School of radiologic technology


ATTAINING PROGRAM COMPETENCY



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ATTAINING PROGRAM COMPETENCY
STATEMENT:
Columbus Technical College School of Radiologic Technology is a competency-based program which requires the student to satisfactorily complete 4 Semesters of academic and clinical assignments and to demonstrate proficiency in performing various radiographic exams and related duties once accepted. Students must complete the program within a minimum of 18 months , once accepted, and within the stated attendance guidelines.
A student will not be considered for completion of the program and receipt of his/her degree until all requirements in academic, clinical, and attendance areas are met.
The following outlines the required competencies:
1. Academics

The student must achieve the following competencies:

A. A minimum grade of C in each course with Final Exams being

cumulative in each course.

B. A minimum average of C per semester for 6 semesters.

C. A required practice simulated registry examination may be given as

early as the end of the 4th or 5th semester.

D. A minimum grade of 75 on at least TWO Simulated Registry Exams



or a minimum grade of 75 on one exam and on EACH test subject category on

administered Simulated Registry Exams. This competency is also a requirement for

graduation. (See Graduation/Professional Information Section)
2. Clinical

The student is enabled to achieve competency through the following:

A. Classroom instruction and Simulated Labs

B. Faculty observation and evaluation

C. Staff Radiographers’ evaluations of clinical performance via weekly

and progress evaluations.

D. Staff Radiographers’ evaluations on all clinical proficiency exams per

student per semester.

E. Faculty audit of proficiencies by students’ actual performance or

simulation of exams to include image evaluation.

F. Faculty audit of competency by actual students’ performance of

simulation of room set-up.

G. Faculty conducts small group image evaluation.

H. Faculty and/or staff conducts clinical demonstrations.

I. A grade minimum grade of B or better in all clinical courses.


  1. Attendance

Students must be present in both the clinical and academic environments in order to meet the

required competency levels. The student must adhere to the attendance policies of the program as

explained in the Student Handbook. The student shall not graduate with the class if he/she does not

complete the program within the 4 semester/18 months and planned specified time. Any absences

and/or discipline days must be completed/made up before the degree is awarded.

PROBLEM SOLVING PROCEDURES
In the event that a student has a problem concerning the Program, he/she has the right to present it according to the appropriate procedure as outlined in the Student Handbook Section 6, which defines the Problem Solving Procedure. Due process and the student appeal process is also in the Columbus Technical College Student Handbook.
If a matter needs the immediate attention of the Program Director or Clinical Coordinator, the student should request to see them immediately.


Section 3
Clinical Education

CLINICAL EDUCATON
Purpose:

The purpose of this outlined program of clinical education is to provide guidelines for students and those technologists involved with the development of clinical competence. These policies are to assure and promotes patient and student safety and proper education practices.


Supervision:

Students must have adequate and proper supervision during all clinical assignments. In the radiologic technology program, students must be under direct supervision, until competency is achieved. Student supervision is overseen by a qualified practitioner who reviews the procedure in relation to the student’s achievement, evaluates the condition of the patient in relation to the student’s knowledge, and is present during the procedure and reviews and approves the procedure. A qualified radiographer must always be present during student performance of a repeat of any unsatisfactory image.


Once the student is deemed competent in procedures being challenged, he/she will be under indirect supervision, which is defined as supervision provided by a qualified practitioner, immediately available to assist student as needed. Immediately available is interpreted as having a qualified practitioner physically present adjacent to the room or location where the radiographic procedure is being performed.
Repeat radiographs by any student must be performed under direct supervision, regardless of competency level.
ASSIGNMENT OF CLINICAL HOURS:

The Program Director will schedule student clinical assignments in cooperation with the Clinical Coordinator and affiliate clinical site managers. This is to maintain orderly flow in the departments and adequate rotation of clinical experience for the students. Students will be assigned to different rooms in each department on a rotational basis. They will be under the supervision of the registered technologist working in that radiographic room. Students who have part-time jobs must work their hours around the planned clinical schedule of the Program so as not to interfere with assignments. Clinical schedules are posted in advance of the next semester so students have time to make necessary arrangements for job duties, childcare, and the like. Students should schedule all dental, doctor, and other appointments on their off time.


RADIOGRAPHIC CLINICAL EDUCATION GRADING:

The AFFECTIVE PERFORMANCE EVALUATION is an assessment of the affective domain. Clinical evaluations are completed weekly by the assigned radiographer and/or the clinical instructor. The Director’s Report is completed by the Clinical Coordinator/Program Director. The clinical weekly evaluation contains blocks of descriptive terms of performance areas. The Director’s Report includes blocks of descriptive areas of performance. The PSYCHOMOTOR PERFORMANCE EVALUATION on the back of the clinical evaluation contains psychomotor evaluation aspects of grading the student in their clinical assignment. These three reports are issued to the student for review and signature.


The students are also evaluated on their employability by starting out each semester with 100 banked points. Each absence, tardy, or other infraction leads to points being deducted from the 100 total points (see Section 3 under Employability). At the end of the semester, this section is documented as a portion of the total grade.

Each semester, the students will participate in writing assignments meant to develop their critical thinking skills. The first clinical semester, the students will participate in a journaling assignment and the following semesters will be assigned clinical case studies to give their input as to the appropriate resolution of the case study presented.


The weights of each of these areas of grading are as follows:

  • Clinical Weekly Evaluations = 15%

  • Director’s Report = 15%

  • Employability = 15%

  • Clinical Case Studies= 15%

The APPLIED CLINICAL PROFICIENCY performance is an assessment of the cognitive and psychomotor skills. The number, requirements, and forms for each semester are described and listed in the Clinical Education Master Plan. A Clinical Progress Evaluation (Psychomotor) appears on the back of the Clinical Weekly Evaluation completed by the assigned radiographer. The progress evaluation is based on written published objectives for each type of radiographic assignment.


The Proficiency evaluation is a separate form completed by the registered radiographer. Students who fail to complete the required number of proficiencies during a given semester by the due date assigned shall receive a grade based on the number of proficiencies completed. The remaining proficiencies must be completed by the end of the next semester to prevent further grade reduction.
The weight of these two components is:


  • Progress Evaluations = 10%

  • Clinical Proficiencies = 30%

Students must maintain an average of 80 or above in clinical to remain enrolled in the Program.



PROBLEM SOLVING PROCEDURE:

In the event a student has a problem concerning the Program, he/she has the right to present it according to the appropriate procedure as outlined in the Student Handbook, Section 6.


If a student wishes to respond to the evaluation, it should be discussed with the Program Director or Clinical Coordinator. If a matter needs the immediate attention of the Program Director or Clinical Coordinator, the student should request to see them immediately.
PROPERTY OF CLINICAL RECORDS:
All clinical record forms, including Clinical Evaluation forms, are the property of Columbus Technical College and are not to be removed from the premises. Section 6 of the Student Handbook defines the disciplinary action for failure to follow policies in this regard.

EMPLOYABILITY
At the beginning of every clinical semester, each student will have 100 points banked in the “Employability Category”. The designated point values listed will be deducted for “EACH” violation during the semester. At the end of the semester, the remaining points will count as 15% of the Affective Performance Evaluation portion of the course grade.
Points Deducted Clinical Violations


  1. Failure to use time card to clock in/out. *This will be

counted as a Tardy.
5 Double-punching where time cannot be

distinguished. *This will be counted as tardy.


    1. Failure to comply with dress code



10 Reported Absence from clinical site-

(must be reported to clinical coordinator and

clinical site )


  1. Failure to wear proper uniform to and

from the clinical site (cleaned and ironed

shirts, pants/skirts, lab coats with patch, name tag, and

dosimetry badge.


  1. Leaving the clinical site before designated

time regardless of reason without notifying the Clinical Instructor/Clinical Coordinator first


  1. Failure to turn in clinical time card for

the previous week on time. *Also 1 makeup day added for

each day time card is late.
20 Failure to report any absence or tardiness

30 minutes prior to start of shift (must be reported to clinical coordinator and clinical site)
30 Washed Time Card.
30 Failure to report absence to clinical coordinator and

clinical site
50 Failure to comply with the policies and

procedures of the clinical affiliate sites


    1. Failure to demonstrate a professional or

ethical attitude (will be determined on a

case by case basis by Program Director or

Clinical Coordinator
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Radiologic Technology Program

Student Clinical Affective (Behavioral) Performance Evaluation
STUDENT:____________________ WEEK OF:______ ASSIGNMENT:_____________



0-1= Unsatisfactory--- Performance is below expectations; Action plan & follow-up are required to address performance deficiencies.

2= Needs Improvement-Performance meets some, but not all, performance expectations. Performance must be more consistent to successfully meet MINIMUM. Action plan required.

3= Satisfactory/Successful -Performance meets the minimum acceptable expectations.

4= Outstanding-Consistently maintains & exceeds performance expectations. Results MEET or exceed expectations and represents top performance as compared to student peers performance.


AFFECTIVE PERFORMANCE CRITERIA


RATING


SUGGESTIONS/COMMENTS

1. PATIENT CARE-communicating with, assistance skills; comfort & care.






2.COMMUNICATION;- With staff & Physicians; cooperates; listens & carries out request






3.PERFORMANCE- QUANTITY & QUALITY DURING ASSIGNMENT; Initiative and Motivation






4.OBSERVANCE & ATTENTIVENESS during procedures; actively participating






5.PROFESSIONAL COMPOSURE, adaptability; self-control; Professional ethics






6.ATTITUDE: toward clinical tasks, interest;

Constructive criticism & instructions.





7.UTILIZATION SKILLS; equipment & supplies; inc. manipulation & management






8.Accuracy & completion of paperwork; stocking

supplies; film processing






9. Organizational ABILITY- performance of task, orderly flow; use of time






10.TEAM WORK/MEMBER PERFORMANCE;






11.RADIATION PROTECTION SKILLS

Self; patient & personnel





12.PUNCTUALITY to assignment (all day: inc A.M. and Mealtime return)

13. APPEARANCE- conforms to dress code; hair, nails, earrings, clean uniform & shoes.







RADIOGRAPHER ___________________________ DATE _______________

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RADIOLOGIC TECHNOLOGY PROGRAM

Applied Clinical Proficiency Performance
STUDENT _____ __________________ SEMESTER ________________

Date Performed- Hospital ___________ ______Room______________

PATIENT INFORMATION( MR#)____________________________________________

Exam Performed ________________________________________________________

PROJECTIONS/VIEWS ____________________________________________________

Rating: 0 = Unsatisfactory 1= Acceptable/needs Improvement 2 = Satisfactory/acceptable



PERFORMANCE CRITERIA:


RATING


COMMENTS:

1. Interpretation of Request






2. Facilities readiness/room/equipment, supplies






3. Equipment Use/manipulation






4. Patient Care, Safety






5. Proper selection- cassette & accessories






6. Correct Positioning - anatomy/rotation/angle






7. Correct Centering- cassette/IR, part, tube.






8. Correct Technical Factors






9. Radiation Protection - collimation, shielding.






10. Correct Markers & cassette I.D.








IMAGE EVALUATION CRITERIA:




1. Correct centering & tube, part, IR alignment






2. Proper Density, Contrast, and Recorded Detail.






3. Correct position/part rotation






4. Correct Patient/cassette, ID & markers






5. Radiation protection/collimation & shielding






6. Performance in: Communication, problem-solving, and critical thinking.

TOTAL POINTS OF PERFORMANCE EVALUATION








Prof. Grade_________

The exam was performed by the student with appropriate supervision and no repeated films. I observed the

performance and reviewed the Images with the student.
R.T. SIGNATURE __________ DATE:_______________

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Radiologic Technology Program

Director's Report of Student Clinical Affective Performance
STUDENT WEEK ASSIGNMENT__________



Professional Attitude:

Rude, Unethical,

Unprofessional

Immature,

Unacceptable

-Acceptable BUT needs immediate improvement

-Needs refinement of professional behavior

-Mature and Professional

-Reflects standards and behavioral traits instructed


COMMENTS:



Self-Image:

-Negative behavioral traits

-Lacks confidence or is overly confident

-Exhibits inability to take on responsibility and/or make decisions


-Needs improvement


-Exhibits some lack of self confidence
-Self conscious

-Confident, shows pride through behavior & actions reflect good self-image


-Pleasant disposition exhibited

COMMENTS:



Punctuality/Attendance:

-Tardy (2 or more X's per week)

-Multiple absences

-Over due time card

-LOST TIME CARD

-*FAILURE TO REPORT

ABSENCE PROPERLY

-*LEAVING EARLY WITHOUT

PROPER PERMISSION

*Constitutes disciplinary action

-Failure to clock in/out properly

-Damaged time card(1st time)

-Past due submitting time card (lst time/semester)


-Tardy/Absent 1 time this week

Excellent:

-no absence
-no tardy
-Reports to assigned area on time
-clocking properly
-time card on time


COMMENTS:



Appearance/Dress Code:

-Unacceptable DOES NOT meet dress code;

- DAMAGED or LOST Film Badge

-Appearance REQUIRES IMMEDIATE improvement;

-Area(s) of dress code NOT MET;

-Film Badge not worn properly.


Excellent: neat, clean, professional, meets ALL of the dress code; Film Badge is worn properly.




COMMENTS:

_____________________________________________________________________

Clinical Coordinator's/Director’s Signature

Signature Date _____________
Student

Signature _____________________________________________ Date _____________



STUDENT POLICIES FOR CLINICAL ASSIGNMENTS
A. PATIENT CARE AND EXAMINATIONS:

  1. Patients are your first concern. Be kind, tactful, gentle, courteous, and professional. Follow instructed customer service standards.

  2. Do not take patients back to the radiographic room without the requisition and appropriate records, if used, and without the consent of the RT. Students are required by HIPAA standards to identify the patient by two different means. These include verbally asking the patient to give his/her name, his/her birth date, his/her ordering doctor, or what procedure he/she is having. It is important to check the patient’s ID band if the patient is an inpatient for proper identification.

  3. Students are required to write their initials on the requisition form at the beginning of the examination along with the RT number or initials, etc.

  4. Upon completion of an examination, an RT MUST check all images before they are sent for interpretation by the Radiologist.

  5. Students, at no time, will decide if a patient needs additional radiographs or examinations other than specified by the Radiologist or attending physician. Students are not to call physicians’ offices unless requested to do so by the supervising RT.

  6. Students are not to render interpretations of radiographs or reveal radiographic images or findings to the patient or other persons.

  7. All repeated radiographs must be performed with the RT present and with their direct supervision.




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