participate in the angiographic procedures performed computer operations patient and examination

preparation to include sterile technique and processing of images Rotations will be offered during the second

year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty

READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this

imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on

Angiography and Interventional Procedures

STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Explain procedure to the patient and acquire a pertinent patient history

2 Demonstrate proper use of sterile o aseptic technique before during and post procedure

3 Use proper universal precautions with blood or other body fluids

4 Position and patient for routinely performed procedures

5 Select appropriate equipment for examinations performed

6 Practice appropriate and safe radiation protection measures for patient self and other departmental

personnel

7 Provide appropriate post-procedural care for the patient

8 Properly dispose of used or contaminated supplies

9 Identify film anatomy for positioning and filming

(clinhndbk)sectionivdoc revised 0412)

35

BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL EDUCATION 2-5 RADT B7 10 and 13

Spring Summer Fall and Spring Terms

Computed Tomography

I INTRODUCTION

The rotation through this imaging modality will serve to familiarize each student with the

history basic principles and theory of computed tomography Under direct supervision each student

will observe and participate in the scanning of patients for specific areas of the body In addition each

student will participate in computer operations patient preparation and positioning

Rotations through this modality will begin in Clinical Education 2 and continue throughout the

remainder of the program

II READING ASSIGNMENT

Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site

Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter

III STUDENT OBJECTIVES

After completion of assigned reading and near the end of the rotation a student will

1 Be able to assist in the completion of scans on each of the most common body parts

2 Film studies with technologistrsquos assistance

3 Participate in patient preparation and information

4 Route patients from CT to other departments for complementary studies

5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans

6 Perform basic keystrokes position patients for scans under direct supervision of the

CT technologist

7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing

table increments technique selection and scan routines

8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs

(clinhndbk)sectionvidoc revised 0420

36

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)

As part of the clinical education experience students require skills in assessing radiographs for correct

exposure positioning and radiographic quality To facilitate this process students are required to present

radiographic case studies during scheduled film critique sessions

Each student is required to present a specific number of case studies during the semesterterm (refer to list under

Item C) Each individual case study must be presented at a different session during the semester except as

approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the

case study at the beginning of the session as scheduled

Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be

removed prior to leaving a clinical education center and transporting films for the presentation Patient

confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled

A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)

The radiographic case study format must include the following

1 Correct pronunciation and use of English and medical terminology in both oral and written forms

2 Describe the exam routine image sequence position of partpatient collimation

breathing instructions and immobilization used Discuss the quality of positioning used

3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection

4 Discuss alignment of tube CR patient and image receptor and SID

5 Identify technical factors used for exposure including kVp mA and time of exposure

use of automatic exposure control and amount of mAs used Discuss the sensitivity number or

exposure index parameters and discuss whether these values are within the correct range of

exposures for the body part For all exposure factors and digital imaging values discuss how

these factors should be modified to improve image quality and ensure optimization for radiation

protection

6 Identify and discuss the use of accessory equipment including part identification

methods (lead markers and digital annotation) blockers and system speed for filmscreen

imaging digital imaging plate or detector speed image receptor size and grid use

7 Assess image quality for anatomical structures and pathological conditions

demonstrated The impact of image densitybrightness contrast detail and distortion must be

analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of

contrast) may be adjusted

8 Identify use of equipment and radiation protection measures

9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained

B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)

37

Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with

additional information required Research is necessary to complete the pathology case study Research maybe

conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical

Education Center libraries or reference sources located within the individual radiology departments or on-line

sources

Additional information necessary for this type of case study includes

1 Definition of all medical terms related to the pathology

2 Etiology and predisposing causes

3 Prevalence mortality morbidity and statistics

4 Symptoms signs and manifestations

5 Methods of Diagnosis

6 Methods of Treatment

7 Reference sources [must include more than one source]

a Suggested references may include but are not limited to

radiology nursing surgical or medical texts Merckrsquos M anual

Allied Health encyclopedias o r dictionaries professional

journals a nd online resources

C RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include

Chest KUB upper and lower extremities

Cervical thoracic or lumbar spine pediatric geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric 1 geriatric

and trauma case study

Suggested regular exams may include

Cervical thoracic or lumbar spine

GI system GU system Angiography

Special Imaging Modality

Suggested pathology exams may include

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies 1 pediatric geriatric or

trauma

Suggested regular Exams may include

GI System GU system Skull

Special Imaging Modality Angiography

Suggested pathology exams may include

Any exam listed from RADT B6

RADT B7 or RADT B10

Note Exams may be presented only once during the Program unless the exam is repeated under the pathology

category or presents something newdifferent [example a portable examination] It is expected that students

will present examinations commensurate with their current level in the program

38

VII Record of Clinical Procedures

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES

Instructions to Students

Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical

site supervising employee (if not in list click New and add full first and last names then click Add)

Click Add Logsheet to select major study procedure and other requested items If Key Field is listed

ask program leader what to use for the key field

List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to wwwtrajecsyscom Select Payments (Students)

o Go to Registration Page

o You will need to register as a student Once you register in the system BC will receive an email

that you registered and we will assign you to a clinical site Once this occurs you may then

access the system

Cost

o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge

(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal

payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation

- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin

using the system even if they havenrsquot paid by the stated registration date provided by the

program

o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May

2021) payment is due by June 30 2019

Full refunds will be available for 30 days after the due specified Nor refunds will be

made thereafter Check or Money Orders are accepted at

39

o Trajecsys Corporation

6342 West Lake Drive

Alexander AR 72002

o Select ldquoGo to Registration Pagerdquo

o Register for Trajecsys

o Institution Name Bakersfield College

o Include your full name

o Select Current Student (Class of 2019-2021)

o Select New Student (Class of 2019-2021)

40

o Select a user name that will identify you as a student It is preferred that you use your first and last name

If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select

your own password

o Select Area California

o Use your assigned college email address for Trajecsys Do not use your personal email information

41

VII Performance Evaluation in the Clinical Education Center

VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation

42

43

Radiologic Technology Program Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

1 Flow Chart of Student Activity and Experience

2 Clinical Competency Requirements

3 Clinical Competency Evaluation Instructions

4 Clinical Competency Evaluation Form

5 Clinical Competency Evaluation Criteria

6 Radiologic Procedure Categories

Completed during Clinical Education 1-5

a Extremity- Upper and Lower

b Chest and Thorax

c Pediatric

d Geriatric

e Head

f Spine and Pelvis

g Mobile Studies

h Abdomen

i Fluoroscopy Studies

j Electives

7 Student Record of Clinical Competency

8 Terminal Competency Requirements

9 Terminal Clinical Competency Evaluation Form

10 Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (6 above)

Completed during Clinical Education 3-5

a Extremity

b Chest and Thorax

c Head

d Spine and Pelvis

e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016

44

Radiologic Technology Program

Clinical Education 1-5

RADT B 4b 6 7 10 13

Clinical Competency Requirements

Introduction

During the course of the twenty-four month radiography program the system of Clinical Competency testing is

implemented During each clinical education course a minimum number of competency exams must be

completed A student must perform these exams after demonstrating competency within the laboratory setting

and sufficiently practicing the exam in the clinical setting

The competency exams are selected from the Radiologic Procedure Category listing (see attached)

Number of Radiologic Procedures Required for Clinical Competency

A total of 52 clinical competency procedures must be completed to meet program completion requirements

These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations

Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency

Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed

The following table identifies the minimum number of exams per clinical education course

Course SemesterTerm

Number of

Required

Competency

Exams per

SemesterTerm

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

Note A student may exceed the minimum number of competency exams in Clinical

Education Courses 2-5 if laboratory competency has been demonstrated and sufficient

practice achieved

In RADT B4b Clinical Education 1 the maximum number is six (6) competencies

Category Completion

All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a

score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a

complete exam (clinhndbook)clincompproc2016

45

COMPETENCIES

Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and

clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys

It is strongly recommended students maintain paper records of all attempted competencies in addition to the

electronic records found in Trajecsys Students must electronically sign all Competencies documented into

Trajecsys

View and Sign

Students must view and sign all Competency Exams by

1 From Left Menu Click Reports

2 Select Skill Summary

3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed

4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment

5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu

6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed

7 You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by

1 From Left Menu Click Comp Evals

2 Follow the pull-down menu to log all Competency Exams attempted

3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)

4 Click Submit (Be sure to wait until form is Submitted before exiting the page)

If a clinical instructor is not immediately available to review and enter the completed clinical competency into

the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the

supervising technologist The Clinical Instructor may view the form and enter the competency at a later time

It is the responsibility of the student to have paper Competency Evaluation Forms available for use

46

RADT B4B 6 7 10 13 Clinical Competency Evaluation Form

Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer

evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()

tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is

terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no

Student Name Date

Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity

ExamProcedure Name Performance Evaluation Areas YES NO

1 Evaluation of Requisition A Selected Correct Patient

B Identified Correct Procedure

A

B

_____

_____

A

B

_____

2 Physical Facilities Readiness

A Provided clean room and equipment B Obtained appropriate supplies for exampatient

C Verified operation of equipment amp suitability for exam

AB

C

_____ AB

C

_____

3 Patient Care A Gowned patient properly and maintained privacycomfort

B Introduced himherself and explained procedure

C Assessed patient and assistedtransported patient correctly

D Programmed control panel according to exam E Applied universal precautions

A

B

C

DE

_____ A

B

C

DE

_____

4 Equipment Operation

A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations

C Selected appropriate exposure factors

D Programmed control panel according to exam

AB

C

D

_____ AB

C

D

_____

5 Positioning Skills A Positioned patient properly

B Aligned central ray to partimage receptordetector

C Selected correct tube angle

D Selected correct SID E Used immobilization devices as needed

A

B

C

D E

_____ A

B

C

D E

_____

6 Radiation Protection

A Collimated to Part B Used appropriate shielding devices as needed

C Maintained ALARA for personnel amp patients

D Requested information on pregnancy as appropriate

A B

C

D

_____ A B

C_

D

_____

7 RepeatsExam Completion Time A Student had no repeats

B Exam completed in reasonable time limit Begin____ End______

A

B

_____ A

B

_____

8 Image Evaluation (Completed by Clinical Instructor)

A Anatomical part demonstrated in proper position B Optimal image density amp contrast

C Identified anatomical structures shown

D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)

A B

C

DE

_____ A B

C

DE

_____

SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points

EVALUATORS SIGNATURE

CLINICAL INSTRUCTORS SIGNATURE

Comments MClinicalTrajecsys Comp Form_

47

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

_____

_____

_____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____

_____

____

_____

_____ _____

_____

_____

_____ _____

_____

_____

_____ _____

_

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will

Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor

The Evaluator will

Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7

The Clinical Instructor will

Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator

The Clinical Coordinator will

Record competency exams that are attempted passed or failed on the Record of Clinical competencies form

Review competency exam progress with the student

(clinical)competentdoc

48

RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1 Evaluation of Requisition

The student will

Identify patientrsquos name and date of birth and verbally verify with patient or with ID band

Inform evaluator of exam and positions to be performed

Inform evaluator if clinical history requires adaptations

2 Physical Facilities Readiness

The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies

3 Patient Care

The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials

4 Equipment Operation

The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition

49

Select control panel parameters (ie AEC Table Bucky upright chest photocells

focal spot sec mA and kVp)

5 Positioning Skills

The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize

6 Radiation Protection

The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary

7 RepeatsExam Completion Time

The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables

8 Image Evaluation

The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date

(clinical)competentdoc

50

Radiologic Technology Program Clinical Competency Requirements

Imaging Procedures

Required Exams

CATEGORY

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP Oblique Lateral

Hand PA Oblique Lateral

Wrist PA Oblique Lateral

Forearm AP Lateral

Elbow AP Oblique Lateral

Humerus AP Lateral

Shoulder AP Internal and External

Clavicle AP AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y Transthoracic or Axillary

Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning movement of body parts etc non-

shoulder

Foot Dorsoplanter Oblique Lateral

Ankle AP Oblique Lateral

Tibia and Fibula AP Lateral

Knee AP Oblique Lateral

Femur AP Lateral

Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may

include variations in positioning minimal movement of body parts etc

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest routine PA Lateral

Chest wheelchair or stretcher AP

Ribs AP or PA Obliques

CATEGORY

PEDIATRIC REQUIRED VIEWS

Chest age 2 years or younger PAAP Lateral

Chest age 6 years or younger PAAP Lateral

Extremity age 6 years or

younger

Specify complete exam either upper or lower extremity

51

Required Exams Clinical Competency

CATEGORY

GERIATRIC Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest PA and lateral

Upper extremity Specify Exam

Lower extremity Specify exam

CATEGORY

HEAD REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial

(Waters) Lateral PA PA Axial (Caldwell)

CATEGORY

MOBILE STUDIES REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY

MOBILE C-ARM REQUIRED VIEWS

Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

and manipulation around a sterile field

C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production

Requires manipulation to obtain more than one projection

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open

Mouth

Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)

Thoracic Spine AP Lateral

Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral

preferred

Pelvis AP

Hip AP Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen (KUB) Supine

Abdomen Upright

52

Required Exams Clinical Competency

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Upper GI Series Single Double

contrast

OR

Barium Enema Single Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

CATEGORY

EXTREMITY Upper and

Lower

REQUIRED VIEWS

Scapula AP Lateral

Acromioclavicular Joints Bilateral AP withwithout weights

Toe AP Oblique Lateral

Calcaneus Lateral Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY

CHEST and THORAX REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique Lateral

Upper Airway Soft-Tissue Neck

CATEGORY

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study Specify Exam

Abdomen Specify Exam

CATEGORY

HEAD REQUIRED VIEWS

Skull APPA Laterals AP Axial (Towne)

Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)

53

ELECTIVE EXAMS

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals Parietoacanthial (Waters)

Mandible PAAP Axiolateral Oblique Lateral AP Axial

Zygomatic Arches Submentovertex

Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY

SPINE and PELVIS REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints ObliquesAP Axial

Sacrum andor Coccyx AP or PA Axial Lateral

CATEGORY

ABDOMEN REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY

FLUOROSCOPY STUDIES REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam includes material and equipment prep

54

STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES

Name ________________________________________ Class of 2020-2022

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest ndash stretcherwheelchair

Ribs

PEDIATRIC

Chest (2 years or younger ndash 2 view)

Chest (6 years or younger ndash 2 view)

Extremity age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest routine

Upper Extremity (Specify)

Lower Extremity (Specify)

55

REQUIRED COMPETENCIES

All of these exams must be completed

DATE LOCATION SCORE SIMPT

HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip ndash Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

C-Arm Procedure (multiple angulations of C-arm)

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

MClinical Competencies2020-2022 (revised 2018)

56

STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed

DATE LOCATION SCORE SIMPT

EXTREMITY- UPPER amp LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Temporomandibular Joints

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

CystographyCystourethrography

Myelography

ERCP

Arthrography

revision 2018

57

Radiologic Technology Program Clinical Education 4-5

RADT B10 amp B13

Terminal Competency Requirements

Introduction

During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College

Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams

Terminal Competency Completion

Each radiographic position identified for a category must be successfully passed with an 85 or higher in

order to complete the Terminal Competency Evaluation for each category If any position score is below 85

the student will meet with the instructor for remediation purposes Following remediation the student will

perform a complete exam for the position not successfully passed Successful remediation will earn a student

85 for the position

58

Bakersfield College Radiologic Technology Program

TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies

A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program

CATEGORY EXTREMITIES

REQUIRED EXAMS Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

59

TERMINAL CLINICAL COMPETENCIES

CATEGORY HEAD

REQUIRED EXAMS PA Skull

Parietoacanthial (Waterrsquos) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Waterrsquos) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB ndash BE IVU SBS

OR

PA Stomach ndash UGI

Oblique Esophagus

Lateral Rectum ndash BE

AP or PA Axial - BE

Lateral Decubitus KUB ndash BE

CATEGORY CHEST AND THORAX

REQUIRED EXAMS Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

60

TERMINAL CLINICAL COMPETENCIES

CATEGORY SPINE and PELVIS

REQUIRED EXAMS Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmerrsquos View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

61

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY ABDOMEN amp GI TRACT

2

STUDENT DATE CARD NUMBER

INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the

following

1 Acceptable 0 Unacceptable

TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo

Begin Time ____________________________ Conclusion Time ________________________

PERFORMANCE EVALUATION AREA YES NO

SECTION A

1 PATIENT CARE The Student

a Identified patientintroduced self

b Asked patient to remove unnecessary articles and to gown

c Requested information on pregnancy as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B

PERFORMANCE EVALUATION AREA

SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1 POSITIONING SKILLS The Student

a Properly centered patient

b Gave clear positioning instructions

c Aligned central ray to part

d Aligned central ray to image receptor

e Utilized correct tube angle

f Gave proper breathing instruction

g Immobilized patient properly

h Used appropriate devices for comfort or

immobilization

i Maintained patient comfort and safety throughout exam

2 EQUIPMENT OPERATION The Student

a Manipulated equipment controlslocks properly

b Selected gridBuckychest boardtable top as appropriate

c Programmed control panel appropriately

kVp

mAs

62

PERFORMANCE EVALUATION AREA

SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2 EQUIPMENT OPERATION The Student

d Selected appropriate cassette size

e Oriented cassette correctly

f Correctly placed marker(s)

g Selected correct marker

h Placed blocker out of area of interest

i Used appropriate SID

3 RADIATION PROTECTION The Student

a Collimated to cassette size or within one inch of

area of interest

b Shielded patient when necessary

TOTAL EACH COLUMN 20 20 20 20 20

85 = 1720 1720 1720 1720 1720

OVERALL TOTAL SCORE 100

Achieved Competency in all positions with 85 or better YES NO

COMMENTSOR REMEDIATION TERMS

Signature of Clinical Coordinator Date

Rev 72012

(clinicalcomp)abdomen-gitract2 2012doc

63

________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________ ____

Performance Evaluations

Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys

System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor

and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self

Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical

Instructor and Clinical Coordinator

Students are advised to review the Performance Evaluations throughout the semester in order to be

familiar with the evaluation grading criteria

Sample Performance Evaluation

RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION

Course RADT B6 - Clinical Education 2

____________________________ _______________________ Student Date Clinic Location

Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

A Attendance The student demonstrates competency in this category by meeting the following objectives

(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction

Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction

occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of

time regularly absent (NA) Not applicable Not observed or does not apply

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N A

1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)

2 Prepared to work upon arrival

3 Pattern of attendance is conducive to learning

Attendance Comments

Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity

Student Comments (Optional)

Grades are computed for individual evaluations using the point scale below

64

________________________

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less

The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation

Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy

Clinical Instructor signature BC Clinical Coordinator signature Student signature

Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester

65

Self-Evaluations

Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their

Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select

the correct course number for the appropriate clinical rotation Students will complete each portion of

the evaluation and must include written comments that are reflective of their clinical performance

Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their

Clinical Instructors and Clinical Coordinator for review

SAMPLE

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___

Clinic Location

Instructions In each category below check the box that corresponds to your

level of performance

Below

Passing

Grade of

C

Grade of

B

Grade of A

A ATTENDANCE I demonstrate competency in this category by meeting

the following objectives

less than 75

At least 75 -81

At least 82 -89

At least 90-100

1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness

2 Arrive prepared to work

3 Have a pattern of attendance that is conducive to learning

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B PROFESSIONAL CONDUCT I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Maintain patient confidentiality

2 Accept direction and guidance from supervisors and technologists

3 Adapt well to varying assignments

4 Participate in and demonstrate effective communication skills with

physicians and the health care team

5 Work efficiently without outside interferences (limits social conversations

phone use etc)

6 Report to the clinical education center in an appropriate uniform as designated

by the program

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C PATIENT CARE AND COMMUNICATION

I demonstrate competency in this category by meeting the

following objectives

less than

75

At least

75 -81

At least

82 -89

At least 90shy

100

1 Determine patient identity and assess patient conditionmobility

2 Obtain patient history pertinent to examprocedure

3 Use verbal and non-verbal communication skills in explanation of procedure to

patient

4 Anticipate and respond to the patientsrsquo needs to ensure safety

66

5 Provide privacy and comfort for the patient

6 Observe standard precautions

Comments ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D TECHNICAL SKILLS I demonstrate competency in this

category by meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Assist patient in preparing for examination (gowning removal of nonshy

essential items for area being examined etc)

2 Prepare the room prior to beginning of examinations

3 Demonstrate proper use of radiographic equipment

4 Demonstrate proper use of fluoroscopic equipment

5 Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition

6 Select appropriate image receptor digital plate andor grid combinations

7 Utilize lead markers correctly to identify body position time etc

8 Restrict the beam to the area of interest

9 Use proper immobilization devices for positioning or to restrict patient

motion

10 Demonstrate ability to formulate technical factors (kVp mA time

photosensor etc) on control panel

11 Properly input patient data for image receptor device and process images

appropriately

12 Select appropriate number type and sequence of positions for examinations at

this clinical education center

13 Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA

14 Can recognize suboptimal images and determine causative factors

15 Transport patients safely utilizing proper body mechanics within the

department andor clinical education center

16 Understand and follow emergency procedures for the department and

clinical education center

17 Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions telephone protocols patient information retrieval etc)

Comments _______________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of

A

E PRODUCTIVITY I demonstrate competency in this category by

meeting the following objectives

less than

75

At least

75 -81

At least

82 -89

At least

90-100

1 Make myself available for additional learning experiences when free from

routine assignments

2 Maintain adequate amount and type of room supplies

3 Initiate work on my own

4 Assume responsibility for work completion

5 Work independently based on current course objectives

6 Minimize the number of repeat exposures

7 Perform examinations within acceptable time limit

Comments ________________________________________________________________________________

Student Signature Clinical Instructor

Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018

67

IX Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Student are given the opportunity to give feedback on their clinical education process to the clinical

education centers This process happens at the end of each term for each clinical education center Students are

encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of

questions relating to their current clinical rotation Responses are in the form of a check in the appropriate

category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are

encouraged to provide both positive and negative criticisms on this evaluation

Summaries are made of all evaluation forms found on Trajecsys for each specific education center

After review of the summaries by the Clinical Coordinators and the Program Director the summaries are

delivered to the respective clinical education centers Clinical Coordinators review the summaries with the

Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the

summaries are kept on file in the Program Office

SAMPLE FORM BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date ______________________________ Affiliate _________________________

INSTRUCTIONS In order to help improve clinical education you are asked to rate your

assigned clinical facility according to the following scale in the spaces

provided Since this rating is to be anonymous do not sign your name

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree

Strongly

Disagree

Not

Applicable

1 Your time was well spent in this clinical facility

2 The amount of time spent in this clinical affiliate was adequate time to

expose you to a variety of procedures

3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures

4 You received adequate orientation in equipment operation and maintenance

5 You received an adequate orientation to office transportation and image processing procedures

6 The clinical routines and procedures were explained sufficiently to allow

68

for thorough understanding

7 You received adequate supervision

while performing your assigned duties

8 You were allowed ample opportunity to ldquowork on your ownrdquo

9 You received thorough feedback on your performances to enable you to

improve on your weaknesses

10 You received individualized instruction when necessary

QUESTION NUMBER OF RESPONSES

Strongly

Agree Agree Neutral Disagree Strongly

Disagree

Not

Applicable

11 The theories and principles learned in

didactic courses were adequately reinforced in the clinical setting

12 The clinical instructor(s) waswere available when you needed them

13 You were able to discuss problems

with the staff

14 The technologists were interested and willing to take time to give instructions and assistance

15 The radiologists andor physicians

were interested and willing to take time to give instructions and assistance

16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of

teamwork

COMMENTS

17 What do you like best about this clinical rotation

18 What do you like least about this clinical rotation

19 What suggestions do you have for improving student clinical experiences at this clinical facility

20 Specific comments for questions 1-16(indicate)

69

X CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue

Bakersfield CA 93301

(661) 869-6260

Director Radiology ndash

Spencer Orr RT(R)

Benjamin Barnard RT(R)

Kristen Myers RT(R)

Adventist Health Bakersfield

Quest Imaging-Stockdale

9602 Stockdale Highway

Bakersfield CA 93311

(661) 633-5000 (main)

(661) 617-4014 (direct line to x-ray)

(661) 633-2500 Fax

Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)

Tammara Newby RT(R)

Adventist Health Bakersfield

Quest Imaging Chester

2700 Chester Avenue

Bakersfield CA 93301

(661) 637-8727

Manager Diagnostic Imaging ndash Danyell Deckard RT(R)

Lisa Barnett RT(R)

Bakersfield Memorial Hospital (Dignity Health)

420 - 34th Street

(661) 327-4647 Ext 3106

Bakersfield California 93301

Director of Imaging Services ndash Pete Ramirez

Kristi Ferdon RT(R)

Jorge Proano RT(R)

Patricia Sandoval RT (R)

Delano Regional Medical Center 1401 Garces H ighway

Delano CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)

Armando Ramirez RT(R) (CT)

70

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue

Bakersfield CA 93306

(661) 326-2522 ext 6270

Radiology Manager ndash Suzanne Knight RT(R)

Cynthia Acosta RT(R)(M)

Karen Landers RT (R)

Mercedes V illarreal RT (R)

Kern Radiology - Bahamas

2301 Bahamas Dr ive

Bakersfield CA 93309

(661) 326-9600 ext 6270 or 6272

Site Manager Laura Herrera

LaTierra Rumph RT(R)

Kern Radiology ndash Old River

9900 Stockdale Highway Suite 100

Bakersfield CA 93311

(661) 325-6800 ext 20128

Chief Technologist ndash James Va nce RT(R) (MR) (CT)

Site Manager ndash Mari Romo

Marissa Diaz RT(R)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue

Bakersfield CA 93301

(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)

Joyce Horvath RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health)

400 Old River Road

Bakersfield CA 93311

(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)

Krystal Plank RT(R)

Southern California Orthopedic Institute

2400 Bahamas Dr ive

Bakersfield CA 93309

(661) 328-5565

Practice Administrator Bakersfield Operations ndash

Rashal Campos

Julie Unruh RT(R)

Truxtun Radiology Medical Group 1817 Truxtun

Bakersfield CA 93301

(661) 325-6800 ext 20177

Chief Technologist ndash James Va nce RT(R)(MR)(CT)

Site Manager ndash Carolina Sanchez Revised 520

71

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages (661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

RtshareFacultyProgram Contact List

Rev 52020

72

Clinical Education Site Locations and Parking

The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical

education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center

Parking Instructions Adventist Health-Quest Imaging Stockdale

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building

Adventist Health- San Joaquin Community Hospital

VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient

parking areas Bakersfield Memorial Hospital

Park in the 34th Street lot across from the main hospital Do not park in visitor parking

Delano Regional Medical Center

Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance

Kern Medical

Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas

Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance

Kern Radiology ndash Old River

Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot

Mercy Hospital Downtown

Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital

Mercy Hospital Southwest

Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also

available in the rear lot behind the hospital

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of ldquoGrdquo Street

73

XI PROGRAM FACULTY AND STAFF

Radiologic Technology Program Contact Information

College Address Bakersfield College

Radiologic Technology Program 1801 Panorama Drive

Bakersfield CA 93305-1299

Program Director

Jacy Hill MA Ed RT(R)

Instructor

(661) 395-4249

jacelynhillbakersfieldcollegeedu

MS-153

Program Messages

(661) 395-4284 Main Office

Voice Mail

Contact each phone number

to leave messages on voicemail

Program Office Location

Math-Science ndash Room 178

Program X-Ray Laboratory

Math-Science ndash Room 21

Full-Time Program Faculty

Program Classroom Math-Science- Room 54

Allison Ament BA RT(R)

Instructor

(661) 395-4247

allisonamentbakersfieldcollegeedu

MS-159

Kellie Smith BA RT(R) (MR)

Instructor

(661) 395-4467 kelliesmith1bakersfieldcollegeedu

MS-161

Adjunct Program Faculty

Cynthia Randall RT(R)

(661) 395-4284

cynthiarandallbakersfieldcollegeedu

Program Assistant

Department Assistant Melissa Ramirez-DAIII

(661) 395-4284

melissaramirezbakersfieldcollegeedu

FA-43

RtshareFacultyProgram Contact List

Rev 52019

74

Section XII ndash Student Complaint Procedures

Student Complaint Policy

Students who contend they have been treated unfairly have the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern

Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at

httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy

Section 4 StudentsInstructional Services

Student Treatment Statement

The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to

learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior

expected by society

Student Complaint Procedure

Student Complaint Procedures are established so that students can resolve difficulties problems they encounter

in College-related activities Student complaints are taken seriously therefore the complaint must be of a

compelling substantive and verifiable nature (KCCD Policy 4F10)

Informal Student Complaint Procedure

Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within

ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the

staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the

problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from

the date of the incident leading the complaint

The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic

Technology Program is as follows

Discuss the issue with Instructor and if not satisfied

Discuss the issue with the Program Director

Formal Student Complaint Procedure

In the event that a resolution cannot be achieved following the informal complaint procedure and a student

maintains they have been treated unfairly the student has the right without fear of reprisal to use a written

procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as

Course content

Access to classes

Verbal or physical abuse by faculty staff or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints which involve

Unlawful Discrimination (See KCCD Policy 7D4)

Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to

maintain a working and educational environment free of sexual harassment

Assignment of grades (See KCCD Policy 4C4C for final grade changes)

STUDENT CONDUCT

Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at

wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct

75

_______________________________

________________________________ ________________________

XV HANDBOOK AGREEMENT

Bakersfield College Associate in Science Degree

Radiologic Technology Program

Clinical Handbook Agreement

I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook

student policies I certify that I understand them and agree to abide by them while a student in the program

Failure to abide by the policies in this handbook willmay result in disciplinary action

Print Name

Student Signature Date

Notice to Student This agreement will become part of your student file in the Radiologic Technology Program

76

  • Clinical Handbook
    • PURPOSE OF CLINICAL HANDBOOK
    • Radiologic Technology Program Clinical Education Handbook Table of Contents
      • Supportive Services at Bakersfield College
        • I Radiation Safety and Protection Guidelines
          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
            • A GENERAL
            • B SPECIFIC
            • C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
            • D REFERENCES
                • II Student Orientation to Clinical Education
                  • SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
                    • A Policy
                    • B Procedure The orientation will include
                        • III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
                          • ATTENDANCE
                            • Lecture andor LectureLab Class
                            • Clinical Education
                            • Mandatory Clinic Hours
                            • AbsencesMake-up Assignments in the Program
                            • Tardiness
                            • Request for Leave from the Program
                            • HolidaysVacation
                            • Trajecys Time Reporting System
                            • Change in Health StatusExtended Illness
                              • GRADE COMPUTATION
                                • Lecture Course
                                • Clinical Education Course
                                  • PROGRAM PROGRESSION
                                    • Conferences
                                    • Probation
                                    • Withdrawal and Exit Interview
                                    • Re-entry Into Program
                                      • RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
                                        • INSTRUCTIONS
                                        • ADDITIONAL INSTRUCTIONS TO STUDENTS
                                          • Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
                                            • IV Guidelines for Professional Clinical Appearance
                                              • Procedures
                                              • Dress Code
                                                • Uniforms
                                                  • Guidelines for Professional Clinical Appearance
                                                    • Grooming
                                                    • Jewelry and Adornment
                                                    • Photo ID
                                                    • Miscellaneous
                                                      • On-Campus Laboratory Attire
                                                        • V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
                                                          • INSURANCE
                                                            • Malpractice Insurance
                                                            • Accident Insurance
                                                              • ACCIDENTSEXPOSURESINCIDENTS
                                                                • AccidentsExposures
                                                                • Incident Reports
                                                                    • VI CLINICAL OBJECTIVES
                                                                      • IV Introduction to Clinical Objectives and Examples
                                                                      • Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
                                                                      • RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
                                                                      • Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
                                                                        • Image Processing Procedure Objectives
                                                                        • Patient Registration amp Image Archiving
                                                                        • Transportation Procedures
                                                                          • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                            • EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                              • INTRODUCTION
                                                                              • READING ASSIGNMENT
                                                                              • CLINICAL OBJECTIVES
                                                                                  • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
                                                                                    • INTRODUCTION
                                                                                    • OPERATING ROOM POLICY
                                                                                    • STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
                                                                                    • READING ASSIGNMENT
                                                                                      • CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                        • RADIATION ONCOLOGY
                                                                                          • INTRODUCTION
                                                                                          • READING ASSIGNMENT
                                                                                          • STUDENT OBJECTIVES
                                                                                            • DIAGNOSTIC ULTRASOUND
                                                                                              • INTRODUCTION
                                                                                              • READING ASSIGNMENT
                                                                                              • STUDENT OBJECTIVES
                                                                                                • NUCLEAR MEDICINE
                                                                                                  • INTRODUCTION
                                                                                                  • READING ASSIGNMENT
                                                                                                  • STUDENT OBJECTIVES
                                                                                                    • MAGNETIC RESONANCE IMAGING
                                                                                                      • INTRODUCTION
                                                                                                      • READING ASSIGNMENT
                                                                                                      • STUDENT OBJECTIVES
                                                                                                          • BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                            • MRI SAFETY INFORMATION
                                                                                                              • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
                                                                                                                • CARDIOVASCULAR -INTERVENTIONAL IMAGING
                                                                                                                  • INTRODUCTION
                                                                                                                  • READING ASSIGNMENT
                                                                                                                  • STUDENT OBJECTIVES
                                                                                                                      • CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
                                                                                                                        • Computed Tomography
                                                                                                                          • I INTRODUCTION
                                                                                                                          • II READING ASSIGNMENT
                                                                                                                          • III STUDENT OBJECTIVES
                                                                                                                              • RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
                                                                                                                                • A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
                                                                                                                                • B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
                                                                                                                                • C RADIOGRAPHIC CASE STUDY REQUIREMENTS
                                                                                                                                    • VII Record of Clinical Procedures
                                                                                                                                      • BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
                                                                                                                                        • VII Performance Evaluation in the Clinical Education Center
                                                                                                                                          • VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
                                                                                                                                          • Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
                                                                                                                                            • Clinical Competency Requirements
                                                                                                                                                • Introduction
                                                                                                                                                  • COMPETENCIES
                                                                                                                                                  • RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
                                                                                                                                                    • Circle Major Study
                                                                                                                                                      • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
                                                                                                                                                        • The Student will
                                                                                                                                                        • The Evaluator will
                                                                                                                                                        • The Clinical Instructor will
                                                                                                                                                        • The Clinical Coordinator will
                                                                                                                                                          • RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
                                                                                                                                                            • PERFORMANCE EVALUATION AREA
                                                                                                                                                              • Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
                                                                                                                                                              • STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
                                                                                                                                                              • STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
                                                                                                                                                              • Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
                                                                                                                                                                • Terminal Competency Requirements
                                                                                                                                                                  • Introduction
                                                                                                                                                                  • Terminal Competency Completion
                                                                                                                                                                      • Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
                                                                                                                                                                      • Example Form
                                                                                                                                                                        • TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
                                                                                                                                                                          • Performance Evaluations
                                                                                                                                                                          • SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
                                                                                                                                                                            • IX Student Evaluation of Clinical Experience
                                                                                                                                                                              • SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
                                                                                                                                                                                • STUDENT EVALUATION OF CLINICAL EXPERIENCE
                                                                                                                                                                                    • X CLINICAL EDUCATION CENTER INFORMATION
                                                                                                                                                                                      • Clinical Affiliates
                                                                                                                                                                                      • Radiologic Technology Program Contact Information
                                                                                                                                                                                      • Clinical Education Site Locations and Parking
                                                                                                                                                                                        • Parking Instructions
                                                                                                                                                                                            • XI PROGRAM FACULTY AND STAFF
                                                                                                                                                                                              • Radiologic Technology Program Contact Information
                                                                                                                                                                                                • Section XII ndash Student Complaint Procedures
                                                                                                                                                                                                  • STUDENT CONDUCT
                                                                                                                                                                                                    • XV HANDBOOK AGREEMENT
                                                                                                                                                                                                      • Bakersfield College Associate in Science Degree Radiologic Technology Program
                                                                                                                                                                                                          1. Banking of 8 hours personal necessity leave
                                                                                                                                                                                                          2. Date
                                                                                                                                                                                                          3. Date_2
                                                                                                                                                                                                          4. Date_3
                                                                                                                                                                                                          5. DateRow1
                                                                                                                                                                                                          6. Time InRow1
                                                                                                                                                                                                          7. Time OutRow1
                                                                                                                                                                                                          8. DateRow2
                                                                                                                                                                                                          9. Time InRow2
                                                                                                                                                                                                          10. Time OutRow2
                                                                                                                                                                                                          11. DateRow3
                                                                                                                                                                                                          12. Time InRow3
                                                                                                                                                                                                          13. Time OutRow3
                                                                                                                                                                                                          14. DateRow4
                                                                                                                                                                                                          15. Time InRow4
                                                                                                                                                                                                          16. Time OutRow4
                                                                                                                                                                                                          17. DateRow5
                                                                                                                                                                                                          18. Time InRow5
                                                                                                                                                                                                          19. Time OutRow5
                                                                                                                                                                                                          20. DateRow6
                                                                                                                                                                                                          21. Time InRow6
                                                                                                                                                                                                          22. Time OutRow6
                                                                                                                                                                                                          23. DateRow7
                                                                                                                                                                                                          24. Time InRow7
                                                                                                                                                                                                          25. Time OutRow7
                                                                                                                                                                                                          26. DateRow8
                                                                                                                                                                                                          27. Time InRow8
                                                                                                                                                                                                          28. Time OutRow8
                                                                                                                                                                                                          29. DateRow9
                                                                                                                                                                                                          30. Time InRow9
                                                                                                                                                                                                          31. Time OutRow9
                                                                                                                                                                                                          32. DateRow10
                                                                                                                                                                                                          33. Time InRow10
                                                                                                                                                                                                          34. Time OutRow10
                                                                                                                                                                                                          35. DateRow11
                                                                                                                                                                                                          36. Time InRow11
                                                                                                                                                                                                          37. Time OutRow11
                                                                                                                                                                                                          38. Date_4
                                                                                                                                                                                                          39. D_7
                                                                                                                                                                                                          40. D_8
                                                                                                                                                                                                          41. B Exam completed in reasonable time limit Begin
                                                                                                                                                                                                          42. End
                                                                                                                                                                                                          43. A_13
                                                                                                                                                                                                          44. A B_3
                                                                                                                                                                                                          45. A_14
                                                                                                                                                                                                          46. A B_4
                                                                                                                                                                                                          47. B_13
                                                                                                                                                                                                          48. B_14
                                                                                                                                                                                                          49. A_15
                                                                                                                                                                                                          50. A B C D E
                                                                                                                                                                                                          51. A_16
                                                                                                                                                                                                          52. A B C D E_2
                                                                                                                                                                                                          53. B_15
                                                                                                                                                                                                          54. B_16
                                                                                                                                                                                                          55. C_11
                                                                                                                                                                                                          56. C_12
                                                                                                                                                                                                          57. D_9
                                                                                                                                                                                                          58. D_10
                                                                                                                                                                                                          59. E_5
                                                                                                                                                                                                          60. E_6
                                                                                                                                                                                                          61. Comments
                                                                                                                                                                                                          62. Name
                                                                                                                                                                                                          63. SIMPTEXTREMITYUpper and Lower
                                                                                                                                                                                                          64. SIMPTFinger
                                                                                                                                                                                                          65. SIMPTHand
                                                                                                                                                                                                          66. SIMPTWrist
                                                                                                                                                                                                          67. SIMPTForearm
                                                                                                                                                                                                          68. SIMPTElbow
                                                                                                                                                                                                          69. SIMPTHumerus
                                                                                                                                                                                                          70. SIMPTClavicle
                                                                                                                                                                                                          71. SIMPTShoulder
                                                                                                                                                                                                          72. SIMPTTrauma Shoulder or Humerus
                                                                                                                                                                                                          73. SIMPTTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          74. SIMPTFoot
                                                                                                                                                                                                          75. SIMPTAnkle
                                                                                                                                                                                                          76. SIMPTTibia and Fibula
                                                                                                                                                                                                          77. SIMPTKnee
                                                                                                                                                                                                          78. SIMPTFemur
                                                                                                                                                                                                          79. SIMPTTrauma Lower Extremity Specify
                                                                                                                                                                                                          80. SIMPTCHEST and THORAX
                                                                                                                                                                                                          81. SIMPTChest
                                                                                                                                                                                                          82. SIMPTAP Chest stretcherwheelchair
                                                                                                                                                                                                          83. SIMPTRibs
                                                                                                                                                                                                          84. SIMPTPEDIATRIC
                                                                                                                                                                                                          85. SIMPTChest 2 years or younger 2 view
                                                                                                                                                                                                          86. SIMPTChest 6 years or younger 2 view
                                                                                                                                                                                                          87. SIMPTExtremity age 6 years or younger
                                                                                                                                                                                                          88. SIMPTGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          89. SIMPTChest routine
                                                                                                                                                                                                          90. SIMPTUpper Extremity Specify
                                                                                                                                                                                                          91. SIMPTLower Extremity Specify
                                                                                                                                                                                                          92. DATEHEAD
                                                                                                                                                                                                          93. LOCATIONHEAD
                                                                                                                                                                                                          94. SCOREHEAD
                                                                                                                                                                                                          95. SIMPTHEAD
                                                                                                                                                                                                          96. DATEParanasal Sinuses
                                                                                                                                                                                                          97. LOCATIONParanasal Sinuses
                                                                                                                                                                                                          98. SCOREParanasal Sinuses
                                                                                                                                                                                                          99. SIMPTParanasal Sinuses
                                                                                                                                                                                                          100. DATESPINE AND PELVIS
                                                                                                                                                                                                          101. LOCATIONSPINE AND PELVIS
                                                                                                                                                                                                          102. SCORESPINE AND PELVIS
                                                                                                                                                                                                          103. SIMPTSPINE AND PELVIS
                                                                                                                                                                                                          104. DATECSpine
                                                                                                                                                                                                          105. LOCATIONCSpine
                                                                                                                                                                                                          106. SCORECSpine
                                                                                                                                                                                                          107. SIMPTCSpine
                                                                                                                                                                                                          108. DATETrauma Lateral CSpine
                                                                                                                                                                                                          109. LOCATIONTrauma Lateral CSpine
                                                                                                                                                                                                          110. SCORETrauma Lateral CSpine
                                                                                                                                                                                                          111. SIMPTTrauma Lateral CSpine
                                                                                                                                                                                                          112. DATETSpine
                                                                                                                                                                                                          113. LOCATIONTSpine
                                                                                                                                                                                                          114. SCORETSpine
                                                                                                                                                                                                          115. SIMPTTSpine
                                                                                                                                                                                                          116. DATESpine and Pelvis Continued
                                                                                                                                                                                                          117. LOCATIONSpine and Pelvis Continued
                                                                                                                                                                                                          118. SCORESpine and Pelvis Continued
                                                                                                                                                                                                          119. SIMPTSpine and Pelvis Continued
                                                                                                                                                                                                          120. DATELSpine
                                                                                                                                                                                                          121. LOCATIONLSpine
                                                                                                                                                                                                          122. SCORELSpine
                                                                                                                                                                                                          123. SIMPTLSpine
                                                                                                                                                                                                          124. DATEPelvis
                                                                                                                                                                                                          125. LOCATIONPelvis
                                                                                                                                                                                                          126. SCOREPelvis
                                                                                                                                                                                                          127. SIMPTPelvis
                                                                                                                                                                                                          128. DATEHip
                                                                                                                                                                                                          129. LOCATIONHip
                                                                                                                                                                                                          130. SCOREHip
                                                                                                                                                                                                          131. SIMPTHip
                                                                                                                                                                                                          132. DATEHip Cross table lateral
                                                                                                                                                                                                          133. LOCATIONHip Cross table lateral
                                                                                                                                                                                                          134. SCOREHip Cross table lateral
                                                                                                                                                                                                          135. SIMPTHip Cross table lateral
                                                                                                                                                                                                          136. DATEEXTREMITYUPPER LOWER
                                                                                                                                                                                                          137. LOCATIONEXTREMITYUPPER LOWER
                                                                                                                                                                                                          138. SCOREEXTREMITYUPPER LOWER
                                                                                                                                                                                                          139. SIMPTEXTREMITYUPPER LOWER
                                                                                                                                                                                                          140. DATEScapula
                                                                                                                                                                                                          141. LOCATIONScapula
                                                                                                                                                                                                          142. SCOREScapula
                                                                                                                                                                                                          143. SIMPTScapula
                                                                                                                                                                                                          144. DATEAC Joints
                                                                                                                                                                                                          145. LOCATIONAC Joints
                                                                                                                                                                                                          146. SCOREAC Joints
                                                                                                                                                                                                          147. SIMPTAC Joints
                                                                                                                                                                                                          148. DATEToes
                                                                                                                                                                                                          149. LOCATIONToes
                                                                                                                                                                                                          150. SCOREToes
                                                                                                                                                                                                          151. SIMPTToes
                                                                                                                                                                                                          152. DATECalcaneus
                                                                                                                                                                                                          153. LOCATIONCalcaneus
                                                                                                                                                                                                          154. SCORECalcaneus
                                                                                                                                                                                                          155. SIMPTCalcaneus
                                                                                                                                                                                                          156. DATEPatella
                                                                                                                                                                                                          157. LOCATIONPatella
                                                                                                                                                                                                          158. SCOREPatella
                                                                                                                                                                                                          159. SIMPTPatella
                                                                                                                                                                                                          160. DATECHEST and THORAX_2
                                                                                                                                                                                                          161. LOCATIONCHEST and THORAX_2
                                                                                                                                                                                                          162. SCORECHEST and THORAX_2
                                                                                                                                                                                                          163. SIMPTCHEST and THORAX_2
                                                                                                                                                                                                          164. DATEDecubitus Chest
                                                                                                                                                                                                          165. LOCATIONDecubitus Chest
                                                                                                                                                                                                          166. SCOREDecubitus Chest
                                                                                                                                                                                                          167. SIMPTDecubitus Chest
                                                                                                                                                                                                          168. DATESternum
                                                                                                                                                                                                          169. LOCATIONSternum
                                                                                                                                                                                                          170. SCORESternum
                                                                                                                                                                                                          171. SIMPTSternum
                                                                                                                                                                                                          172. DATEUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          173. LOCATIONUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          174. SCOREUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          175. SIMPTUpper Airway Soft Tissue Neck
                                                                                                                                                                                                          176. DATEPEDIATRIC_2
                                                                                                                                                                                                          177. LOCATIONPEDIATRIC_2
                                                                                                                                                                                                          178. SCOREPEDIATRIC_2
                                                                                                                                                                                                          179. SIMPTPEDIATRIC_2
                                                                                                                                                                                                          180. DATEMobile Study
                                                                                                                                                                                                          181. LOCATIONMobile Study
                                                                                                                                                                                                          182. SCOREMobile Study
                                                                                                                                                                                                          183. SIMPTMobile Study
                                                                                                                                                                                                          184. DATEAbdomen
                                                                                                                                                                                                          185. LOCATIONAbdomen
                                                                                                                                                                                                          186. SCOREAbdomen
                                                                                                                                                                                                          187. SIMPTAbdomen
                                                                                                                                                                                                          188. DATEHEAD_2
                                                                                                                                                                                                          189. LOCATIONHEAD_2
                                                                                                                                                                                                          190. SCOREHEAD_2
                                                                                                                                                                                                          191. SIMPTHEAD_2
                                                                                                                                                                                                          192. DATESkull
                                                                                                                                                                                                          193. LOCATIONSkull
                                                                                                                                                                                                          194. SCORESkull
                                                                                                                                                                                                          195. SIMPTSkull
                                                                                                                                                                                                          196. DATEFacial Bones
                                                                                                                                                                                                          197. LOCATIONFacial Bones
                                                                                                                                                                                                          198. SCOREFacial Bones
                                                                                                                                                                                                          199. SIMPTFacial Bones
                                                                                                                                                                                                          200. DATEOrbits
                                                                                                                                                                                                          201. LOCATIONOrbits
                                                                                                                                                                                                          202. SCOREOrbits
                                                                                                                                                                                                          203. SIMPTOrbits
                                                                                                                                                                                                          204. DATEZygomatic Arches
                                                                                                                                                                                                          205. LOCATIONZygomatic Arches
                                                                                                                                                                                                          206. SCOREZygomatic Arches
                                                                                                                                                                                                          207. SIMPTZygomatic Arches
                                                                                                                                                                                                          208. DATEMandible no Panorex
                                                                                                                                                                                                          209. LOCATIONMandible no Panorex
                                                                                                                                                                                                          210. SCOREMandible no Panorex
                                                                                                                                                                                                          211. SIMPTMandible no Panorex
                                                                                                                                                                                                          212. DATETemporomandibular Joints
                                                                                                                                                                                                          213. LOCATIONTemporomandibular Joints
                                                                                                                                                                                                          214. SCORETemporomandibular Joints
                                                                                                                                                                                                          215. SIMPTTemporomandibular Joints
                                                                                                                                                                                                          216. DATENasal Bones
                                                                                                                                                                                                          217. LOCATIONNasal Bones
                                                                                                                                                                                                          218. SCORENasal Bones
                                                                                                                                                                                                          219. SIMPTNasal Bones
                                                                                                                                                                                                          220. DATESPINE and PELVIS
                                                                                                                                                                                                          221. LOCATIONSPINE and PELVIS
                                                                                                                                                                                                          222. SCORESPINE and PELVIS
                                                                                                                                                                                                          223. SIMPTSPINE and PELVIS
                                                                                                                                                                                                          224. DATEScoliosis Series
                                                                                                                                                                                                          225. LOCATIONScoliosis Series
                                                                                                                                                                                                          226. SCOREScoliosis Series
                                                                                                                                                                                                          227. SIMPTScoliosis Series
                                                                                                                                                                                                          228. DATESacroiliac Joints
                                                                                                                                                                                                          229. LOCATIONSacroiliac Joints
                                                                                                                                                                                                          230. SCORESacroiliac Joints
                                                                                                                                                                                                          231. SIMPTSacroiliac Joints
                                                                                                                                                                                                          232. DATESacrum or Coccyx
                                                                                                                                                                                                          233. LOCATIONSacrum or Coccyx
                                                                                                                                                                                                          234. SCORESacrum or Coccyx
                                                                                                                                                                                                          235. SIMPTSacrum or Coccyx
                                                                                                                                                                                                          236. DATEABDOMEN
                                                                                                                                                                                                          237. LOCATIONABDOMEN
                                                                                                                                                                                                          238. SCOREABDOMEN
                                                                                                                                                                                                          239. SIMPTABDOMEN
                                                                                                                                                                                                          240. DATEAbdomen Decubitus
                                                                                                                                                                                                          241. LOCATIONAbdomen Decubitus
                                                                                                                                                                                                          242. SCOREAbdomen Decubitus
                                                                                                                                                                                                          243. SIMPTAbdomen Decubitus
                                                                                                                                                                                                          244. DATEIntravenous Urography
                                                                                                                                                                                                          245. LOCATIONIntravenous Urography
                                                                                                                                                                                                          246. SCOREIntravenous Urography
                                                                                                                                                                                                          247. SIMPTIntravenous Urography
                                                                                                                                                                                                          248. DATEFLUOROSCOPY STUDIES
                                                                                                                                                                                                          249. LOCATIONFLUOROSCOPY STUDIES
                                                                                                                                                                                                          250. SCOREFLUOROSCOPY STUDIES
                                                                                                                                                                                                          251. SIMPTFLUOROSCOPY STUDIES
                                                                                                                                                                                                          252. DATEEsophagus
                                                                                                                                                                                                          253. LOCATIONEsophagus
                                                                                                                                                                                                          254. SCOREEsophagus
                                                                                                                                                                                                          255. SIMPTEsophagus
                                                                                                                                                                                                          256. DATECystographyCystourethrography
                                                                                                                                                                                                          257. LOCATIONCystographyCystourethrography
                                                                                                                                                                                                          258. SCORECystographyCystourethrography
                                                                                                                                                                                                          259. SIMPTCystographyCystourethrography
                                                                                                                                                                                                          260. DATEMyelography
                                                                                                                                                                                                          261. LOCATIONMyelography
                                                                                                                                                                                                          262. SCOREMyelography
                                                                                                                                                                                                          263. SIMPTMyelography
                                                                                                                                                                                                          264. DATEERCP
                                                                                                                                                                                                          265. LOCATIONERCP
                                                                                                                                                                                                          266. SCOREERCP
                                                                                                                                                                                                          267. SIMPTERCP
                                                                                                                                                                                                          268. DATEArthrography
                                                                                                                                                                                                          269. LOCATIONArthrography
                                                                                                                                                                                                          270. SCOREArthrography
                                                                                                                                                                                                          271. SIMPTArthrography
                                                                                                                                                                                                          272. STUDENT
                                                                                                                                                                                                          273. DATE
                                                                                                                                                                                                          274. TIME LIMIT SPECIFICATIONS
                                                                                                                                                                                                          275. Student completed the competency within 30 minute time limit
                                                                                                                                                                                                          276. YESSECTION A
                                                                                                                                                                                                          277. NOSECTION A
                                                                                                                                                                                                          278. YES1 PATIENT CARE The Student
                                                                                                                                                                                                          279. NO1 PATIENT CARE The Student
                                                                                                                                                                                                          280. YESa Identified patientintroduced self
                                                                                                                                                                                                          281. NOa Identified patientintroduced self
                                                                                                                                                                                                          282. YESb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          283. NOb Asked patient to remove unnecessary articles and to gown
                                                                                                                                                                                                          284. YESc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          285. NOc Requested information on pregnancy as appropriate
                                                                                                                                                                                                          286. YESSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          287. NOSECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING SECTION B
                                                                                                                                                                                                          288. PA Stomach1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          289. Oblique Esophagus1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          290. Lateral RectumBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          291. AP or PA Axial BE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          292. Lateral Decubitus KUBBE1 POSITIONING SKILLS The Student
                                                                                                                                                                                                          293. PA Stomacha Properly centered patient
                                                                                                                                                                                                          294. Oblique Esophagusa Properly centered patient
                                                                                                                                                                                                          295. Lateral RectumBEa Properly centered patient
                                                                                                                                                                                                          296. AP or PA Axial BEa Properly centered patient
                                                                                                                                                                                                          297. Lateral Decubitus KUBBEa Properly centered patient
                                                                                                                                                                                                          298. PA Stomachb Gave clear positioning instructions
                                                                                                                                                                                                          299. Oblique Esophagusb Gave clear positioning instructions
                                                                                                                                                                                                          300. Lateral RectumBEb Gave clear positioning instructions
                                                                                                                                                                                                          301. AP or PA Axial BEb Gave clear positioning instructions
                                                                                                                                                                                                          302. Lateral Decubitus KUBBEb Gave clear positioning instructions
                                                                                                                                                                                                          303. PA Stomachc Aligned central ray to part
                                                                                                                                                                                                          304. Oblique Esophagusc Aligned central ray to part
                                                                                                                                                                                                          305. Lateral RectumBEc Aligned central ray to part
                                                                                                                                                                                                          306. AP or PA Axial BEc Aligned central ray to part
                                                                                                                                                                                                          307. Lateral Decubitus KUBBEc Aligned central ray to part
                                                                                                                                                                                                          308. PA Stomachd Aligned central ray to image receptor
                                                                                                                                                                                                          309. Oblique Esophagusd Aligned central ray to image receptor
                                                                                                                                                                                                          310. Lateral RectumBEd Aligned central ray to image receptor
                                                                                                                                                                                                          311. AP or PA Axial BEd Aligned central ray to image receptor
                                                                                                                                                                                                          312. Lateral Decubitus KUBBEd Aligned central ray to image receptor
                                                                                                                                                                                                          313. PA Stomache Utilized correct tube angle
                                                                                                                                                                                                          314. Oblique Esophaguse Utilized correct tube angle
                                                                                                                                                                                                          315. Lateral RectumBEe Utilized correct tube angle
                                                                                                                                                                                                          316. AP or PA Axial BEe Utilized correct tube angle
                                                                                                                                                                                                          317. Lateral Decubitus KUBBEe Utilized correct tube angle
                                                                                                                                                                                                          318. PA Stomachf Gave proper breathing instruction
                                                                                                                                                                                                          319. Oblique Esophagusf Gave proper breathing instruction
                                                                                                                                                                                                          320. Lateral RectumBEf Gave proper breathing instruction
                                                                                                                                                                                                          321. AP or PA Axial BEf Gave proper breathing instruction
                                                                                                                                                                                                          322. Lateral Decubitus KUBBEf Gave proper breathing instruction
                                                                                                                                                                                                          323. PA Stomachg Immobilized patient properly
                                                                                                                                                                                                          324. Oblique Esophagusg Immobilized patient properly
                                                                                                                                                                                                          325. Lateral RectumBEg Immobilized patient properly
                                                                                                                                                                                                          326. AP or PA Axial BEg Immobilized patient properly
                                                                                                                                                                                                          327. Lateral Decubitus KUBBEg Immobilized patient properly
                                                                                                                                                                                                          328. PA Stomachh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          329. Oblique Esophagush Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          330. Lateral RectumBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          331. AP or PA Axial BEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          332. Lateral Decubitus KUBBEh Used appropriate devices for comfort or immobilization
                                                                                                                                                                                                          333. PA Stomachi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          334. Oblique Esophagusi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          335. Lateral RectumBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          336. AP or PA Axial BEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          337. Lateral Decubitus KUBBEi Maintained patient comfort and safety throughout exam
                                                                                                                                                                                                          338. PA Stomach2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          339. Oblique Esophagus2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          340. Lateral RectumBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          341. AP or PA Axial BE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          342. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          343. PA Stomacha Manipulated equipment controlslocks properly
                                                                                                                                                                                                          344. Oblique Esophagusa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          345. Lateral RectumBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          346. AP or PA Axial BEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          347. Lateral Decubitus KUBBEa Manipulated equipment controlslocks properly
                                                                                                                                                                                                          348. PA Stomachb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          349. Oblique Esophagusb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          350. Lateral RectumBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          351. AP or PA Axial BEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          352. Lateral Decubitus KUBBEb Selected gridBuckychest boardtable top as appropriate
                                                                                                                                                                                                          353. PA Stomachc Programmed control panel appropriately
                                                                                                                                                                                                          354. Oblique Esophagusc Programmed control panel appropriately
                                                                                                                                                                                                          355. Lateral RectumBEc Programmed control panel appropriately
                                                                                                                                                                                                          356. AP or PA Axial BEc Programmed control panel appropriately
                                                                                                                                                                                                          357. Lateral Decubitus KUBBEc Programmed control panel appropriately
                                                                                                                                                                                                          358. PA StomachkVp
                                                                                                                                                                                                          359. Oblique EsophaguskVp
                                                                                                                                                                                                          360. Lateral RectumBEkVp
                                                                                                                                                                                                          361. AP or PA Axial BEkVp
                                                                                                                                                                                                          362. Lateral Decubitus KUBBEkVp
                                                                                                                                                                                                          363. PA StomachmAs
                                                                                                                                                                                                          364. Oblique EsophagusmAs
                                                                                                                                                                                                          365. Lateral RectumBEmAs
                                                                                                                                                                                                          366. AP or PA Axial BEmAs
                                                                                                                                                                                                          367. Lateral Decubitus KUBBEmAs
                                                                                                                                                                                                          368. PA Stomach2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          369. Oblique Esophagus2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          370. Lateral RectumBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          371. AP or PA AxialBE2 EQUIPMENT OPERATION The Student
                                                                                                                                                                                                          372. Lateral Decubitus KUBBE2 EQUIPMENT OPERATION The Student_2
                                                                                                                                                                                                          373. PA Stomachd Selected appropriate cassette size
                                                                                                                                                                                                          374. Oblique Esophagusd Selected appropriate cassette size
                                                                                                                                                                                                          375. Lateral RectumBEd Selected appropriate cassette size
                                                                                                                                                                                                          376. AP or PA AxialBEd Selected appropriate cassette size
                                                                                                                                                                                                          377. Lateral Decubitus KUBBEd Selected appropriate cassette size
                                                                                                                                                                                                          378. PA Stomache Oriented cassette correctly
                                                                                                                                                                                                          379. Oblique Esophaguse Oriented cassette correctly
                                                                                                                                                                                                          380. Lateral RectumBEe Oriented cassette correctly
                                                                                                                                                                                                          381. AP or PA AxialBEe Oriented cassette correctly
                                                                                                                                                                                                          382. Lateral Decubitus KUBBEe Oriented cassette correctly
                                                                                                                                                                                                          383. PA Stomachf Correctly placed markers
                                                                                                                                                                                                          384. Oblique Esophagusf Correctly placed markers
                                                                                                                                                                                                          385. Lateral RectumBEf Correctly placed markers
                                                                                                                                                                                                          386. AP or PA AxialBEf Correctly placed markers
                                                                                                                                                                                                          387. Lateral Decubitus KUBBEf Correctly placed markers
                                                                                                                                                                                                          388. PA Stomachg Selected correct marker
                                                                                                                                                                                                          389. Oblique Esophagusg Selected correct marker
                                                                                                                                                                                                          390. Lateral RectumBEg Selected correct marker
                                                                                                                                                                                                          391. AP or PA AxialBEg Selected correct marker
                                                                                                                                                                                                          392. Lateral Decubitus KUBBEg Selected correct marker
                                                                                                                                                                                                          393. PA Stomachh Placed blocker out of area of interest
                                                                                                                                                                                                          394. Oblique Esophagush Placed blocker out of area of interest
                                                                                                                                                                                                          395. Lateral RectumBEh Placed blocker out of area of interest
                                                                                                                                                                                                          396. AP or PA AxialBEh Placed blocker out of area of interest
                                                                                                                                                                                                          397. Lateral Decubitus KUBBEh Placed blocker out of area of interest
                                                                                                                                                                                                          398. PA Stomachi Used appropriate SID
                                                                                                                                                                                                          399. Oblique Esophagusi Used appropriate SID
                                                                                                                                                                                                          400. Lateral RectumBEi Used appropriate SID
                                                                                                                                                                                                          401. AP or PA AxialBEi Used appropriate SID
                                                                                                                                                                                                          402. Lateral Decubitus KUBBEi Used appropriate SID
                                                                                                                                                                                                          403. PA Stomach3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          404. Oblique Esophagus3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          405. Lateral RectumBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          406. AP or PA AxialBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          407. Lateral Decubitus KUBBE3 RADIATION PROTECTION The Student
                                                                                                                                                                                                          408. PA Stomacha Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          409. Oblique Esophagusa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          410. Lateral RectumBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          411. AP or PA AxialBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          412. Lateral Decubitus KUBBEa Collimated to cassette size or within one inch of area of interest
                                                                                                                                                                                                          413. PA Stomachb Shielded patient when necessary
                                                                                                                                                                                                          414. Oblique Esophagusb Shielded patient when necessary
                                                                                                                                                                                                          415. Lateral RectumBEb Shielded patient when necessary
                                                                                                                                                                                                          416. AP or PA AxialBEb Shielded patient when necessary
                                                                                                                                                                                                          417. Lateral Decubitus KUBBEb Shielded patient when necessary
                                                                                                                                                                                                          418. YES
                                                                                                                                                                                                          419. NO
                                                                                                                                                                                                          420. Date_5
                                                                                                                                                                                                          421. Student
                                                                                                                                                                                                          422. Date_6
                                                                                                                                                                                                          423. Clinic Location
                                                                                                                                                                                                          424. Points 4 I3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          425. Points 3 S3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          426. Points 2 A3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          427. Points 1 U3 Pattern of attendance is conducive to learning
                                                                                                                                                                                                          428. Evaluation continues with 4 more categories
                                                                                                                                                                                                          429. Student Comments Optional 1
                                                                                                                                                                                                          430. Date_7
                                                                                                                                                                                                          431. Date_8
                                                                                                                                                                                                          432. Date_9
                                                                                                                                                                                                          433. Student Name_2
                                                                                                                                                                                                          434. Clinic Location_2
                                                                                                                                                                                                          435. less than 751 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          436. At least 75 811 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          437. At least 82 891 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          438. At least 901001 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
                                                                                                                                                                                                          439. less than 752 Arrive prepared to work
                                                                                                                                                                                                          440. At least 75 812 Arrive prepared to work
                                                                                                                                                                                                          441. At least 82 892 Arrive prepared to work
                                                                                                                                                                                                          442. At least 901002 Arrive prepared to work
                                                                                                                                                                                                          443. less than 753 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          444. At least 75 813 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          445. At least 82 893 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          446. At least 901003 Have a pattern of attendance that is conducive to learning
                                                                                                                                                                                                          447. undefined_5
                                                                                                                                                                                                          448. less than 751 Maintain patient confidentiality
                                                                                                                                                                                                          449. At least 75 811 Maintain patient confidentiality
                                                                                                                                                                                                          450. At least 82 891 Maintain patient confidentiality
                                                                                                                                                                                                          451. At least 90 1001 Maintain patient confidentiality
                                                                                                                                                                                                          452. less than 752 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          453. At least 75 812 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          454. At least 82 892 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          455. At least 90 1002 Accept direction and guidance from supervisors and technologists
                                                                                                                                                                                                          456. less than 753 Adapt well to varying assignments
                                                                                                                                                                                                          457. At least 75 813 Adapt well to varying assignments
                                                                                                                                                                                                          458. At least 82 893 Adapt well to varying assignments
                                                                                                                                                                                                          459. At least 90 1003 Adapt well to varying assignments
                                                                                                                                                                                                          460. less than 754 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          461. At least 75 814 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          462. At least 82 894 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          463. At least 90 1004 Participate in and demonstrate effective communication skills with physicians and the health care team
                                                                                                                                                                                                          464. less than 755 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          465. At least 75 815 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          466. At least 82 895 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          467. At least 90 1005 Work efficiently without outside interferences limits social conversations phone use etc
                                                                                                                                                                                                          468. less than 756 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          469. At least 75 816 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          470. At least 82 896 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          471. At least 90 1006 Report to the clinical education center in an appropriate uniform as designated by the program
                                                                                                                                                                                                          472. undefined_6
                                                                                                                                                                                                          473. less than 751 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          474. At least 75 811 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          475. At least 82 891 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          476. At least 90 1001 Determine patient identity and assess patient conditionmobility
                                                                                                                                                                                                          477. less than 752 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          478. At least 75 812 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          479. At least 82 892 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          480. At least 90 1002 Obtain patient history pertinent to examprocedure
                                                                                                                                                                                                          481. less than 753 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          482. At least 75 813 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          483. At least 82 893 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          484. At least 90 1003 Use verbal and nonverbal communication skills in explanation of procedure to patient
                                                                                                                                                                                                          485. less than 754 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          486. At least 75 814 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          487. At least 82 894 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          488. At least 90 1004 Anticipate and respond to the patients needs to ensure safety
                                                                                                                                                                                                          489. undefined_7
                                                                                                                                                                                                          490. less than 751 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          491. At least 75 811 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          492. At least 82 891 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          493. At least 901001 Assist patient in preparing for examination gowning removal of non essential items for area being examined etc
                                                                                                                                                                                                          494. less than 752 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          495. At least 75 812 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          496. At least 82 892 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          497. At least 901002 Prepare the room prior to beginning of examinations
                                                                                                                                                                                                          498. less than 753 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          499. At least 75 813 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          500. At least 82 893 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          501. At least 901003 Demonstrate proper use of radiographic equipment
                                                                                                                                                                                                          502. less than 754 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          503. At least 75 814 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          504. At least 82 894 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          505. At least 901004 Demonstrate proper use of fluoroscopic equipment
                                                                                                                                                                                                          506. less than 755 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          507. At least 75 815 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          508. At least 82 895 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          509. At least 901005 Demonstrate effective positioning skills according to course objectives and determine the extent to which modifications may be necessary according to patient condition
                                                                                                                                                                                                          510. less than 756 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          511. At least 75 816 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          512. At least 82 896 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          513. At least 901006 Select appropriate image receptor digital plate andor grid combinations
                                                                                                                                                                                                          514. less than 757 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          515. At least 75 817 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          516. At least 82 897 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          517. At least 901007 Utilize lead markers correctly to identify body position time etc
                                                                                                                                                                                                          518. less than 758 Restrict the beam to the area of interest
                                                                                                                                                                                                          519. At least 75 818 Restrict the beam to the area of interest
                                                                                                                                                                                                          520. At least 82 898 Restrict the beam to the area of interest
                                                                                                                                                                                                          521. At least 901008 Restrict the beam to the area of interest
                                                                                                                                                                                                          522. less than 759 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          523. At least 75 819 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          524. At least 82 899 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          525. At least 901009 Use proper immobilization devices for positioning or to restrict patient motion
                                                                                                                                                                                                          526. less than 7510 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          527. At least 75 8110 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          528. At least 82 8910 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          529. At least 9010010 Demonstrate ability to formulate technical factors kVp mA time photosensor etc on control panel
                                                                                                                                                                                                          530. less than 7511 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          531. At least 75 8111 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          532. At least 82 8911 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          533. At least 9010011 Properly input patient data for image receptor device and process images appropriately
                                                                                                                                                                                                          534. less than 7512 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          535. At least 75 8112 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          536. At least 82 8912 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          537. At least 9010012 Select appropriate number type and sequence of positions for examinations at this clinical education center
                                                                                                                                                                                                          538. less than 7513 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          539. At least 75 8113 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          540. At least 82 8913 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          541. At least 9010013 Employ appropriate radiation protection practices for patient and myself while maximizing ALARA
                                                                                                                                                                                                          542. less than 7514 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          543. At least 75 8114 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          544. At least 82 8914 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          545. At least 9010014 Can recognize suboptimal images and determine causative factors
                                                                                                                                                                                                          546. less than 7515 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          547. At least 75 8115 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          548. At least 82 8915 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          549. At least 9010015 Transport patients safely utilizing proper body mechanics within the department andor clinical education center
                                                                                                                                                                                                          550. less than 7516 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          551. At least 75 8116 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          552. At least 82 8916 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          553. At least 9010016 Understand and follow emergency procedures for the department and clinical education center
                                                                                                                                                                                                          554. less than 7517 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          555. At least 75 8117 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          556. At least 82 8917 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          557. At least 9010017 Demonstrate satisfactory knowledge of clerical and office procedures procedures for requisitions telephone protocols patient information retrieval etc
                                                                                                                                                                                                          558. Comments_5
                                                                                                                                                                                                          559. less than 751 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          560. At least 75 811 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          561. At least 82 891 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          562. At least 901001 Make myself available for additional learning experiences when free from routine assignments
                                                                                                                                                                                                          563. less than 752 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          564. At least 75 812 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          565. At least 82 892 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          566. At least 901002 Maintain adequate amount and type of room supplies
                                                                                                                                                                                                          567. less than 753 Initiate work on my own
                                                                                                                                                                                                          568. At least 75 813 Initiate work on my own
                                                                                                                                                                                                          569. At least 82 893 Initiate work on my own
                                                                                                                                                                                                          570. At least 901003 Initiate work on my own
                                                                                                                                                                                                          571. less than 754 Assume responsibility for work completion
                                                                                                                                                                                                          572. At least 75 814 Assume responsibility for work completion
                                                                                                                                                                                                          573. At least 82 894 Assume responsibility for work completion
                                                                                                                                                                                                          574. At least 901004 Assume responsibility for work completion
                                                                                                                                                                                                          575. less than 755 Work independently based on current course objectives
                                                                                                                                                                                                          576. At least 75 815 Work independently based on current course objectives
                                                                                                                                                                                                          577. At least 82 895 Work independently based on current course objectives
                                                                                                                                                                                                          578. At least 901005 Work independently based on current course objectives
                                                                                                                                                                                                          579. less than 756 Minimize the number of repeat exposures
                                                                                                                                                                                                          580. At least 75 816 Minimize the number of repeat exposures
                                                                                                                                                                                                          581. At least 82 896 Minimize the number of repeat exposures
                                                                                                                                                                                                          582. At least 901006 Minimize the number of repeat exposures
                                                                                                                                                                                                          583. less than 757 Perform examinations within acceptable time limit
                                                                                                                                                                                                          584. At least 75 817 Perform examinations within acceptable time limit
                                                                                                                                                                                                          585. At least 82 897 Perform examinations within acceptable time limit
                                                                                                                                                                                                          586. At least 901007 Perform examinations within acceptable time limit
                                                                                                                                                                                                          587. undefined_8
                                                                                                                                                                                                          588. Clinical Instructor
                                                                                                                                                                                                          589. Date_10
                                                                                                                                                                                                          590. Date_11
                                                                                                                                                                                                          591. Date_12
                                                                                                                                                                                                          592. Affiliate
                                                                                                                                                                                                          593. Not Applicable1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          594. Not Applicable2 The amount of time spent in this clinical affiliate was adequate time to expose you to a variety of procedures
                                                                                                                                                                                                          595. Not Applicable3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
                                                                                                                                                                                                          596. Not Applicable4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          597. Not Applicable5 You received an adequate orientation to office transportation and image processing procedures
                                                                                                                                                                                                          598. Strongly Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          599. Agree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          600. Neutral6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          601. Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          602. Strongly Disagree6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          603. Not Applicable6 The clinical routines and procedures were explained sufficiently to allow
                                                                                                                                                                                                          604. 10 You received individualized instruction when necessary
                                                                                                                                                                                                          605. Not Applicable11 The theories and principles learned in didactic courses were adequately reinforced in the clinical setting
                                                                                                                                                                                                          606. Not Applicable12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          607. Not Applicable13 You were able to discuss problems with the staff
                                                                                                                                                                                                          608. Not Applicable14 The technologists were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          609. Not Applicable15 The radiologists andor physicians were interested and willing to take time to give instructions and assistance
                                                                                                                                                                                                          610. Not Applicable16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of teamwork
                                                                                                                                                                                                          611. Print Name
                                                                                                                                                                                                          612. Date_13
                                                                                                                                                                                                          613. Text2
                                                                                                                                                                                                          614. Text1
                                                                                                                                                                                                          615. C_10
                                                                                                                                                                                                          616. C_9
                                                                                                                                                                                                          617. B_12
                                                                                                                                                                                                          618. B_11
                                                                                                                                                                                                          619. A B C D_2
                                                                                                                                                                                                          620. A_12
                                                                                                                                                                                                          621. A B C D
                                                                                                                                                                                                          622. A_11
                                                                                                                                                                                                          623. E_4
                                                                                                                                                                                                          624. E_3
                                                                                                                                                                                                          625. D_6
                                                                                                                                                                                                          626. D_5
                                                                                                                                                                                                          627. C_8
                                                                                                                                                                                                          628. C_7
                                                                                                                                                                                                          629. B_10
                                                                                                                                                                                                          630. B_9
                                                                                                                                                                                                          631. A B C D E_2
                                                                                                                                                                                                          632. A_10
                                                                                                                                                                                                          633. A B C D E
                                                                                                                                                                                                          634. A_9
                                                                                                                                                                                                          635. D_4
                                                                                                                                                                                                          636. D_3
                                                                                                                                                                                                          637. C_6
                                                                                                                                                                                                          638. C_5
                                                                                                                                                                                                          639. B_8
                                                                                                                                                                                                          640. A B C D_2
                                                                                                                                                                                                          641. B_7
                                                                                                                                                                                                          642. A_8
                                                                                                                                                                                                          643. A B C D
                                                                                                                                                                                                          644. A_7
                                                                                                                                                                                                          645. E_2
                                                                                                                                                                                                          646. E
                                                                                                                                                                                                          647. D_2
                                                                                                                                                                                                          648. D
                                                                                                                                                                                                          649. C_4
                                                                                                                                                                                                          650. C_3
                                                                                                                                                                                                          651. B_6
                                                                                                                                                                                                          652. A B C D E_2
                                                                                                                                                                                                          653. B_5
                                                                                                                                                                                                          654. A_6
                                                                                                                                                                                                          655. A B C D E
                                                                                                                                                                                                          656. A_5
                                                                                                                                                                                                          657. C_2
                                                                                                                                                                                                          658. C
                                                                                                                                                                                                          659. B_4
                                                                                                                                                                                                          660. A B C_2
                                                                                                                                                                                                          661. B_3
                                                                                                                                                                                                          662. A_4
                                                                                                                                                                                                          663. A B C
                                                                                                                                                                                                          664. A_3
                                                                                                                                                                                                          665. B_2
                                                                                                                                                                                                          666. B
                                                                                                                                                                                                          667. A B_2
                                                                                                                                                                                                          668. A_2
                                                                                                                                                                                                          669. A B
                                                                                                                                                                                                          670. A
                                                                                                                                                                                                          671. Text37
                                                                                                                                                                                                          672. ExamProcedure Name
                                                                                                                                                                                                          673. SCORELower Extremity Specify
                                                                                                                                                                                                          674. LOCATIONLower Extremity Specify
                                                                                                                                                                                                          675. DATELower Extremity Specify
                                                                                                                                                                                                          676. SCOREUpper Extremity Specify
                                                                                                                                                                                                          677. LOCATIONUpper Extremity Specify
                                                                                                                                                                                                          678. DATEUpper Extremity Specify
                                                                                                                                                                                                          679. SCOREChest routine
                                                                                                                                                                                                          680. LOCATIONChest routine
                                                                                                                                                                                                          681. DATEChest routine
                                                                                                                                                                                                          682. SCOREGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          683. LOCATIONGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          684. DATEGERIATRIC at least 65 years old and physically or cognitively Impaired
                                                                                                                                                                                                          685. SCOREExtremity age 6 years or younger
                                                                                                                                                                                                          686. LOCATIONExtremity age 6 years or younger
                                                                                                                                                                                                          687. DATEExtremity age 6 years or younger
                                                                                                                                                                                                          688. SCOREChest 6 years or younger 2 view
                                                                                                                                                                                                          689. LOCATIONChest 6 years or younger 2 view
                                                                                                                                                                                                          690. DATEChest 6 years or younger 2 view
                                                                                                                                                                                                          691. SCOREChest 2 years or younger 2 view
                                                                                                                                                                                                          692. LOCATIONChest 2 years or younger 2 view
                                                                                                                                                                                                          693. DATEChest 2 years or younger 2 view
                                                                                                                                                                                                          694. SCOREPEDIATRIC
                                                                                                                                                                                                          695. LOCATIONPEDIATRIC
                                                                                                                                                                                                          696. DATEPEDIATRIC
                                                                                                                                                                                                          697. SCORERibs
                                                                                                                                                                                                          698. LOCATIONRibs
                                                                                                                                                                                                          699. DATERibs
                                                                                                                                                                                                          700. SCOREAP Chest stretcherwheelchair
                                                                                                                                                                                                          701. LOCATIONAP Chest stretcherwheelchair
                                                                                                                                                                                                          702. DATEAP Chest stretcherwheelchair
                                                                                                                                                                                                          703. SCOREChest
                                                                                                                                                                                                          704. LOCATIONChest
                                                                                                                                                                                                          705. DATEChest
                                                                                                                                                                                                          706. SCORECHEST and THORAX
                                                                                                                                                                                                          707. LOCATIONCHEST and THORAX
                                                                                                                                                                                                          708. DATECHEST and THORAX
                                                                                                                                                                                                          709. SCORETrauma Lower Extremity Specify
                                                                                                                                                                                                          710. LOCATIONTrauma Lower Extremity Specify
                                                                                                                                                                                                          711. DATETrauma Lower Extremity Specify
                                                                                                                                                                                                          712. SCOREFemur
                                                                                                                                                                                                          713. LOCATIONFemur
                                                                                                                                                                                                          714. DATEFemur
                                                                                                                                                                                                          715. SCOREKnee
                                                                                                                                                                                                          716. LOCATIONKnee
                                                                                                                                                                                                          717. DATEKnee
                                                                                                                                                                                                          718. SCORETibia and Fibula
                                                                                                                                                                                                          719. LOCATIONTibia and Fibula
                                                                                                                                                                                                          720. DATETibia and Fibula
                                                                                                                                                                                                          721. SCOREAnkle
                                                                                                                                                                                                          722. LOCATIONAnkle
                                                                                                                                                                                                          723. DATEAnkle
                                                                                                                                                                                                          724. SCOREFoot
                                                                                                                                                                                                          725. LOCATIONFoot
                                                                                                                                                                                                          726. DATEFoot
                                                                                                                                                                                                          727. SCORETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          728. LOCATIONTrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          729. DATETrauma Upper Extremity nonshoulder
                                                                                                                                                                                                          730. SCORETrauma Shoulder or Humerus
                                                                                                                                                                                                          731. LOCATIONTrauma Shoulder or Humerus
                                                                                                                                                                                                          732. DATETrauma Shoulder or Humerus
                                                                                                                                                                                                          733. SCOREShoulder
                                                                                                                                                                                                          734. LOCATIONShoulder
                                                                                                                                                                                                          735. DATEShoulder
                                                                                                                                                                                                          736. SCOREClavicle
                                                                                                                                                                                                          737. LOCATIONClavicle
                                                                                                                                                                                                          738. DATEClavicle
                                                                                                                                                                                                          739. SCOREHumerus
                                                                                                                                                                                                          740. LOCATIONHumerus
                                                                                                                                                                                                          741. DATEHumerus
                                                                                                                                                                                                          742. SCOREElbow
                                                                                                                                                                                                          743. LOCATIONElbow
                                                                                                                                                                                                          744. DATEElbow
                                                                                                                                                                                                          745. SCOREForearm
                                                                                                                                                                                                          746. LOCATIONForearm
                                                                                                                                                                                                          747. DATEForearm
                                                                                                                                                                                                          748. SCOREWrist
                                                                                                                                                                                                          749. LOCATIONWrist
                                                                                                                                                                                                          750. DATEWrist
                                                                                                                                                                                                          751. SCOREHand
                                                                                                                                                                                                          752. LOCATIONHand
                                                                                                                                                                                                          753. DATEHand
                                                                                                                                                                                                          754. SCOREFinger
                                                                                                                                                                                                          755. LOCATIONFinger
                                                                                                                                                                                                          756. DATEFinger
                                                                                                                                                                                                          757. SCOREEXTREMITYUpper and Lower
                                                                                                                                                                                                          758. LOCATIONEXTREMITYUpper and Lower
                                                                                                                                                                                                          759. DATEEXTREMITYUpper and Lower
                                                                                                                                                                                                          760. MOBILE STUDIES
                                                                                                                                                                                                          761. Portable Chest_2
                                                                                                                                                                                                          762. Portable Abdomen_2
                                                                                                                                                                                                          763. Portable Orthopedic_2
                                                                                                                                                                                                          764. SURGICAL STUDIES
                                                                                                                                                                                                          765. CArm Procedure multiple angulations of Carm
                                                                                                                                                                                                          766. CArm Procedure Requires sterile field
                                                                                                                                                                                                          767. ABDOMEN
                                                                                                                                                                                                          768. Abdomen Supine
                                                                                                                                                                                                          769. Abdomen Upright
                                                                                                                                                                                                          770. FLUOROSCOPY STUDIES
                                                                                                                                                                                                          771. UGI or BE
                                                                                                                                                                                                          772. SBS
                                                                                                                                                                                                          773. Text41
                                                                                                                                                                                                          774. Text43
                                                                                                                                                                                                          775. Text44
                                                                                                                                                                                                          776. Text45
                                                                                                                                                                                                          777. Text46
                                                                                                                                                                                                          778. COMMENTSOR REMEDIATION TERMS 1
                                                                                                                                                                                                          779. Text47
                                                                                                                                                                                                          780. Points 4 I2 Prepared to work upon arrival
                                                                                                                                                                                                          781. Points 3 S2 Prepared to work upon arrival
                                                                                                                                                                                                          782. Points 2 A2 Prepared to work upon arrival
                                                                                                                                                                                                          783. Points 1 U2 Prepared to work upon arrival
                                                                                                                                                                                                          784. Text48
                                                                                                                                                                                                          785. Text49
                                                                                                                                                                                                          786. Text50
                                                                                                                                                                                                          787. Text51
                                                                                                                                                                                                          788. 5 Provide privacy and comfort for the patient
                                                                                                                                                                                                          789. 6 Observe standard precautions
                                                                                                                                                                                                          790. 7 You received adequate supervision while performing your assigned duties
                                                                                                                                                                                                          791. 8 You were allowed ample opportunity to work on your own
                                                                                                                                                                                                          792. Strongly Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          793. Agree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          794. Neutral13 You were able to discuss problems with the staff
                                                                                                                                                                                                          795. Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          796. Strongly Disagree13 You were able to discuss problems with the staff
                                                                                                                                                                                                          797. Strongly Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          798. Agree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          799. Neutral12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          800. Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          801. Strongly Disagree12 The clinical instructors waswere available when you needed them
                                                                                                                                                                                                          802. Strongly Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          803. Agree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          804. Neutral1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          805. Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          806. Strongly Disagree1 Your time was well spent in this clinical facility
                                                                                                                                                                                                          807. Strongly Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          808. Agree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          809. Neutral4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          810. Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          811. Strongly Disagree4 You received adequate orientation in equipment operation and maintenance
                                                                                                                                                                                                          812. Total each column
                                                                                                                                                                                                          813. Student Name
                                                                                                                                                                                                          814. Clinical Site
                                                                                                                                                                                                          815. Text3
                                                                                                                                                                                                          816. Text4
                                                                                                                                                                                                          817. Text5
                                                                                                                                                                                                          818. Text6
                                                                                                                                                                                                          819. Text7
                                                                                                                                                                                                          820. Text8
                                                                                                                                                                                                          821. Text9
                                                                                                                                                                                                          822. Text10
                                                                                                                                                                                                          823. Text11
                                                                                                                                                                                                          824. Text12
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