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MONROE COMMUNITY COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

Rochester, New York 14623

STUDENT ORIENTATION BOOKLET

Disclaimer Clause

Assessment is an important element in a program’s overall evaluation and leads to continual

improvement. Program policies, offerings, and requirements are continually being assessed and

improved. The contents of this booklet are in effect at the time of revision and are subject to

change. Students will be notified of changes in policy and requirements.

BJG

Student Orientation Booklet

Rev. 8/87, 5/88, 7/90, 6/91, 6/92, 5/93, 6/94, 5/95, 6/96

EMD 4/97, 4/99, 4/00, 4/01, 3/02, 3/03, 4/04, 12/04, 3/05, 12/05, 3/06, 3/07, 3/08,1/09, 3/09, 2/10,

3/11, 3/12, 11/12, 2/13, 11/13,

PAP 2/14, 9/14, 3/17, 11/17, 3/18

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TABLE OF CONTENTS

Mission and Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Student Information Sheets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Decorum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Professional Skills List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

List of Required Books . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Learning Centers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Curriculum Breakdown . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Clinical Education Settings Parking Information . . . . . . . . . . . . . . . . . . . . . . . 13

Policies

Policy # 1: Class Attendance Requirements . . . . . . . . . . . . . . . . . . . . 14

Policy # 3: Reporting Violations/Convictions Against the Law to NYS

and ARRT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Policy # 4: Grading Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Policy # 6: Procedure for Reporting Communicable Disease by Student 21

Policy # 7: Hospital Student Dress Code . . . . . . . . . . . . . . . . . . . . . 22

Policy # 8: Student Involvement in Portables and Operating Room Procedures . . . . . . . 23

Policy #10: Annual Awards for Radiologic Technology Students . . . . . . . . . . 24

Policy #11: Radiation Protection Safety Guidelines . . . . . . . . . . . . . . . 26

Policy #18: Student Insurance Requirements . . . . . . . . . . . . . . . . . . 47

Policy #19: Student Employment in Radiology Department . . . . . . . . . 48

Policy #20: Student Accident / Injury . . . . . . . . . . . . . . . . . . . . . . . . 49

Policy #23: College Regulations and Policies for Students

(Conduct Regulations) . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Policy #28: Standard Precautions / Infection Control . . . . . . . . . . . . . 53

Policy #30: Evening Rotation . . . . . . . . . . . . . . . . . . . . . . . . . . . … . . 65

Policy #31: Student Participation in Fluoroscopy Studies . . . . . . . . . . 67

Policy #32: Resolutions of Allegations of Non-compliance with the

JRCERT Standards . . . . . . . . . . . . . . . . . . . . . . . . . . . …. 68

Policy #33: Workplace Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . 69

Policy #35: Readmission Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . 75

Policy #36: Lab Supervision Protocols . . . . . . . . . . . . . . . . . . . . . .. . . 77

Policy #37: Transfer Credit Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Policy #38: Privacy of Health Information . . . . . . . . . . . . . . . . . . . . . . 79

Policy #39: Privacy of Information Statement

– Expected Professional Standards and Norms . . . . . . . . . . 80

Policy #40: Complaint Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . ……. 81

Policy #41: Student Holding Policy……………………………… 82

Policy #42: Faculty – Student Relationships…………………….. 83

Policy #43: MR Safety Screening Protocol for Students…………. 84

Policy #44: Health Requirements and Immunizations…………… 85

Policy #45: Bi-weekly Counseling and Anecdotal Records………. 86

Policy #46: Official Communications…………………………… 89

Policy #47: MCC Health Programs Policy and Procedure for the Suspected Impaired

Student in Clinical Setting…………………………………… 92 Policy #48: Exposure to Blood Borne Pathogens (MCC Policy) (separate form)

Policy #49: Programmatic Probation…………………………………....... 97

Affirmation of Understanding.…………………………………………………………. 98

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Monroe Community College

Radiologic Technology Program

MISSION

It is the mission of the Radiologic Technology Program to educate diagnostic radiographers who

are professionally competent. The program is committed to student success by providing quality

curriculum, competent faculty and a diverse learning environment through college facilities and

partnerships with the health care community.

Upon successful completion of the program of study, graduates receive an Associates in Applied

Science degree in Radiologic Technology and are eligible to take the American Registry of

Radiologic Technologists certification examination and apply for a New York State license to

practice.

GOALS

2017-2019

Student Learning

1. Students will be clinically competent in the performance of basic radiographic

procedures.

1.1 Students will apply proper positioning skills

1.2 Students will select appropriate technical factors.

1.3 Students will provide proper radiation protection.

1.4 Students will demonstrate patient-centered skills.

2. Students will demonstrate communication skills.

2.1 Students will demonstrate written communication skills.

2.2 Students will demonstrate oral communication skills.

3. Students will demonstrate critical thinking skills.

3.1 Students will demonstrate an ability to adapt to non-routine scenarios.

3.2 Students will evaluate image quality.

4. Students will model professionalism.

4.1 Students will demonstrate good work ethic

4.2 Students will summarize the value of professionalism through leadership,

volunteering and/or life-long learning.

Program Effectiveness

5. The program will retain students through graduation.

6. Graduates will pass the ARRT national certification examination on the first attempt.

7. Graduates will obtain employment in the field or pursue an advanced degree within

12 months of graduation.

8. Graduates will express overall satisfaction with their academic program at MCC.

9. Employers will express satisfaction with the overall job skills of graduates.

EMD

6/97, Rev. 4/01, 11/01, 1/06, 5/06, 3/11, 5/11, 10/11, 11/13, 4/14, 5/17, 3/18

Revised approved by Advisory Committee 5/13/16

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Please Print

Class of _______ Date _______________ Social Security Number _________________

Name _____________________________________________________________________

Last First Middle M#

Permanent or Legal Address

______________________________________________________________________

Street City County

____________________________________________________(____)_____________

State Zip Telephone Number

Temporary Address (Address while attending MCC, if different from above.)

______________________________________________________________________

Street City County

___________________________________________________(____)______________

State Zip Telephone Number

Birth date: _______/_______/_______ Age: ______ Sex: M ______ F ______

E-mail:______________________________ Cell Phone: ______________________

Ethnic Origin (check one) Disability/Need Accommodation

_____ Black / African American _____ Impaired mobility

_____ American Indian or Alaskan Native _____ Impaired vision / blind

_____ White _____ Impaired hearing / deaf

_____ Hispanic / Latino _____ Impaired speech

_____ Native Hawaiian / Pacific Islander _____ Learning Disability

_____ Asian _____ Emotional Disorder

_____ Physical Limitation _____________

Rev. 11/04, 3/07, 3/08, 11/17, 3/18

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In order to assure your eligibility for licensure at the completion of the program in Radiologic

Technology at Monroe Community College, it is necessary that the department have the following

information in order to assist you in applying for verification that you will be eligible to obtain a

license/certification to practice.

This question and information appears on the Application for State of New York Licensure.

Except for minor traffic violations and adjudications as youthful offender, wayward minor or juvenile

delinquent, have you ever been convicted of one or more criminal offenses involving a threat or use of

physical violence, sexual behavior, illegal possession or use of drugs, theft or fraud, received an other than

honorable discharge from the armed services?

│___│Yes │___│No

If yes, please provide details for all charges. Include copies of all documents from the court including

Certificate of Disposition, Certificate of Relief from Disabilities, or Certificate of good Conduct.

These questions appear on the ARRT application for radiography certification.

Have you ever been convicted of a misdemeanor or felony, or a similar offense in a military court-martial?

│___│Yes │___│No

Have you had any professional license, permit, registration or certification subjected to any conditions or

disciplinary action by a regulatory authority or certification board?

│___│Yes │___│No

Have you ever been suspended, dismissed, or expelled from an educational program that you attended in

order to meet ARRT certification requirements?

│___│Yes │___│No

If the answer is yes, it is imperative that you make an appointment to see the Program

Director. Also, refer to Policy #3, located in the Student Orientation Booklet for more

information.

Name _________________________________________ (Signature)

Date __________________________________________

blSOB:1

rev. 2/89, 10/93, 4/97, 4/99, 4/00, 3/02, 5/03, 11/04, 3/07, 3/11, 11/17, 3/18

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DECORUM IN THE CLASSROOM

A professional is expected to show maturity, courtesy and restraint. Professional education in Radiologic Technology begins in the classroom and carries into the clinical setting. Therefore appropriate, professional decorum is expected in the classroom at all times. A free exchange of ideas and opinions is welcomed. It is expected that when addressing college faculty and classmates, it will be done in a respectful manner. One should not speak until recognized by the instructor or facilitator. If you take issue with an event that took place during class, you should wait until after class to discuss it with the instructor. Confrontation, at any level, is inappropriate.

Tardiness is disruptive to the flow of the learning activities and should be avoided. Likewise cell phones, pagers, and watches that have alarms should not be brought into the classroom. These decorum standards apply to the clinical education setting as well. All clinical staff, technologists and other hospital personnel should be treated in the same respectful manner as college faculty.

The clinical edication setting is considered a classroom. Repeat episodes of disregard for classroom/clinical education site decorum will be reported to Student Services for further action.

Approved by program faculty 10/1998

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The Radiologic Technologist is a professional skilled in medical imaging.

Student success in Radiologic Technology is dependent on…

emotional maturity, academic ability, motivation, self-discipline, and willingness to

devote a considerable amount of time to academic study.

patience and enjoyment of working with and serving others.

ability to follow orders, yet think critically and assess situations quickly and accurately.

physical ability to perform the duties of the job.

Language Arts / Communication

Verbal - speak clearly, concisely employing correct vocabulary and grammar for

communication.

- ability to give verbal explanation and instructions to patients.

Written - ability to write on patients’ charts and requisition, describe incidents that occur, and

record medical information.

Sensory Attributes

Visual - ability to confirm patient identity, read physician’s orders, read gauges, and panels.

- ability to observe patient’s physical conditions.

Auditory – response to verbal information from the patient, physician, team members.

- ability to respond to auditory radiation protection indicators.

Touch - ability to locate anatomical landmarks on the patient by touch.

Body Mechanics

- ability to move and support patients by lifting and sliding.

- ability to push/pull radiographic equipment, wheelchairs and stretchers

Intellectual and Mental/Emotional

- use of algebra in solving technical equations, graphs, curves and numerical tables.

- Ability to think critically and assess a situation.

- emotional strength in dealing with trauma situations and patients with chronic, acute

and terminal conditions.

- willingness to provide service to all patients, regardless of age, sex, race, national

origin, religion, social status, sexual orientation, physical conditions or disease

processes. Approved by program faculty 4/1999

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REQUIRED BOOKLIST FOR XRT 111-252

All books in this package are published by Elsevier

Title Authors ISBN Provided by Elsevier

Atlas 3-vol set - VST e-book Long, Rollins & Smith

Comprehensive Radiographic Pathology-vst ebk7

Eisenberg & Johnson

Comprehensve Radiographic Pathology 6 Eisenberg & Johnson

Evolve Comprehensive Radiographic Pathology 7th

Eisenberg & Johnson

Evolve Sectional Anatomy Learning System 3e

Applegate

Evolve Ms Dictionary Medical, NSG&HP 10th

Mosby

Evolve Patient Care in Radiography 9th Ehrlich & Coakes

Evolve Radiography Protection in Medical Radiography 7th

Statkiewicz, Sherer, Visconti & Ritenour

Evolve Radiologic Science for Technologists 11th

Bushong

Evolve res Merrill Atlas Radiographic Positioning 13th

Long, Rollins & Smith

Merrill’s Atlas Radiographic Postioning/Procedures 3 vols. 13th

Long, Rollins & Smith

Merrill’s Pocket Guide Radiography 13th Long, Curtis & Smith

Mosby Dictionary Medical, nrg hp vst ebk 10th

Mosby

Patient Care in Radiography vst e-bk 9th Ehrlich & Coakes

Patient Care in Radiography 9th Ehrlich & Coakes

Radiation Protection in Medical Radiography vst e-book 7th

Statkiewicz Sherer, Visconti & Ritenour

Radiation Protection in Medical Radiography 7th

Statkiewicz Sherer, Visconti, Ritenour & Haynes

Radiologic Science for Technologists 11th Bushong

Radiologic Science for Technologists vst ebk 11th

Bushong

Radiographic Imaging & Exposure 5 Fauber

Sectional Anatomy Learning sys 3rd (2 vol set)

Applegate

Sectional Anatomy Learning System-vst e-bk 2v 3rd

Applegate

Workbook for Radiologic Science for Technologists 11th

Bushong

Workbook Atlas Radiographic Positioning &Procedures 13th

Long, Curtis, Smith & Curtis

*All textbooks will be used throughout the curriculum.

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REQUIRED BOOKLIST FOR XRT 122

No books required at this time. Students will purchase the “Trajecsys” Clinical Grading System


Elsevier/Mosby Callaway: Mosby’s Comprehensive Review of Radiography: The Complete Study Guide

& Career Planner, latest edition. (most recent 6th ed.)

ISBN: 978-0-323-08078-1


Munksgaard Fleckenstein, Peter and Tranum-Jensen, Jorgen: Anatomy in Diagnostic

Imaging, 2nd Edition, 2001, ISBN -13:978-0721693583


Pearson Zelman: Human Disease: A Systemic Approach, 8th Edition, 2014,

ISBN 978-0-133-3494938


Mosby Papp: Quality Management in the Imaging Sciences,

5th Edition, 2014, ISBN: 978-0-323-261999

Booklist is subject to change after review by faculty each semester.

BJG/ED/bl/PAP Required Booklist:Manuals

Rev. 5/88, 4/92, 4/93, 4/94, 5/95, 5/96, 3/97, 4/99, 4/01, 3/03, 4/04, 12/04, 3/05, 3/06, 2/07, 3/08, 3/09, 2/10

4/10, 3/11, 1/12, 2/13, 11/13, 2/14, 3/15, 3/17, 3/18

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Learning Centers

Monroe Community College has a number of Learning Centers at Brighton (for example, Accounting, Math, Psychology, Writing, the Electronic Learning Center, etc.) and at Damon (for example, the Integrated Learning Center, Electronic Learning Center, etc.). Learning centers are staffed with instructional personnel and may be equipped with computers and software to assist students. It is recommended that students use the Learning Centers to get additional help with concepts learned in the classroom and with their homework. Please refer to your MCC student email to review your referral and objectives for your use of the Learning Center(s). A brochure with details on Learning Centers is available: Brighton – the Brighton Learning Center, Bldg. 11, Room 106 For more information on learning center hours and locations visit www.monroecc.edu.

Academic Honesty

In the academic process, it is assumed that intellectual honesty and integrity are basic responsibilities of any student. However, faculty members should accept their correlative responsibility to regulate academic work and to conduct examination procedures in such a manner as not to invite violations of academic honesty. Such violations consist mainly of cheating and plagiarism. Definitions of cheating and plagiarism, the Policy on Disciplinary Action and Procedure for Appeal are located in the MCC Catalog & Student Handbook. Students are encouraged to review this section of the catalog or visit www.monroecc.edu.

Students with Disabilities Students with disabilities are encouraged to refer to the MCC Catalog and Handbook for a list of services and the procedure for obtaining them.

SOB 10/01 Rev. 11/04, 3/08, 1/09 Reviewed 1/12, 3/17, 3/18

http://www.monroecc.edu/


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CURRICULUM BREAKDOWN

**SUBJECT TO CHANGE BASED ON PENDING CURRICULUM APPROVALS**

Fall Semester Freshmen

XRT 111 Radiographic Technology I 6 Class Hours, 7 Lab Hours, 9 Credit Hours

Lec Lab Clinic Part I Radiographic Positioning I 2 4 Part II Radiographic Exposure I 1 3 Part III Radiographic Processing 1 Part IV Medical Terminology 1 Part V Patient Care 1

Total 6 7 0

XRT 151 Orientation/Clinical Education I 3 Class Hours, 5 Clinical Lab Hours, 4 Credit Hours

(Includes Orientation to the program & profession, professional ethics, safety issues, and clinical education components)

ENG 101 English Composition OR

ENG 200 Advanced Composition

BIO 142 Human Anatomy

MTH 160 or 161 Statistics OR

MTH 165 College Algebra OR higher

Spring Semester Freshmen

XRT 122 Radiographic Technology II 4 Class Hours, 4 Lab Hours, 6 Credit Hours

Lec Lab Clinic Part I Radiographic Positioning II 1 2 Part II Radiographic Exposure II 1 2 Part III Contrast Media .5 Part IV Pediatric Radiography .5 Part V Radiography of Skull, Sinuses, 1

Temporal Bone Total 4 4 0

XRT 152 Clinical Education II 12 Clinical Lab Hours, 4 Credit Hours

PHY 141 Radiographic Physics

Humanities Elective

Summer Session Freshmen

XRT 153 Clinical Education III 40 Clinical Hours (7 Week Session), 4 Credit Hours

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Fall Semester Sophomores

XRT 211 Radiographic Technology III 2 Class Hours, 3 Lab Hours, 3 Credit Hours

Lec Lab Clinic Part I Radiography of the Facial Bones 1.5 Part II Radiographic Exposure III 1.5 Part III Radiation Biology & Protection 2

Total 2 3 0

XRT 251 Clinical Education IV 24 Clinical Lab Hours, 8 Credit Hours

XRT 215 Sectional Anatomy 1 Class Hour, 1 Credit Hour

XRT 220 Radiographic Pathology I 1 Class Hour, 1 Credit Hour

PSY 101 Introduction to Psychology

BJG SOB4 12/95, Rev 2/96, 3/96, 10/96, 11/04, 3/09, PAP 3/17, 3/18

Spring Semester Sophomores

XRT 222 Radiographic Technology IV 4 Class Hours, 2 Lab Hours, 5 Credit Hours

Lec Lab Clinic Part I Advanced Imaging 2 Part II Quality Assurance for Diagnostic Rad. 2 Part III Radiographic Equipment Analysis 1 Part IV Radiography Management 1

Total 4 2 0

XRT 252 Clinical Education V 24 Clinical Lab Hours, 8 Credit Hours

XRT 230 Radiographic Pathology II 1 Class Hour, 1 Credit Hour

Social Science Elective

Summer Session Sophomores

XRT 253 Supplemental Clinical Education Variable Credit 1-6 Credit Hours This is not a required course. It is designed as an extension of the Clinical Education experience for those students who need additional time to successfully complete the required competencies/graduate outcomes. Primarily intended as a supplement to XRT 252 and offered concurrently with XRT 153 (seven week summer session). Requires permission of the Program Director.

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STUDENT PARKING AT CLINICAL EDUCATION SETTINGS

Rochester Regional - Wayne Newark-Wayne Campus (31 miles from Brighton campus)

1. Travel east on Route 31 to Newark, NY. Follow hospital signs to Newark Hospital.

2. Park in back of hospital in Employee Parking (North side of building.)

3. Enter door marked ‘Rehabilitation Services’.

4. Take first corridor to right to Radiology (on right.) Ask for Professor.

University of Rochester Medical Center - Highland Hospital (2.75 miles from Brighton

campus)

1. Exit MCC north to South Ave. Street parking only until further notice.

2. On first day, meet Professor in main lobby next to information desk.

University of Rochester Medical Center - Strong Memorial Hospital (2 miles from

Brighton campus)

1. Travel north from MCC on East Henrietta Road (Route 15A).

2. Park in College Town ramp.

3. On first day, meet Professor in main lobby (near information desk).

5. Parking permits are required. Your instructors will guide you through the process.

Rochester Regional - Rochester General Hospital (12.5 miles from Brighton campus)

1. Follow maps to Rochester General Hospital. (off Route 104 between Portland Avenue and Carter

Street). Parking is available at the adjacent Professional Office Building.

2. On first day, meet Professor in main lobby. Bring your car registration.

3. Parking stickers are required and will be issued on the first day of clinic. Your instructors

will guide you through the process.

Rochester Regional - Unity Hospital -- Park Ridge Campus (9.5 miles from Brighton

campus)

1. Follow map. (Long Pond Road just north of Ridgeway Avenue)

2. Enter the campus via the north entrance. Park in employee parking area of the northern

or western parking lots. Alternate parking is available behind the nursing home.

2. Meet Professor in Radiology (1st floor, left of reception desk.)

Offices – Free parking is available at all offices.

Alexander Park Imaging Center (3 miles)

214 Alexander Street, Suite 1000

Rochester, NY 14607

(585)922-2160

Borg /Ide Clinton Crossings (2 miles)

995 Senator Keating Blvd, Bldg E, Suite 100

Rochester, NY 14618

(585) 241-6401

Borg /Ide Lattimore (2 miles)

125 Lattimore Road

Rochester, NY 14620

(585) 241-6401

Borg /Ide Park Ridge (9.5 miles)

1561 Long Pond Road, Suite 113

Rochester, NY 14626

(585) 241-6401

Strong Orthopedic Center (2 miles)

4901 Lac De Ville Blvd, Bldg D

Rochester, NY 14618

(585) 275-5321

University Medical Imaging (2 miles)

4901 Lac De Ville Blvd.

Building D, Suite 140

Rochester, NY 14618

(585) 341-9100

RRHS Cross Keys Office (15.2 miles)

100 Cross Keys Office Park

Suite 170. Fairport, NY 14450

Rev. 4/97, 5/98, 4/00, 4/01, 11/04, 3/07, 3/11, 2/13, 11/13, 3/17, 11/17, 3/18

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CLASS ATTENDANCE REQUIREMENTS

Policy #1

The College's policy on student class attendance states that "prompt and regular attendance at all class and

laboratory sessions is expected." Monroe Community College does not have an "unlimited cut" system of

attendance, nor does it allow absences equal to the number of hours for the course, i.e., the so called a

"three-cut system".

Each student is personally responsible for the satisfactory completion of course work prescribed by their

instructors. Regular attendance and active participation in classes are essential elements in the learning process.

The student, therefore, is expected to attend classes regularly.

Faculty members may report students for excessive absence when such absence is adversely affecting the

student's academic achievement in a particular course (not necessarily failing work). When this occurs, the

student will be reported to Student Services by the professor with the recommendation to warn the student or

withdraw him/her from the course. The student will be informed in writing of the recommendation. In the

event the student is withdrawn from the course, the grade of "W" will be assigned (policy is under review at this

time).

Students should be aware that non-attendance at classes will not result in automatic withdrawal from a course.

Unless the student initiates a formal course withdrawal request in accordance with the withdrawal policy,

non-attendance may result in an "F" grade.

Students are reminded that an important part of the attendance policy is that it does not provide for blanket

excuses for curricular or co-curricular activities, e.g., field trips, scheduled athletic events, conferences,

college and placement interviews, etc. Students should plan for the above contingencies by regular

attendance in all classes. Students who continually meet their responsibilities with regard to regular

attendance will have few, if any, problems as a result of absence for the above reasons. When necessary, for

example, reporting and clearances of communicable illnesses, the Health Services Department will serve as

a liaison between the student and his/her professors.

COLLEGE CLOSING/CANCELLATION OF CLASSES

Malpractice and liability insurance provide coverage only during the regularly scheduled class time periods per

affiliation agreements with clinical sites/health systems . In the event the college is closed, insurance coverage

is not in force on campus or at the clinical education sites; therefore, classes will not meet on campus or at the

off-campus sites during a closing for any reason.

If the college is closed or classes are cancelled due to inclement weather or some other emergency, all

Rochester area radio and television stations will be notified no later than 5:30 a.m. or in the case of a mid-

day decision, no later than 3:00 p.m. In addition, the home page on the MCC website (www.monroecc.edu)

will display a message indicating the college is closed or classes are cancelled. Please do not call the

College or individual faculty to avoid overloading the telephone lines.

In the event of an emergency, such as a campus evacuation or closure, severe weather alert, fire in a

building, hazardous material incident, etc., where time-sensitive, proactive actions need to be

communicated, the SUNY NY-Alert system will be utilized to provide immediate notification to all MCC

students and employees who have opted to receive such alerts. Those who sign up for SUNY NY-Alert can


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choose to receive emergency messages via a variety of communication technologies, such as e-mail

(college and personal accounts, and audio and/or test message to a campus, home or cell phone, fax, etc.

For more information on SUNY NY Alert, including how to sign up, please visit

http://www.monroecc.edu/depts/pstd/NYAlert.htm.

Information regarding class cancellation is available daily on the web. Simply go to the MCC website

(www.monroecc.edu) and select the link in the second heading menu labeled “Current Students” and then

select the “Class Cancellations” link along the left column under the “Academics at MCC” section.

Additionally, the class cancellation information is available by dialing 292-2066, press “1” for the Brighton

campus and “2” for the downtown campus. If possible, please use the web, as there could be delays in the

voice recordings based on the number of cancellations.

PROCEDURE FOR RECORDING STUDENT ATTENDANCE AT CLINICAL EDUCATION

SITE

1) A clinical day at a hospital or office site is a class. The daily attendance record, including unsatisfactory

punctuality, shall be recorded in the Monroe Community College Radiologic Technology program records.

2) The Radiologic Technology program employs the use of the web-based clinical grading program

“Trajecsys” to log student attendance.

3) All students must log in through Trajecsys from their assigned clinical sites by 8:00 am. The Clinical

Coordinator will confirm their attendance hours through the Trajecsys website. Students will also phone

the clinical instructor whenever they are unable to attend their clinical assignment. The student must:

* Call the clinical affiliate hospital before 8:00 a.m.

* Ask to speak with or leave a message for the assigned clinical instructor.

* The call should include the student's name and the reason for the absence.

* After two time exceptions for tardiness, incorrect geolocation or no geolocator employed

through Trajecsys the student will be penalized according to the current attendance and grading policies.

4) Excessive absenteeism shall be discussed with the student informing him/her that the continued

attendance/punctuality pattern will be reflected in the Clinical Education grade. A Student

Counseling/Anecdotal Report shall be filed.

4) The student's excessive absenteeism may be reported to Student Services with the recommendation to warn

the student or withdraw him/her from the course. (policy under review).

ABSENCE DUE TO RELIGIOUS BELIEFS

The Radiologic Technology Program will concur with the Educational Law, Section 224-A, which states the

following:

1) No person shall be expelled from or be refused admission as a student to an institution of higher education

for the reason that he/she is unable, because of his religious beliefs, to attend classes or to participate in any

examination, study, or work requirements on a particular day or days.

2) Any student in an institution of higher education who is unable, because of his religious beliefs, to attend

classes on a particular day of days shall, because of such absence on the particular day or days, be excused

from any examination of any study or work requirements.

3) It shall be the responsibility of the faculty and of the administrative officials of each institution of higher

education to make available to each student who is absent from school, because of his religious beliefs, an

http://www.monroecc.edu/depts/pstd/NYAlert.htm


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equivalent opportunity to make up any examination, study or work requirements which he/she may have

missed because of such absence on any particular day or days. No fees of any kind shall be charged by the

institution for making available to the said student such equivalent opportunity.

4) If classes, examinations, study or work requirements are held on Friday after four o-clock post meridian or

on Saturday, similar or make-up classes, examinations, study or work requirements shall be made available

on other days, where it is possible and practicable to do so. No special fees shall be charged to the student

for these classes, examinations study or work requirements held on other days.

5) In effectuating the provisions of this section, it shall be the duty of the faculty and of the administrative

officials of each institution of higher education to exercise the fullest measure of good faith. No adverse or

prejudicial effects shall result to any student because of his/her availing him/herself to the provisions of this

section.

6) Any student, who is aggrieved by the alleged failure of any faculty or administrative officials to comply in

good faith with the provisions of this section, shall be entitled to maintain an action or proceeding in the

Supreme Courts of the county in which such institution of higher education is located for the enforcement

of this rights under this section.

7.) The banked day should be used for this observance.

CLINICAL FACULTY ABSENTEEISM

Assigned supervision of students is required by the JRCERT and contractual agreements between Monroe

Community College and clinical facilities. Malpractice insurance is not in force when the assigned clinical

supervisor is not on the premises. Therefore, if the college assigned clinical supervisor is absent from the

clinical site and prior arrangements have not been made to provide adequate supervision, (at least one day

before, not the day of the absence) freshman students must be dismissed.

APPROVED BY THE FACULTY OF THE DEPARTMENT OF RADIOLOGIC TECHNOLOGY ON 10/83.

P1

Rev. 9/92, 4/97, 6/01, 10/01; 11/08, 12/11, 11/13, 5/16, 10/16, 10/17, 3/18

17



REPORTING VIOLATION/CONVICTIONS AGAINST THE LAW

TO N.Y. STATE AND ARRT

Policy # 3

STATE OF NEW YORK (NYS)

The State of New York disqualification rule requires that Radiologic Technology students who,

except for minor traffic violations, and adjudication as a youthful offender, wayward minor, or

juvenile delinquent, have been convicted of one or more criminal offenses involving a threat or use

of physical violence, sexual behavior, illegal possession or use of drugs, theft or fraud, received an

other that honorable discharge from the armed services provide details for all charges. Copies of all

documents from the court including Certificate of Disposition, Certificate of Relief from

Disabilities or Certificate of good Conduct must also be submitted. For more information contact:

New York State Department of Health

Bureau of Environmental Radiation Protection

ESP, Corning Tower – 12th Floor

Albany, NY 12237

(518)402-7580

AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT)

An individual who has been convicted of a misdemeanor, felony or a similar offense in a military

court-martial; and/or disciplinary actions taken by a state or federal regulatory authority or

certification board; and/or honor code violations is strongly advised to file a pre-application with the

ARRT in order to obtain a ruling on the impact of the situation on their eligibility for certification

and registration. You are required to report charges or convictions that have been withheld,

deferred, stayed, set aside, suspended, or entered into a pre-trial diversion, or involved a plea of

guilty or no contest (nolo contendere). You do not have to report juvenile convictions processed in

juvenile court or traffic citations unless drugs or alcohol was involved.

A Pre-application Review of Eligibility may be obtained on the web at www.arrt.org or by mail.

The American Registry of Radiologic Technologists

1255 Northland Drive

St. Paul, MN 55120-1155

Telephone: (612)687-0048

Declaration of Understanding:

I have been informed and I realize that I am responsible for writing to New York State and the

ARRT, for the purpose of attaining a ruling on eligibility for licensure and certification in the

radiologic sciences.

_________________________________________ _______________________________

Student's Signature Date

BJG/lm/bl

P003

rev. 9/91, 10/92, 4/97, 6/01, 3/05, 11/08, 3/11, 12/11, 2/13, 3/17, 3/18

18



GRADING POLICY

Policy #4

All didactic and clinical evaluation systems shall be consistent with the goals of the program. The grading/evaluation

system must be clearly stated in the course outline for each course part. A course outline shall be distributed to students

during the first class period. This will serve to inform all students of the grading system.

The type of grading system adopted for a didactic course is at the professor's discretion. However, all evaluation tools

must be criterion referenced. Individual test items must be consistent with the stated competencies of the course, unit or

module.

After computation, the mid-semester and final grades will be rounded to the nearest whole number before being assigned a

letter grade for the course.

PASSING GRADES/FAILING GRADES

A minimum grade of "C" must be obtained in XRT 111, 151, 122, 152, 153, 211, 252, 215, 222 and all of the course parts

in order to continue in the Radiologic Technology Program. A minimum grade of "C" in XRT 252 or successful

completion of XRT 253 is required in order to graduate. A grade of “C or higher” is defined as a numeric grade of 73% or

higher.

In the event that a student obtains less than a 73% grade in any course part, the final grade recorded for the course (XRT

111, 122, 211, 222) shall be a “C-“ or lower grade. This final grade will be determined by the grade computation method

used by the program and shall be less than a "C".

On Campus Laboratory Competency Requirements

All Radiographic Positioning I competency tests, required for XRT 111, must be completed with an 85% proficiency. If

85% proficiency is not attained or an automatic failure (0) occurs, one makeup test will be given after remedial study. All

laboratory practical competency tests required in XRT 151 (blood pressure analysis, patient transfer), XRT 122

(venipuncture) and XRT 153 (sterile procedures, vital signs, medical equipment) must be completed with "S" proficiency

in order to complete course requirements and therefore pass the course.

XRT 122 Parts 1 and 5 competencies/film critiques must be completed with a passing grade of 73% or above. Failure to

complete tests or film critiques with a 73% or above will result in required remediation on the material failed by the

clinical satisfactory (S) assessment. If the student has already been given a successful competency grade on a procedure

failed on an exam on campus that competency shall be revoked and a new competency test must occur.

CLINICAL EDUCATION GRADE

The grading system for Clinical Education courses (XRT 151, 152, 153, 251, 252, 253) are published in the Clinical

Education Booklet. Each professor/adjunct instructor will keep anecdotal records on every student on a bi-weekly basis.

Anecdotal records will be turned in to the Clinical Coordinator (or on Trajecsys) at their completion.

Mid-term grade reports will be returned to the Clinical Coordinator on the date noted on the semester schedule in order to

evaluate the progress and clinical standing of each student. There is no mid-term grade required for XRT 153.

Clinical faculty will administer two (2) unannounced Image Analysis quizzes during XRT 152, XRT 153, XRT 251 and

XRT 252 and will be administered during the time allotted for film critique presentations. No pre-notice will be given to

the students. These grades will be part of the Image Analysis portion of the clinical grade determination.

Clinical attendance will be incorporated into the clinical grade. Each absence will be a 5 point deduction. Each hour or

less of late arrival or early departure will result in an additional 1 point deduction. Failure to notify the clinical supervisor

(AND Clinical Coordinator as required for XRT151,

0by voicemail message if unable to reach) will result in a 2 point additional deduction.

Bereavement - The student will not be penalized for an absence of three days due to a death in the family (parent,

grandparent, spouse, child or sibling). An obituary or other proof may be required. Also, there will be no penalty for a

summons to appear in court (1 day), a receipt may be required.

Extended absence from the clinical assignment for health reasons, such as emergency surgery, serious illness/accident or

sudden hospitalization shall be evaluated by the full-time faculty/clinical coordinators. Absent clinical hours shall be

19

recorded. However, the clinical point deduction shall be at the discretion of the full-time faculty/clinical coordinator based

on the specific situation. Written physician's orders with the date of return to classes shall be required. If an extended

absence causes the inability of the student to complete clinical competency requirements, the student will be advised to

withdraw from the course or make up the work during XRT 253 if applicable.

****An “Anecdotal Record” report for a specific incident, whether on campus or in the clinical setting (not the bi-

weekly anecdotal record) may be recorded for a warranted behavior/occurrence. This may add or subtract three points

from the final clinical grade.

The categories for the severity of a warranted behavior/occurrence are noted on the form.

A violation of Category 1 behaviors results in dismissal from the program as they violate Monroe Community College

policies.

****Please note, three offenses for the same behavior in Category 2 will result in dismissal from a clinical site/the

program as they violate program/college/hospital policies.

****NOTE - Five violations of any type documented through program faculty/officials/clinical staff will result in

immediate dismissal from the program, regardless of status in the program.

GRADE COMPUTATION - % VALUES

XRT 111 Radiographic Technology I Mid-Semester Final____

Part I Radiographic Positioning I 40% 40%

Part II Radiographic Exposure I 30% 30%

Part III Radiographic Processing 10% 10%

Part IV Medical Terminology 10% 10%

Part V Patient Care 10% 10%

Total Grade (XRT 111) 100% 100%

XRT 151 Orientation/Clinical Education I Mid-Semester Final_____

Total Grade 100% 100%

XRT 122 Radiographic Technology II Mid-Semester Final_____

Part I Radiographic Positioning II 30% 30%

Part II Radiographic Exposure II 30% 30%

Part III Contrast Media 20% 20%

Part V Radiography of the Skull/Facial/Sinus 20% 20%____


XRT 152 Clinical Education II Mid-Semester Final____


XRT 153 Clinical Education III Final____

Total Grade 100%

XRT 211 Radiographic Technology III Mid-Semester Final____

Part I Computed Radiography (Rad Exp 3) 33.3% 33.3%

Part II Equipment (Rad Exp 3) 33.3% 33.3%

Part III Radiation Biology & Protection 33.3% 33.3%__


XRT 251 Clinical Education IV Mid-Semester Final___


20

XRT 215 Sectional Anatomy Mid-Semester Final__


XRT 220 Radiographic Pathology I Mid-Semester Final__


XRT 222 Radiographic Technology IV Mid-Semester Final__

Part I Advanced Imaging 30% 30%

Part II Quality Assurance for Diagnostic Radiology 30% 30%

Part III CT Principles 20% 20%

Part IV Radiography Management 20% 20%__


XRT 252 Clinical Education V Mid-Semester Final__


XRT 230 Radiographic Pathology II Mid-Semester Final__


XRT 253 Supplemental Clinical Education (when required) Final_

Total Grade 100%

LETTER GRADE ASSIGNMENT

Letter

Numeric Grade

Grade Point A

93-100

4.0 Excellent

A-

90-92

3.7

B+

87-89

3.3

B

83-86

3.0 Above Average

B-

80-82

2.7

C+

77-79

2.3

C

73-76

2.0 Average

Minimum Passing Grade

in XRT courses C-

70-72

1.7

D+

67-69

1.3

D

63-66

1.0 Below Average

D-

60-62

0.7 Minimum Passing Grade

at MCC F

below 60

0.0 Failure

Approved by Radiologic Technology Faculty

/mw/bl/ED/PAP

P04

Revised 7/87, 5/92, 1/93, 4/97, 6/01, 5/03; 11/08, 11/13, 5/16, 11/17, 3/18

21


Department of Health Professions


PROCEDURE FOR REPORTING COMMUNICABLE DISEASES BY STUDENT

Policy #6

It is the student's responsibility to report 1) exposure to or 2) contraction of a communicable disease

directly to the Health Services Department at MCC. Reporting directly to Health Services enables

confidentiality to be maintained and information would not be released unless there is a safety factor

involved. In the situation where the student is self-referred, Health Services will provide no notification

to the program unless there is a reason to restrict the student from the clinical area.

If a program faculty member becomes aware of a communicable disease problem, it is his/her

responsibility to refer the student to the Health Services Department immediately. For those students

referred by the program faculty, Health Services will respond in writing with either a clearance for, or a

restriction from the clinical area.

This policy will be included in the Student Orientation Booklet given to all students during fall

orientation. This policy will be discussed during semester orientations.

Source Information

July 7, 1988 memo from Patricia A. Falanga, RN, Director, Health Services, regarding Procedure for

Reporting Communicable Diseases by Students (1 attachments).

Approved by the Radiologic Technology Program Faculty in December,1988.

/mw

P6

12/88, 4/97, 6/01; 11/08, 3/17, 3/18

Attachments (1)

M:Policies:P006

22



HOSPITAL STUDENT DRESS CODE

Policy #7

Uniforms: White, neat, having a professional look. No colored stitching, belts, emblems or appliqué. No

jeans. No T-shirt, v-neck or midriff style tops. White scrub-style tops may be worn with an

undershirt. Polo-style tops are encouraged. Optional white polo with black MCC logo available

in MCC Bookstore. Appropriate undergarments for modesty are required.

Lab jacket: White, extending to fingertip length only. No knee length lab coats.

Sweaters: Plain white cardigans may be worn. Lab jackets are preferred. No hoods.

Shoes: White, having sufficient support and comfort. May be good support, totally white sneakers.

Leather or non-porous material, not canvas for health reasons.

Hose/sock White socks only. Hosiery must be white or flesh-tone. No patterns.

Jewelry: Jewelry may be hazardous; it should not be worn. One set of earrings are permitted and should be

post-type only.

Hair: Should be neat and clean. Hair length extending past the shoulders should be tied back.

Extravagant barrettes or ties are non-professional.

Hair pieces: If essential, should be short, plain, neat and compatible to your own hair color.

Facial hair: Should be clean, neatly shaped and trimmed.

Make-up: Should be in good taste.

Nails: Should be short, clean and neat. No acrylic nails permitted for health reasons.

Tattoos: Must be covered whenever possible.

Body Piercings: Should be removed if visible except for one pair of post-style earrings.

Name tags: Available at Uniform Village, Inc.

376 Jefferson Road

Rochester, NY 14623

Phone: 424-1550

$11.00 approximate cost

Style D-11 Black with white lettering

Accessory: Watch having a second hand, 72 inch tape measure, pen, lead markers - L & R.

/bl P7 rev.3/88, 9/92, 5/95, 4/97, 6/01, 11/03, 12/04, 11/07, 12/07, 11/08, 11/13, 3/17, 3/18

Monroe Community College Jane

Student Radiologic Technologist

23



STUDENT INVOLVEMENT IN PORTABLES AND OPERATING ROOM

PROCEDURES

Policy #8

In order to provide high quality patient care, particularly in portable and the operating room

environments, the ultimate responsibility is that of a more experienced, well-qualified

radiographer. The student assigned to portable and operating suite procedures will be

directly supervised by a licensed radiographer.

Approved by Radiologic Technology Faculty on 9/78.

P008

Revised 5/85, 4/97, 4/01, 11/08

EMD/ns

Reviewed PAP 3/17, 11/17, 3/18

24



Annual Awards for Radiologic Technology Students

Policy #10

Annual Awards

There are three annual awards for Radiologic Technology students.

The Gertrude L. Dourdounas Certificate of Achievement provided by the Association of

Educators in Radiologic Technology of the State of New York, Inc is an academic

achievement award presented to the student with the highest cumulative point average upon

completion of the final fall semester in the Radiologic Technology Program.

The Outstanding Professional award recognizes leadership skills, willingness to mentor

others, and participation in professional activities. Students are nominated and selected for

this award by faculty.

The Clinical Excellence award recognizes overall clinical performance, cooperation,

teamwork, partnership building, patient care and education, and a positive professional

attitude. Students are nominated and selected for this award by faculty.

ns

11/77 p010

Revised 10/83, 4/97, 3/02, 3/11

Reviewed 3/17, 3/18

Attachments

25

Association of Educators in Radiologic Technology of the State of New York, Inc.

Gertrude L. Dourdounas Certificate of Achievement

Qualifications for the Award

1. Students must be eligible for graduation in the calendar year in which the

nomination is made.

2. Students must at the time of nomination, have the highest academic average

in the senior class. Programs that have two or more candidates with equally

high academic averages may nominate all eligible students.

Nomination Procedure

1. The Educational Director of Hospital based programs and the Program

Director of College programs must submit the mane of the student to the

Chairman of the Scholarship Committee.

2. The nomination must be made on the official nomination form. When more

than one student is nominated, a copy of each candidate’s transcript must be

submitted.

3. The nomination form must be postmarked on or before August 31, of the

year in which the award is to be presented. Applications received after that

date cannot be considered. Designation of certificate or plaque must be

noted on the application and the specified amount enclosed.

4. Please allow four to six weeks for return of the document.

Presentation of the Award

1. The award must be listed in the graduation program of the school.

2. It is suggested, but not mandated, that a member of the A.E.R.T. present the

award to the student on behave of the organization.

__________________________________________________

Reprinted from the AERT of SNY, Inc. Rules and Regulations

4/97

P010

26


Department of Health-Related Professions


RADIATION PROTECTION SAFETY GUIDELINES

Policy # 11

TABLE OF CONTENTS

Section A. OVERVIEW/PURPOSE ALARA - Principle Radiation Safety Officer

Section B. RADIATION MONITORING GUIDELINES Radiologic Technologist Student Technologist

Section C. RADIATION EXPOSURE LIMITS Part 1: Occupational Exposure Limits Part 2: Student Exposure Limits Policy Part 3: Notification Warning Policy Part 4: Pregnancy Policy

Section D. RADIATION PROTECTION PRECAUTIONS FOR PERSONNEL Part 1: Diagnostic Areas Including Patient Holding Restrictions

and Immobilization Part 2: Fluoroscopic and Portable/Operating Room Considerations

Section E. RADIATION PROTECTION GUIDELINES FOR THE PATIENT Pregnancy Considerations (Patient) Gonadal Shielding Beam Restriction Entrance Skin Exposure

Section F. SOURCES AND ILLUSTRATIONS Manuals:POLICY:P011 Approved by Radiologic Technology Faculty on 5/85, 1/95 Rev. 10/87, 9/92, 10/94, 1/95, 5/97, 9/00, 7/03, 3/05, 12/05, 4/06, 11/12, 11/13, 3/17, 3/18

27

POLICY # 11 - Section A

OVERVIEW/PURPOSE

OVERVIEW/PURPOSE It has been well documented that ionizing radiation can cause damage to living cells. Therefore, it is imperative that everyone involved in the medical application of ionizing radiation have an accurate knowledge and understanding of the various safety guidelines in order to minimize the adverse effects of radiation exposure. We at Monroe Community College, Department of Health Related Professions, are committed to this endeavor. This Radiation Safety Policy is designed to inform and make available to each radiologic technology student and staff member, the various radiation safety methods and guidelines established to limit unnecessary radiation exposure to the patient, operator, and public.

ALARA PRINCIPLE "As low as is reasonably achievable" (ALARA) means making every reasonable effort to maintain exposures to radiation as far below the dose limits in these regulations as is practical, consistent with the purpose for which the licensed or registered activity is undertaken, taking into account the state of technology, the economics of improvements in relation to state of technology, the economic of improvements in relation to benefits to the public health and safety, and other societal and socioeconomic considerations, and in relation to utilization of nuclear energy and licensed or registered sources of radiation in the public interest. N.Y.S. Sanitary Code, Chapter 1 Part 16.2 (11).

RADIATION SAFETY OFFICER Faculty and students shall be aware of the Radiation Safety Officer at Monroe Community College and all hospital affiliations. A current list of RSO's is posted in our Radiologic Technology Lab, building 9, Rm. 162A, Additional information on state regulations for radiation safety can be obtained by

contacting: Radiological Health Specialist NYS DPH BERP Western Region – Rochester Office 3335 E. Main Street Rochester, NY 14604-2127 (585) 423-8086 FAX: (585) 423-8128

28

POLICY # 11 - Section B

RADIATION MONITORING GUIDELINES 1. Who Needs A Film Badge - Because of the possible hazards when dealing with

radiation, all program students and personnel are required to wear proper radiation monitoring devices (TLD) at all times while using energized radiographic equipment or are near radioactive sources.

2. Proper Use of Monitoring Device – Thermoluminescent Dosimeters (TLD’s) are

issued and must be worn in accordance with NYS Sanitary Code, Chapter 1, Part 16, Ionizing Radiation and are used to measure occupational exposure at MCC Lab, and Hospital Affiliates.

3. Where To Wear The TLD – The TLD should be clipped to an article of clothing at

the collar level, however, when working in Fluoroscopy or on Portable procedures, the film badge is to be worn outside the lead apron, clipped to the uniform collar, never on the lead apron.

4. Misuse of the TLD - A TLD that has been assigned to an individual may not be

used by any other person. The participants' number is a lifetime assignment and is not transferable to another person. TLD’s must not be tampered with in any manner. Keep your TLD away from extreme hot or cold temperatures, and radiation sources when not in use. Do not leave your TLD on lab coats, uniforms or lead aprons. If TLD’s are lost, misplaced or damaged, the Radiation Safety Officer (RSO) or designee must be notified promptly, and the individual will not

be allowed to work in the radiation area until a new badge issued. See

illustration #1 5. Exposure Data - Exposure results are received at quarterly intervals from MIRION

Technologies {GDS} Fountain Valley, California. This report will be posted in the MCC Lab, 9-162, so that each individual is aware of his/her exposure each month. This monthly report must be signed by each TLD wearer in order to verify that the individual has seen their report, in compliance with New York State Regulations. Report any unusual exposure to self or TLD immediately to the

MCC Radiation Safety Officer/designee. An annual written radiation exposure

report will be issued to each TLD wearer. 6. Quarterly Replacement of TLD’s - At the beginning of a quarter the TLD must be

returned and replaced with a replacement (no later than the first Thursday of

each month). The changing of the TLD is the ultimate responsibility of the student and faculty. Late changing of the TLD will make accurate evaluation

impossible. Please be prompt!

29

POLICY # 11 - Section C

Radiation Exposure Limits

Part 1: Occupational Dose Limits The following occupational dose limits are referenced in the New York State Sanitary Code Chapter 1, Part 16 (April 18, 2001) and the Nuclear Regulator Commissions (NRC) code of federal regulations - 10-CFR-20, effective January 1,1994

OCCUPATIONAL DOSE LIMITS

Adult

* Whole Body Deep Dose

Total Effective Dose Equivalent (TEDE) = 5 rem/year

* Total Organ Dose Equivalent = 50 rem/year (organs other than eye, gonads,

and blood forming organs)

* Dose Equivalent for Lens of the Eye = 15 rem/year

* Extremities Dose Equivalent = 50 rem/year

* Shallow Dose Equivalent to skin - 50 rem/year

* Embryo/Fetus: Total Dose Equivalent -

.5 rem/gestation period; .05 rem/month

* Minors - (under 18 years) - 10% of the Adult Limit NOTES: Total Effective Dose Equivalent (TEDE) is the sum of the deep dose

equivalent (for external exposure) and the committed effective dose equivalent (for internal exposures) Whole body is defined as the head and trunk, active blood forming organs, and gonads. Embryo/fetus - (The developing human organism from conception until the time of birth) - 10 NYCRR part 16.2, (42) Deep Dose - dose to internal body parts at a depth of 1000 mg/cm2 Eye Dose - dose to the lens of the eye at a depth of 300 mg/cm2 Shallow Dose - dose to the skin at a depth of 7 mg/cm2

Part 2 - Student Exposure Limits Policy New York State Department of Health, recommends that student diagnostic radiographer's whole body deep dose exposure for a given month should not exceed 30 mR (Per NYS site-visit 1982). If the student's whole body exposure totals or exceeds 30 mR in a given month, the attached "Radiation Protection Safety Notification Warning" must be issued by the RSO/designee.

1993 Dose Limits Recommended by NCRP - Education and Training Exposures

(annual) Effective dose limit 1 mSv (100 mrem) Equivalent dose limit for tissues and organs

a. Lens of eye 15 mSv (1500 mrem) b. Skin, hands, and feet 50 mSv (5000 mrem)

30

Policy #11 Section C

Radiation Protection Safety Notification Warning

Part 3

OVERVIEW The Program in Radiologic Technology at Monroe Community College adheres to the New York State Department of Health recommendation which states that the whole body Total Effective Dose Equivalent (T.E.D.E.) for a given month for a student diagnostic radiographer should not total or exceed 30 mR.

PROCEDURE If the student exposure totals or exceeds 30 mR/month, the RSO/designee must meet with the student, complete and maintain this record of notification. Name of student Date__________________________

Social Security #___________________

The Radiologic Technology Program wishes to inform you that according to the ICN Radiation Report for the month of __________, 201__, the report reveals that you have received Deep dose _____ mR; Eye dose _____ mR; Shallow dose _____ mR.

The RSO/designee will review with the student the Radiation Protection Safety Guidelines, Policy #11.

ANALYSIS OF FILM BADGE READING

Hospital/affiliate:__________________________________________________

Radiographic Area(s) Assigned:______________________________________ _______________________________________________________________

Total Dose since beginning of the program:_____________________________

Possible reasons for exposure received: (List specific exams, dates, room assignments, and other information that may have contributed to the exposure listed above, especially involvement with Fluoroscopic, portable, and special procedures.)

31

ANALYSIS OF FILM BADGE READING (continued)

* Ways to Prevent (Include specific guidelines and regulations on Radiation Safety.)

I have discussed the above material with the RSO/designee and I will take every precaution necessary to keep my radiation exposure dosage to the lowest possible level. _____________________________ Signature of Student / Staff Signature of RSO/Designee _____________________________ Date Date POLICY:P011 xc: Student

RSO/Designee Revised 9/85, 9/92, 1/99,12/00, 04/02, 11/12, 7/14

32

Policy #11 Section C

Pregnancy Policy

Part 4 According to New York State Sanitary Code, Chapter 1 - Part 16.6(h), (4/18/2001)and the US NRC Regulatory Guide 8.13 – Instruction Concerning Pregnant Radiation Exposure (June 99)

the pregnant student/employee has the right to decide whether to declare her pregnancy

or not. This voluntary decision can be withdrawn at any time.

Upon written declaration of pregnancy by the student/employee the following procedures

are required:

The student/employee will:

Submit a statement from her physician verifying pregnancy and expected due date.

The statement must include the physician's recommendation as to which of the

following options would be advisable (check one).

1) Immediate withdrawal from the program for health reasons.

2) Continued full-time status with limited rotation in fluoroscopy and portable/operating room procedures, including appropriate Radiation Safety precautions.

3)___ Continue full time status without modification in clinical /lab assignment. The physician's statement shall be submitted to the RSO and attached to this copy of the Policy. The student should sign this copy as proof that she has read and understands the procedure. 4)___ Revoke declaration of pregnancy, in writing. The lower dose limit for the

embryo/fetus will no longer apply and the student will return to previous clinical assignments. (USNRC Regulatory Guide 8.13, appendix item 16, June 1999.)

Options for continuance in the program

1. A declared radiologic technology student has the option for continuing in the program without interruption provided that one follows the established safety guidelines/restrictions listed. If a declared pregnant student withdraws for health reasons and then reapplies at a later date, the program will follow re-admission guidelines dependent on the availability of clinical space and academic standing. This should be done within one year from the date of withdrawal.

2. A student may continue in the program. Required steps: A. Consultation with the College's Radiation Safety Officer prior to continuation in

college laboratory/hospital clinical assignments. B. The RSO and the declared pregnant worker will review the Program's Radiation

Protection Safety Guidelines, Policy 11, and the potential risks involving ionizing radiation to the developing embryo/fetus.

33

#2 (continued) C. The pregnant worker will be informed of the specific exposure limits as: the dose to

the embryo/fetus during the entire pregnancy, due to occupational exposure should not exceed .5 rem (500 mrem). The R.S.O. will review the past exposure history and may adjust working conditions so as to avoid a monthly exposure rate of .05 rem (50 mrem) to the declared pregnant worker. NYS - Chapter 1, part 16.6 (h). 4/01

D. Two film badges will be worn throughout gestation. The film badge type eleven (11) worn at the uniform collar, and the type twenty-one (21) worn at the waist under the lead protective apron to monitor the embryo/fetus exposure. (N.Y.S. Sanitary Code, Chapter 1. – Part 16.11, b (2).-4/18/01)

E. A monthly radiation exposure log will be established throughout the entire gestation period. Analysis of the monthly exposure totals will be reviewed by both the pregnant worker and the R.S.O. This log will also document the entire past radiation exposure history.

F. The faculty shall make every effort to schedule the declared pregnant worker, at least for the first 18 weeks of gestation, in areas which do not involve fluoroscopy and portable/operating room procedures.

G. Specific radiation protection measures are required when participating in fluoroscopic, portable / C-Arm operating room procedures. The pregnant worker is to wear a lead apron (preferably .5 mm pb/eq.) with one film badge worn outside the apron at the collar, and the other under the lead apron at the waist level. These procedures do not need to be restricted (especially after the first 18 weeks of gestation) as long as their monthly radiation dose falls below the established limits. Time, distance, and shielding principles must be utilized by the pregnant worker.

H. The completed radiation record is to remain on file in MCC 8- 641 however the recorded radiation exposure dose to the embryo/fetus will not be forwarded to a new employer unless the declared pregnant worker requests this in writing. N.Y.S. Chapter 1, Part 16.14F (4).

3. A student may continue in the program without modification in clinical/lab assignment.

Required steps: A. Consultation with the College's Radiation Safety Officer prior to continuation in

college laboratory/hospital clinical assignments. B. The RSO and the declared pregnant worker will review the Program's Radiation

Protection Safety Guidelines, Policy 11, and the potential risks involving ionizing radiation to the developing embryo/fetus.

C. The pregnant worker will be informed of the specific exposure limits as: the dose to the embryo/fetus during the entire pregnancy, due to occupational exposure should not exceed .5 rem (500 mrem). The R.S.O. will review the past exposure history and may adjust working conditions so as to avoid a monthly exposure rate of .05 rem (50 mrem) to the declared pregnant worker. NYS - Chapter 1, part 16.6 (h). 4/01

D. Two film badges will be worn throughout gestation. The film badge type eleven (11) worn at the uniform collar, and the type twenty-one (21) worn at the waist under the lead protective apron to monitor the embryo/fetus exposure. (N.Y.S. Sanitary Code, Chapter 1. – Part 16.11, b (2).-4/18/01)

34

E. The completed radiation record is to remain on file in 8- 641 however the recorded radiation exposure dose to the embryo/fetus will not be forwarded to a new employer unless the declared pregnant worker requests this in writing. N.Y.S. Chapter 1, Part 16.14F (4).

4. A student may revoke declaration of pregnancy, in writing. The lower dose limit for the

embryo/fetus will no longer apply and the student will return to previous clinical assignments. (USNRC Regulatory Guide 8.13, appendix item 16, June 1999.)

NOTE: Undeclared pregnant student/employee - refer to N.Y. S. Chapter 1, part 16.6

Occupational Dose Limits. __________________________ Student Signature Date cc: Adjunct Clinical Supervisor at Student's Assigned Affiliate

RSO/Designee, MCC Student File, 8-640

Approved by the Radiologic Technology Faculty on 9/78, 1/95 Rev.4/85 10/85, 9/92, 1/95, 3/05, 12/05, 4/06, 11/12, 11/13, 7/14, 11/17 MANUALS:POLICY:P011 Attach Physician's statement here, and give a copy of entire signed Policy to the RSO, and a copy to the student, and file original signed Policy in student’s folder.

35



FILM BADGE GESTATION LOG RECORD

NAME

SS#

BADGE #

* Written declaration of pregnancy on __________________________________

* Gestation Period__________________________________________________

* Expected date of delivery___________________________________________

* Film Badge Numbers Type II, Type 21 ________________________________

* Previous exposure history from beginning of program/employment__________

* Previous exposure history last 9 months________________________________

* Report prepared by _______________________________________________

MONTH

Collar (type 11)

Waist (type 21)

Deep Dose (DDE)

Eye Dose (LDE)

Shallo Dose (SDE)

Signature

* All documentation reviewed monthly with student/employee and R.S.O. TJ/bl 007:TJ:D; revised 4/12; 5/13; 7/14; 11/17

cc: Radiation Safety File R.S.O Manual - 8-641 Office

36



REVOCATION OF DECLARATION OF PREGNANCY FORM

I, ________________________________________ hereby officially withdraw my (student name printed)

declaration of pregnancy made to the Monroe Community College Radiologic Technology Program on _______________________. (date of notification of pregnancy)

____________________________________ __________________________ signature of student date of withdrawal of declaration of pregnancy

TJ/bl 007:TJ:D; revised 4/12; 5/13; 7/14, 11/17

cc: Radiation Safety File R.S.O Manual - 8-641 Office

37

Section D

Radiation Protection Precautions For Personnel

PART 1: DIAGNOSTIC AREAS * Holding Patient Restrictions: No person shall be regularly employed to hold patients or

films during exposures nor shall such duty be performed by any individual occupationally exposed to radiation during the course of his/her other duties. When it is necessary to restrain the patient, mechanical supporting or restraining devices shall be used. If patient or films must be held by an individual, that individual shall be protected with appropriate shielding devices such as protective gloves and a protective apron of at least 0.25 mm lead equivalent. No part of the attendant's body shall be in the useful beam. The exposure of any individual used for holding patients shall be monitored. Pregnant women and persons under 18 years of age shall not hold patients under any conditions. N.Y.S. sanitary Code, Chapter 1, Part 16.57, C-1.

* Mechanical devices (instead of persons) must be used whenever possible to restrain patients. Examples include adjustable restraints, sponges, sheets, tape, pigostat chest

unit, velcro straps, etc. See illustration #2. * Always have proper film badge * Protective Barrier Shielding - utilization of Primary and Secondary Barriers, lead glass

window, lead equivalent lined walls, doors, floor and ceiling. Always, close doors, stay behind lead barriers and observe floor tape restrictions.

* Protective Tube Housing - protects both radiographer and patient from off-focus radiation (x-rays emitted through the x-ray tube window - see Figure 1).

* Shielding - lead-wrap-around apron no less than .25mm lead in thickness (.5mm is commonly used). NCRP report #102 recommends a lead apron of no less that .5 mm. pb. eq. for fluoroscopic and c-arm operative procedures. Lead protective gloves no less

than .25mm lead in thickness. See illustration #3. * Never leave protective barrier while making x-ray exposures.

PART 2: FLUOROSCOPIC AND PORTABLE/OPERATING ROOM AREAS (See Illustrations #4a, 4b, 4c) Since Fluoroscopic, Angiographic and Portable/C-Arm Operating Room procedures may cause the greatest potential for personal exposure from secondary and scattered radiation,

precautions in these areas are essential. When on clinical rotation, be reminded of 3 Cardinal

Principles: * Maximize DISTANCE - Inverse Square Law - stand as far back as possible while

securing patient safety. * Utilize SHIELDING - Apron, gloves, protective fluoro drape, thyroid and eye shields,

sliding panel and portable barriers. * Minimize TIME - Know routine procedure, have room equipped, be efficient, have

technique and Imaging system programed.

38

PART 2: FLUOROSCOPIC AND PORTABLE/OPERATING ROOM AREAS (continued) a. DISTANCE - Maximize distance as the distance between the source of radiation

increases, the radiation intensity decreases by the square of the distance. I1 = (D2)2

I2 = (D1)2 Example: 2 x distance = 1/4 intensity 3 x distance = 1/9 intensity 4 x distance = 1/16 intensity

Keep as far back as possible for both Fluoroscopic and Portable exams (see

Illustration 4a, 4b). b. SHIELDING - Placing shielding material between the radiation source and technologist

reduces the level of exposure. Such as: * Protective apron*, gloves, thyroid shield, eye glasses, (minimum of .25 mm lead

eq.) N.Y.S. Sanitary Code, Chapter 1, Part 16.56 (c) 1 & 2. * Sliding drape (minimal of .25mm lead) * Sliding panel (on the x-ray table) * Mobile Radiation Barriers (on wheels) * Standing behind the Radiologist (They become a barrier) * NOTE: NCRP - National Council on Radiation Protection and Measurements

recommends that protective aprons of at least .5 mm. Pb. eq. shall be worn in fluoroscopy. A wrap-around protective apron should be used by individuals who are moving around during the procedure - NCRP Report #102, Page 18, 6/89.

c. TIME - Duration of exposure should always be minimized whenever possible. The dose

to the individual is directly related to the length of exposure. Example: Exposure = exposure rate x time 10 mR/min x 5 min = 50 mR

It is noted that image intensification, the 5 minute reset timer, and the on-off fluoroscopic foot switch all aid in reducing the length of exposure for the patient and operator.

d. OTHER CONSIDERATIONS - Many of the methods and devices which reduce the

patients and operators exposure when operating fixed radiographic equipment will also reduce the dose received by the radiographer during a fluoroscopic procedure. These include: * Patient restraints - Radiographers should never stand in the primary beam to

restrain a patient during a radiographic exposure. Mechanical devices should be used to immobilize the patient. Also utilize:

* a cumulative timing device (maximum 5 min limit) * source to table distance (no less than 15" for fluoroscopy)

* the safest place to stand during fluoroscopy may be directly behind the

radiologist (see Illustration 4a, 4b). * on portable (bedside radiography) a long 6-foot exposure cord is beneficial in

reducing dosage to the operator.

39

Section E

Radiation Protection Guidelines for the Patient

RADIATION PROTECTION GUIDELINES FOR THE PATIENT * Possibility of Pregnancy

Always inquire about possibility of pregnancy before any x-ray exposures are taken. Follow appropriate hospital procedures and guidelines on patient pregnancy.

* Collimation - Collimating devices capable of restricting the useful beam to the area of clinical interest shall be used. The x-ray films used as the recording medium during the x-ray examination shall show substantial evidence of cut-off (beam delineation) N.Y.S. Sanitary code, Chapter 1, Part 16.56, (a) 2,3.

* Radiographic filtration - The aluminum equivalent of the total filtration in the useful beam shall not be less than .5 mm below 50 kVp, 1.5 mm between 50-70 kVp, and 2.5 mm above 70 kVp. Minimum filtration equals inherent plus added. N.Y.S. Sanitary code, Chapter 1, Part 16.56 (a) 4.

* Gonadal Shielding - Gonadal shielding of not less than 0.5 mm lead equivalent shall be used for patients who have not passed the reproductive age during radiographic procedures in which the gonads are in the useful beam, except for cases in which this would interfere with the diagnostic procedure. N.Y.S. Sanitary Code, Chapter 1, Part 16.57, C-2.

* Entrance Skin Exposure (ESE) Measurements It is essential that ESE measurements be available for common x-ray examinations preformed with each x-ray unit. N.Y.S. Chapter 1, Part 16.23 (v). Exposure Index Guidelines For CR/DR Systems; have accurate exposure charts and “exposure index” guidelines established and maintained for each unit. Pediatric Patient Take careful and appropriate actions and follow ALARA and “Image Gently” guidelines.

PROCEDURAL STEPS (not necessarily in the following order) * Read and evaluate the clinical requisition carefully { follow HIPAA requirements }. * Give clear, concise instructions. Promote effective communication thus reducing the

possibility of error. * Collimate the primary beam only to area desired (show visible evidence of beam

restriction on each radiograph). * Use proper film-screen, CR /DR protocols. * Use proper source to image distance and interpret room technique chart accurately. * Use proper lead gonadal shielding when appropriate, examples include: shaped contact

shield, flat contact shield, shadow shield (.5mm lead). * Use proper immobilization devices when necessary * Use proper primary beam filtration (.25mm at over 75 KvP). * Use proper exposure factors (within ESE recommendations) * Use proper radiographic processing controls.* Avoid repeats (they double patient

exposure dose) * Use proper positioning and respiratory phase for each projection. * Evaluate Image, check “exposure index” and Image quality.

40

F. SOURCES

1. Long, B; et al Merrills Atlas of Radiographic Positions, Vol. 1, 13th Edition, 2012, Mosby Publishing Co., St. Louise MO.

2. Bushong, Stewart C., Radiologic Science for Technologists Physics, Biology, and

Protection, Mosby, 10th Ed., 2013.

3. Radiologic Technology Journal, September/October 2012, Volume 84, Number 1, Best Practices in Digital Radiography. , 2012

4. National Council on Radiation Protection and Measurements (NCRP) Report #91,

Adopted 6/92. Recommendations on Limits for Exposure to Ionizing Radiation. 1987. Bethesda, MD 20814

5. National Council on Radiation Protection and Measurements (NCRP) Report

#102, Medical X-ray, Electron Beam and Gamma Ray Protection for Energies up to 50 MEV. 1989, (Supersedes report #33)., Bethesda MD 20814.


#105, Radiation Protection for Medical and Allied Health Personnel, 1989. (supersedes report #48). Bethesda, MD 20814


#115, Limitation of Exposure to Ionizing Radiation, 1993 (supersedes report #91) 1993, Bethesda, MD 20814.

8. N.Y.S. Sanitary Code Chapter 1, Part 16, Ionizing Radiation, N.Y.S. Department

of Health Bureau of Environmental Radiation Protection, Albany, NY 12203-3399 – April 18, 2001.

9. Statkiewicz-Sherer, Visconti, Ritenour., C.V. Mosby Co., Radiation Protection in

Medical Radiography, 6th Edition, 2011.

10. United States Nuclear Regulatory Commission (NRC) - Standards for Protection Against Radiation 10 CFR Part 20 - 1/1/94.

NOTES: Artistic credits - Illustration #1 - Jackeline Acosta - Radiologic Technology

Program - Class of '93 Illustration #2, 4c - Renee M. Agnone, Radiologic Technology Program - Class of '95 Illustration #3 - Ann M. Jones - Radiologic Technology Program - Class of '96

MANUALS:POLICY:P011 Revised 11/86, 9/92, 4/93, 1/95, 4/97,7/03, 12/05, 11/12, 11/13

41

Report any unusual mishaps or incidents immediately to the Monroe Community

College Radiation Safety Officer, Anthony E. Joseph, 585 292-2381.

OR Mai Tran, Radiologic Health Specialist, NYS DPH BERP, Western Region – Rochester

Office, 3335 E. Main Street, Rochester, NY 14604-2127, 585-423-8068,

43



STUDENT INSURANCE REQUIREMENTS

Policy #18

Accident insurance protection is mandatory for students registered for 9 credit hours or more.

The premium is included in the mandatory, non-refundable, accident insurance fee for each

semester. Payment is made for covered expenses. The insurance carrier determines the

eligibility of the claim. Students must visit Health Services for processing of claims. Copies of

insurance coverage are available from Health Services. The accident insurance is optional for

all students registered for 8 or less credit hours except those registered for Physical Education

activity courses (day session or continuing education courses).

A special policy provides additional coverage for intercollegiate sports accidents.

Health insurance is not included in either of the above policies. If you are no longer

insured under your parents' policy and desire information regarding health insurance

coverage, contact the Health Services Department.

It is strongly recommended that all students taking 8 credits or less also take out accident

insurance, it is optional.

Additional mandatory malpractice insurance is required by Radiologic Technology students.

The student registers for malpractice insurance during Fall and Spring registration. The

malpractice fee is included in the students' bill. Coverage is for one full year, including summer

session.

Approved by the Radiologic Technology Faculty on 10/12/78.

BJG/bl P018

10/78 rev.11/90, 9/92, 4/97, 6/01

44

ILLUSTRATION #4A

FLUOROSCOPY

45

EXAMPLE OF RADIATION LEVELS AROUND FLUOROSCOPE

Standard fluoroscopic unit with diagrams of the safest place for the Technologist to stand.

It is necessary to evaluate illustrations for every fluoroscopic room.

G.I. Room #2

Position

Intensity

Phantom

Blocked

Along table A at table edge (curtain)

0.1 mR/hr

1.0 mR/hr

Along line A at table edge (no curtain)

3.8 mR/hr

Along line A at table edge (eye level) (curtain)

0.1 mR/hr

Along line A at table edge (Bucky slot)

2.0 mR/hr

Along line B at table edge

4.4 mR/hr

40.0 mR/hr

Along line D at head of table

4.0 mR/hr

63.0 mR/hr

Along line E at foot of table

0.3 mR/hr

11.0 mR/hr

46

ILLUSTRATION 4C

PORTABLE



STUDENT EMPLOYMENT IN A RADIOLOGY DEPARTMENT

Policy #19

According to Part 89 Chapter II of the Administrative Rules and Regulations and Article 35 of the NYS

Public Health Law, Student Technologists could be hired to perform duties such as developing x-ray

film, preparing developing solutions, assisting patients into proper attire and onto the x-ray table, or

similar duties usually performed by an aide. Students may practice Radiologic Technology only if they

are enrolled and attending an approved school of Radiologic Technology. This indicated that when

classes are not in session, student technologists may not measure and position patients, adjust x-ray

equipment, or make x-ray exposures, regardless of whether someone else closely supervises them or

actually makes the exposure.

While employed as an aide by a Health Care Facility, all student identification shall not be worn

including student name tags and/or MCC film badge.

Approved by the Radiologic Technology Faculty on 6/84.

/lm

P019

Rev. 4/97, 6/01, 11/08

47



STUDENT INSURANCE REQUIREMENTS

Policy #18

Accident insurance protection is mandatory for students registered for 9 credit hours or more. The

premium is included in the mandatory, non-refundable, accident insurance fee for each semester. Payment

is made for covered expenses. The insurance carrier determines the eligibility of the claim. Students must

visit Health Services for processing of claims. Copies of insurance coverage are available from Health

Services. The accident insurance is optional for all students registered for 8 or less credit hours except

those registered for Physical Education activity courses (day session or continuing education courses).

A special policy provides additional coverage for intercollegiate sports accidents.

Health insurance is not included in either of the above policies. Health insurance is mandatory. If you

are no longer insured under your parents' policy and desire information regarding health insurance

coverage, contact the Health Services Department.

It is strongly recommended that all students taking 8 credits or less also take out accident insurance, it is

optional.

Additional mandatory malpractice insurance is required by Radiologic Technology students. The student

registers for malpractice insurance during Fall and Spring registration. The malpractice fee is included in

the students' bill. Coverage is for one full year, including summer session.

Approved by the Radiologic Technology Faculty on 10/12/78.

BJG/bl P018

10/78 rev.11/90, 9/92, 4/97, 6/01

Reviewed PAP 3/16, 3/17

48



STUDENT EMPLOYMENT IN A RADIOLOGY DEPARTMENT

Policy #19

According to Part 89 Chapter II of the Administrative Rules and Regulations and Article 35 of the NYS Public

Health Law, Student Technologists could be hired to perform duties such as assisting patients into proper attire

and onto the x-ray table, or similar duties usually performed by an aide. Students may practice Radiologic

Technology only if they are enrolled and attending an approved school of Radiologic Technology. This

indicated that when classes are not in session, student technologists may not measure and position patients,

adjust x-ray equipment, or make x-ray exposures, regardless of whether someone else closely supervises them

or actually makes the exposure.

To be in compliance with the affiliation agreements in place students who are the employee of a clinical

education site or system will not be assigned a clinical rotation at that site for the duration of the program.

While employed as an aide by a Health Care Facility, all student identification shall not be worn including

student name tags and/or MCC film badge.


/lm

P019

Rev. 4/97, 6/01, 11/08, 3/17, 3/18

49



STUDENT ACCIDENT/INJURY

Policy #20

1. Students involved in accidents at Monroe Community College should report to Health Services as

soon as possible, preferably on the day of the accident. Public Safety should be notified (2911) as

First Responders on the Campus. Ambulance transport, if needed is established at the point of

contact. If ambulance transport is not needed the student should follow up with their PCP or urgent

care as indicated for treatment and clearance to return to clinical.

2. By contractual agreement with affiliating hospitals, Radiologic Technology students will be provided

with emergency care if an accident occurs while on hospital assignment. Payment of such emergency

care is the hospital's option. Accidents occurring in the hospital must be documented by the Instructor/

Clinical Supervisor in charge, on the hospital accident/incident form to be given to the hospital for their

records.

3. Copies (2) of the accident/incident form, if appropriate, and the attached MCC Student Accident/Injury

report should be given to the Program Director. A copy of the accident/incident report will be retained

in the student's record (folder) at Monroe Community College, Radiologic Technology Program

(8-639).

4. Students should report to Health Services after an incident with medical documentation from their

provider clearing them for clinical program participation without or without restrictions upon which

the Radiologic Technology Program Director will be notified.

5. It is an occupational exposure the blood borne pathogens protocol of the facility should be

followed. (see policy #43)

Approved by the Radiologic Technology Faculty on 5/84; 3/16.

Attachment: MCC Accident/Incident Report (may be used if the hospital does not wish you to copy their form).

BJG/ns/ED/PAP

P20

10/78

Revised 5/85, 4/97, 4/04, 3/14; 3/16, 3/17, 3/18 m:offices:academicservices:divisions:healthprofessions:radiologictechnology:masterplanof education:policies

50



MCC STUDENT ACCIDENT / INCIDENT REPORT

(Attachment for Policy #20)

If MCC Radiologic Technology students are injured or involved in an incident while assigned to an

affiliate complete this report.

Name of Student ________________________________________________

Social Security Number__________________________ Phone #___________________________

Address:_________________________________________________________________________ Street City State Zip

Date Occurred:_____________ Time:____________ a.m./p.m. Date of Report_________________

Description

1. What happened___________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

2. Where it happened (hospital, room, etc.)_______________________________________

_____________________________________________________________________________

_____________________________________________________________________________

3. Why it happened (factual conditions or situations, if appropriate)

_____________________________________________________________________________

_____________________________________________________________________________

4. What was the treatment____________________________________________________

_______________________________________By Whom______________________________

5. Witness(es) of actual Accident/Injury

Name_________________________________ Name__________________________________

Name_________________________________ Name__________________________________

51

6. If incident/accident occurred to patient:

Patient information: Name___________________________________________________

Address_________________________________________________

What happened to the patient______________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

What occurred to treat the patient___________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Was a hospital incident report completed? Yes or No

Report Prepared by___________________________________________ Date__________________

P20

Rev. 4/97

Rebiewed 3/17. 3/18

52




College Regulations and Policies for the Student (Conduct Regulations)

Policy #23

The Radiologic Technology Program Faculty recognize the most recent College Catalog and Student

Handbook as the source for College "Regulations and Policies" (including Conduct Regulations) for

the student.

The faculty will continuously refer to the most recent College Catalog to address such issues.

DECORUM IN THE CLASSROOM – RESTATED DUE TO IT’S IMPORTANCE

A professional is expected to show maturity, courtesy and restraint. Professional education in

Radiologic Technology begins in the classroom and carries into the clinical setting. Therefore

appropriate, professional decorum is expected in the classroom at all times.

A free exchange of ideas and opinions is welcomed. It is expected that when addressing college

faculty and classmates, it will be done in a respectful manner. One should not speak until recognized

by the instructor or facilitator.

If you take issue with an event that took place during class, you should wait until after class to

discuss it with the instructor. Confrontation, at any level, is inappropriate.

Tardiness is disruptive to the flow of the learning activities and should be avoided. Likewise cell

phones, pagers, and watches that have alarms should not be brought into the classroom. Text

messaging shall not go on during class and cell phone calculators may not be used during class

testing time.

These decorum standards apply to the clinical education setting as well. All clinical staff,

technologists and other hospital personnel should be treated in the same respectful manner as college

faculty.

Repeat episodes of disregard for classroom decorum will be reported to Student Services for further

action.

Affiliate personnel should request a copy of the current College Catalog and Student Handbook.

Approved by the Radiologic Technology Faculty 9/87.

BJG/ns/bl

P23

10/87, rev. 9/92, 4/97, 6/01, 3/11

53



STANDARD PRECAUTIONS/INFECTION CONTROL

Policy #28

(Infection Control Performance Guidelines for Health Care Workers)

* The Radiologic Technology Program curriculum includes Standard Precautions as

recommended by the Center of Disease Control (CDC). CDC recommendations are

formally incorporated into the first semester XRT 151 orientation course, prior to student

assignment to the Clinical Education Environment.

* Furthermore, this policy and attached student handouts shall be included in the "Student

Orientation Booklet" (starting Fall '93). The booklet is distributed each fall to freshmen

students.

* Reinforcement of Standard Precautions occurs during semester orientation sessions (refer

to Policy #14 for specifics) as well as throughout Clinical Education I-V

Recommendations for Isolation Precautions in Hospitals

Hospital Infection Control Practices Advisory Committee

From Public Health Service, U.S. Department of Health & Human Services

Centers for Disease Control & Prevention

RATIONALE FOR ISOLATION PRECAUTIONS IN HOSPITALS

Tier 1: Standard Precautions

Standard Precautions synthesize the major features of UP (Blood and Body Fluid Precautions)

(27,28) (designed to reduce the risk of transmission of blood borne pathogens) and BSI (29,30)

(designed to reduce the risk of transmission of pathogens from moist body substances) and

applies them to all patients receiving care in hospitals, regardless of their diagnosis or presumed

infection status. Standard Precautions apply to 1) blood; 2) all body fluids, secretions, and

excretions except sweat, regardless of whether or not they contain visible blood; 3) nonintact

skin; and 4) mucous membranes. Standard Precautions are designed to reduce the risk of

transmission of microorganisms from both recognized and unrecognized sources of infection in

hospitals.

STANDARD PRECAUTIONS/INFECTION CONTROL Policy #28

54

Tier 2: Transmission-Based Precautions

Transmission-Based Precautions are designed for patients documented or suspected to be infected with highly transmissible or epidemiologically important pathogens for which additional precautions beyond Standard Precautions are needed to interrupt transmission in hospitals. There are three types of Transmission-Based Precautions: Airborne Precautions, Droplet Precautions, and Contact Precautions. They may be combined for diseases that have multiple routes of transmission. When used either singularly or in combination, they are to be used in addition to Standard Precautions.

Airborne Precautions are designed to reduce the risk of airborne transmission of infectious agents. Airborne transmission occurs by dissemination of either airborne droplet nuclei (small-particle residue [5 mm or smaller in size] of evaporated droplets that may remain suspended in the air for long periods of time) or dust particles containing the infectious agent. Microorganisms carried in this manner can be dispersed widely by air currents and may become inhaled by or deposited on a susceptible host within the same room or over a longer distance from the source patient, depending on environmental factors; therefore, special air handling and ventilation are required to prevent airborne transmission. Airborne Precautions apply to patients known or suspected to be infected with epidemiologically important pathogens that can be transmitted by the airborne route.

Droplet Precautions are designed to reduce the risk of droplet transmission of infectious agents. Droplet transmission involves contact of the conjunctivae or the mucous membranes of the nose or mouth of a susceptible person with large-particle droplets (larger than 5 mm in size) containing microorganisms generated from a person who has a clinical disease or who is a carrier of the microorganism. Droplets are generated from the source person primarily during coughing, sneezing, or talking and during the performance of certain procedures such as suctioning and bronchoscopy. Transmission via large-particle droplets requires close contact between source and recipient persons, because droplets do not remain suspended in the air and generally travel only short distances, usually 3 ft or less, through the air. Because droplets do not remain suspended in the air, special air handling and ventilation are not required to prevent droplet transmission. Droplet Precautions apply to any patient known or suspected to be infected with epidemiologically important pathogens that can be transmitted by infectious droplets.


55

Contact Precautions are designed to reduce the risk of transmission of epidemiologically important microorganisms by direct or indirect contact. Direct-contact transmission involves skin-to-skin contact and physical transfer of microorganisms to a susceptible host from an infected or colonized person, such as occurs when personnel turn patients, bathe patients, or perform other patient-care activities that require physical contact. Direct-contact transmission also can occur between two patients (e.g., by hand contact), with one serving as the source of infectious microorganisms and the other as a susceptible host. Indirect-contact transmission involves contact of a susceptible host with a contaminated intermediate object, usually inanimate, in the patient's environment. Contact Precautions apply to specified patients known or suspected to be infected or colonized (presence of microorganism in or on patient but without clinical signs and symptoms of infection) with epidemiologically important microorganisms than can be transmitted by direct or indirect contact.

A synopsis of the types of precautions and the patients requiring the precautions is listed in Table 1.

EMPIRIC USE OF AIRBORNE, DROPLET, OR CONTACT PRECAUTIONS

In many instances, the risk of nosocomial transmission of infection may be highest before a definitive diagnosis can be made and before precautions based on that diagnosis can be implemented. The routine use of Standard Precautions for all patients should reduce greatly this risk for conditions other than those requiring Airborne, Droplet, or Contact Precautions. While it is not possible to prospectively identify all patients needing these enhanced precautions, certain clinical syndromes and conditions carry a sufficiently high risk to warrant the empiric addition of enhanced precautions while a more definitive diagnosis is pursued. A listing of such conditions and the recommended precautions beyond Standard Precautions is presented in Table 2.

The organisms listed under the column "Potential Pathogens" are not intended to represent the complete or even most likely diagnoses, but rather possible etiologic agents that require additional precautions beyond Standard Precautions until they can be ruled out. Infection control professionals are encouraged to modify or adapt this table according to local conditions. To ensure that appropriate empiric precautions are implemented always, hospitals must have systems in place to evaluate patients routinely, according to these criteria as part of their preadmission and admission care.

IMMUNOCOMPROMISED PATIENTS

Immunocompromised patients vary in their susceptibility to nosocomial infections, depending on the severity and duration of immunosuppression. They generally are at increased risk for bacterial, fungal, parasitic, and viral infections from both endogenous and exogenous sources. The use of Standard Precautions for all patients and Transmission-Based Precautions for specified patients, as recommended in this guideline, should reduce the acquisition by these patients of institutionally acquired bacteria from other patients and environments.


56

It is beyond the scope of this guideline to address the various measures that may be used for Immunocompromised patients to delay or prevent acquisition of potential pathogens during temporary periods of neutropenia. Rather, the primary objective of this guideline is to prevent transmission of pathogens from infected or colonized patients in hospitals. Users of this guideline, however, are referred to the "Guideline for Prevention of Nosocomial Pneumonia" (95,96) for the HICPAC recommendations for prevention of nosocomial aspergillosis and Legionnaires' disease in Immunocompromised patients.

RECOMMENDATIONS

The recommendations presented below are categorized as follows:

Category IA. Strongly recommended for all hospitals and strongly supported by well-designed experimental or epidemiologic studies.

Category IB. Strongly recommended for all hospitals and reviewed as effective by experts in the field and a consensus of HICPAC based on strong rationale and suggestive evidence, even though definitive scientific studies have not been done.

Category II. Suggested for implementation in many hospitals. Recommendations may be supported by suggestive clinical or epidemiologic studies, a strong theoretical rationale, or definitive studies applicable to some, but not all, hospitals. I. Standard Precautions

Use Standard Precautions, or the equivalent, for the care of all patients.

A. Handwashing

(1) Wash hands after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn. Wash hands immediately after gloves are removed, between patient contacts, and when otherwise indicated to avoid transfer of microorganisms to other patients or environments. It may be necessary to wash hands between tasks and procedures on the same patient to prevent cross-contamination of different body sites.

(2) Use a plain (nonantimicrobial) soap for routine handwashing. (3) Use an antimicrobial agent or a waterless antiseptic agent for specific circumstances (e.g., control of outbreaks or hyperendemic infections), as defined by the infection control program.


57

B. Gloves

Wear gloves (clean, nonsterile gloves are adequate) when touching blood, body fluids, secretions, excretions, and contaminated items. Put on clean gloves just before touching mucous membranes and nonintact skin. Change gloves between tasks and procedures on the same patient after contact with material that may contain a high concentration of microorganisms. Remove gloves promptly after use, before touching noncontaminated items and environmental surfaces, and before going to another patient, and wash hands immediately to avoid transfer of microorganisms to other patients or environments.

C. Mask, Eye Protection, Face Shield

Wear a mask and eye protection or a face shield to protect mucous membranes of the eyes, nose, and mouth during procedures and patient-care activities that are likely to generate splashes or sprays of blood, body fluids, secretions, and excretions.

D. Gown

Wear a gown (a clean, nonsterile gown is adequate) to protect skin and to prevent soiling of clothing during procedures and patient-care activities that are likely to generate splashes or sprays of blood, body fluids, secretions, or excretions. Select a gown that is appropriate for the activity and amount of fluid likely to be encountered. Remove a soiled gown as promptly as possible, and wash hands to avoid transfer of microorganisms to other patients or environments.

E. Patient-Care Equipment

Handle used patient-care equipment soiled with blood, body fluids, secretions, and excretions in a manner that prevents skin and mucous membrane exposures, contamination of clothing, and transfer of microorganisms to other patients and environments. Ensure that reusable equipment is not used for the care of another patient until it has been cleaned and reprocessed appropriately. Ensure that single-use items are discarded properly.

F. Environmental Control

Follow hospital procedures for the routine care, cleaning, and disinfection of environmental surfaces, beds, bedrails, bedside equipment, and other frequently touched surfaces.


58

G. Linen

Handle, transport, and process used linen soiled with blood, body fluids, secretions, and excretions in a manner that prevents skin and mucous membrane exposures and contamination of clothing, and that avoids transfer of microorganisms to other patients and environments.

H. Occupational Health and Bloodborne Pathogens

(1) Take care to prevent injuries when using needles, scalpels, and other sharp instruments or devices; when handling sharp instruments after procedures; when cleaning used instruments; and when disposing of used needles. Never recap used needles, or otherwise manipulate them using both hands, or use any other technique that involves directing the point of a needle toward any part of the body; rather, use either a one-handed "scoop" technique or a mechanical device designed for holding the needle sheath. Do not remove used needles from disposable syringes by hand, and do not bend, break, or otherwise manipulate used needles by hand. Place used disposable syringes and needles, scalpel blades, and other sharp items in appropriate puncture-resistant containers, which are located as close as practical to the area in which the items were used, and place reusable syringes and needles in a puncture-resistant container for transport to the reprocessing area.

(2) Use mouthpieces, resuscitation bags, or other ventilation devices as an alternative to mouth-to-mouth resuscitation methods in areas where the need for resuscitation is predictable.

I. Patient Placement

Place a patient who contaminates the environment or who does not (or cannot be expected to) assist in maintaining appropriate hygiene or environmental control in a private room. If a private room is not available, consult with infection control professionals regarding patient placement or other alternatives.

II. Airborne Precautions

In addition to Standard Precautions, use Airborne Precautions, or the equivalent, for patients known or suspected to be infected with microorganisms transmitted by airborne droplet nuclei (small-particle residue [5 mm or smaller in size] of evaporated droplets containing microorganisms that remain suspended in the air and that can be dispersed widely by air currents within a room or over a long distance).


59

III. Droplet Precautions

In addition to Standard Precautions, use Droplet Precautions, or the equivalent, for a patient known or suspected to be infected with microorganisms transmitted by droplets (large-particle droplets [larger than 5 mm in size] that can be generated by the patient during coughing, sneezing, talking, or the performance of procedures).

A. Mask

In addition to wearing a mask as outlined under Standard Precautions, wear a mask when working within 3 ft of the patient. (Logistically, some hospitals may want to implement the wearing of a mask to enter the room.) Category IB

B. Patient Transport

Limit the movement and transport of the patient from the room to essential purposes only. If transport or movement is necessary, minimize patient dispersal of droplets by masking the patient, if possible.

IV. Contact Precautions

In addition to Standard Precautions, use Contact Precautions, or the equivalent, for specified patients known or suspected to be infected or colonized with epidemiologically important microorganisms that can be transmitted by direct contact with the patient (hand or skin-to-skin contact that occurs when performing patient-care activities that require touching the patient's dry skin) or indirect contact (touching) with environmental surfaces or patient-care items in the patient's environment. A. Gloves and Handwashing

In addition to wearing gloves as outlined under Standard Precautions, wear gloves (clean, nonsterile gloves are adequate) when entering the room. During the course of providing care for a patient, change gloves after having contact with infective material that may contain high concentrations of microorganisms (fecal material and wound drainage). Remove gloves before leaving the patient's room and wash hands immediately with an antimicrobial agent or a waterless antiseptic agent.(72,94) After glove removal and handwashing, ensure that hands do not touch potentially contaminated environmental surfaces or items in the patient's room to avoid transfer of microorganisms to other patients or environments.


60

B. Gown

In addition to wearing a gown as outlined under Standard Precautions, wear a gown (a clean, nonsterile gown is adequate) when entering the room if you anticipate that your clothing will have substantial contact with the patient, environmental surfaces, or items in the patient's room, or if the patient is incontinent or has diarrhea, an ileostomy, a colostomy, or wound drainage not contained by a dressing. Remove the gown before leaving the patient's environment. After gown removal, ensure that clothing does not contact potentially contaminated environmental surfaces to avoid transfer of microorganisms to other patients or environments.

C. Patient-Care Equipment

When possible, dedicate the use of noncritical patient-care equipment to a single patient (or cohort of patients infected or colonized with the pathogen requiring precautions) to avoid sharing between patients. If use of common equipment or items is unavoidable, then adequately clean and disinfect them before use for another patient.

D. Additional Precautions for Preventing the Spread of Vancomycin Resistance

Consult the HICPAC report on preventing the spread of vancomycin resistance for additional prevention strategies.(94)

Contents Updated: February 18, 1997, 11/13, 3/18 (included in PO28)

61

Table 1

Synopsis of Types of Precautions and Patients Requiring the Precautions*

Standard Precautions Use Standard Precautions for the care of all patients

Airborne Precautions In addition to Standard Precautions, use Airborne Precautions for patients known or suspected to have serious illnesses transmitted by airborne droplet nuclei. Examples of such illnesses include: Measles Varicella (including disseminated zoster)H TuberculosisI

Droplet Precautions In addition to Standard Precautions, use Droplet Precautions for patients known or suspected to have serious illnesses transmitted by large particle droplets. Examples of such illnesses include: < Invasive Haemophilus influenzae type b disease, including meningitis,

pneumonia, epiglottitis, and sepsis < Invasive Neisseria meningitidis disease, including meningitis, pneumonia, and

sepsis Other serious bacterial respiratory infections spread by droplet transmission, including:

Diphtheria (pharyngeal) Mycoplasma pneumonia Pertussis Pneumonic plague Streptococcal (group A) pharyngitis, pneumonia, or scarlet fever in infants and young children Serious viral infections spread by droplet transmission, including: AdenovirusH Influenza Mumps Parvovirus B19 Rubella

Contact Precautions In addition to Standard Precautions, use Contact Precautions for patients known or suspected to have serious illnesses easily transmitted by direct patient contact or by contact with items in the patient's environment. Examples of such illnesses include:

Gastrointestinal, respiratory, skin, or wound infections or colonization with multidrug-resistant bacteria judged by the infection control program, based on current state, regional, or national recommendations, to be of special clinical and epidemiologic significance Enteric infections with a low infectious dose or prolonged environmental survival, including: Clostridium difficile For diapered or incontinent patients: enterohemorrhagic Escherichia coli O157:H7, Shigella, hepatitis A, or rotavirus

62

Respiratory syncytial virus, parainfluenza virus, or enteroviral infections in infants and young children Skin infections that are highly contagious or that may occur on dry skin, including: Diphtheria (cutaneous) Herpes simplex virus (neonatal or mucocutaneous) Impetigo Major (noncontained) abscesses, cellulitis, or decubiti Pediculosis Scabies Staphylococcal furunculosis in infants and young children Zoster (disseminated or in the immunocompromised host)H Viral/hemorrhagic conjunctivitis Viral hemorrhagic infections (Ebola, Lassa, or Marburg)*

* See Appendix A for a complete listing of infections requiring precautions, including appropriate footnotes. Certain infections require more than one type of precaution. I See CDC "Guidelines for Preventing the Transmission of Tuberculosis in Health-Care Facilities."(23) Contents Updated: February 18, 1997 2/13, 3/18

63

Table 2

Clinical Syndromes or Conditions Warranting Additional Empiric Precautions to

Prevent Transmission of Epidemiologically Important Pathogens Pending

Confirmation of Diagnosis*

Clinical Syndrome or ConditionH

Potential

PathogensI

Empiric

Precautions Diarrhea

Acute diarrhea with a likely infectious cause in an incontinent or diapered patient

Enteric pathogens'

Contact

Diarrhea in an adult with a history of recent antibiotic use

Clostridium difficile

Contact

Meningitis

NeiNeisseria

meningitidis

Droplet

Rash or exanthems, generalized, etiology unknown

Petechial/ecchymotic with fever

Neisseria meningitidis

Droplet

Vesicular

Varicella

Airborne and

Contact

Maculopapular with coryza and fever

Rubeola (measles)

Airborne

Respiratory infections

Cough/fever/upper lobe pulmonary infiltrate in an HIV-negative patient or a

patient at low risk for HIV infection

Mycobacterium tuberculosis

Airborne

Cough/fever/pulmonary infiltrate in any lung location in a HIV-infected patient or a

patient at high risk for HIV infection (23)

Mycobacterium tuberculosis

Airborne

Paroxysmal or severe persistent cough during periods of pertussis activity

Bordetella pertussis

Droplet

Respiratory infections, particularly bronchiolitis and croup, in infants and young children

Respiratory syncytial or parainfluenza virus

Contact

Risk of multidrug-resistant microorganisms

History of infection or colonization with multidrug-resistant organisms||

Resistant bacteria||

Contact

Skin, wound, or urinary tract infection in a patient with a recent hospital or nursing home stay in a facility where multidrug-resistant organisms are prevalent

Resistant bacteria||

Contact

Skin or Wound Infection

Abscess or draining wound that cannot be covered

Staphylococcus aureus, group A streptococcus

Contact

64

* Infection control professionals are encouraged to modify or adapt this table according to local conditions. To ensure that appropriate empiric precautions are implemented always, hospitals must have systems in place to evaluate patients routinely according to these criteria as part of their preadmission and admission care.

H Patients with the syndromes or conditions listed below may present with atypical signs or symptoms (eg, pertussis in neonates and adults may not have paroxysmal or severe cough). The clinician's index of suspicion should be guided by the prevalence of specific conditions in the community, as well as clinical judgment.

I The organisms listed under the column "Potential Pathogens" are not intended to represent the complete, or even most likely, diagnoses, but rather possible etiologic agents that require additional precautions beyond Standard Precautions until they can be ruled out.

' These pathogens include enterohemorrhagic Escherichia coli O157:H7, Shigella, hepatitis A, and rotavirus.

||Resistant bacteria judged by the infection control program, based on current state, regional, or national recommendations, to be of special clinical or epidemiological significance.

Contents

Updated: February 18, 1997

BJG/SO/EDbl Rev. 4/97,9/92,10/98, 11/13, 3/18

PO28:XRT:MANUALS

65



Evening Rotation

Policy #30

Purpose - The evening shift rotation will be offered to students in the second semester of

their sophomore year. This shift will be voluntary. The purpose of the evening shift rotation

is to allow students to have access to cases that are not typically encountered during a day

shift, such as skull and facial work.

Objective - After working an evening shift rotation the student will be more proficient in

emergency and trauma studies.

Days/Hours - The evening shift will be 2:00 PM - 9:00 PM with a one hour lunch break.

The shift may be worked on Monday and Wednesday so as not to conflict with college class

schedules. New York State Public Health Law Article 35 and Part 89 states that students may

not work more than 40 hours of off shift work.

Hospitals - Students may elect to work an evening rotation at the clinical site where they are

currently assigned. Arrangements for the evening shift should be made through their on-site

clinical instructors.

Supervision

The students must work with direct supervision until competency in an area has been

achieved. Direct supervision is described as a registered technologist being in the room

with the student.

The student may work with indirect supervision once competency has been achieved.

Indirect supervision is described as a registered technologist being immediately available.

Regardless of the level of competency, any repeats must be performed under the direct

supervision of a registered technologist.

Students are not to be used to replace staff technologists.

Regardless of competency level, all studies performed by a student must be approved by a

registered technologist before the patient is released from the department. The

technologist must initial the patient requisition or document electronically per department

protocol.

Parameters

Students who volunteer to work an evening shift must select their week at the beginning

of the semester. They may not work on days when the college is not in session (e.g.

holidays, winter or spring breaks).

If a student wishes to work a second week of an evening rotation they must receive

approval from one of the Clinical Coordinators prior to the start of the semester.

On a week where a student attends clinic on Monday and Wednesday evenings they must

attend clinic on Friday as usual.

Rules and Guidelines - All college and hospital rules, dress codes, regulations and

competency requirements that apply to regular daytime clinical experience apply to the

evening shifts.

66

Evening Rotation Competencies

At the completion of the evening shift rotation the student will:

1. Complete mastery and competency requirements in common "off shift" studies such as

trauma skulls, facial bones, spines, abdomens, chest and operating room procedures.

2. Utilize modified positioning techniques as warranted.

3. Gain confidence working in an environment of fewer people with more responsibilities.

4. Increase their ability to properly evaluate image quality.

5. Develop an understanding of the nature of independent decision making and judgement.

6. Gain proficiency on procedures in which they have been deemed competent.

7. Through closer interactions with resident and emergency room staff become familiar

with triage, trauma evaluation, and emergency room technique

P030 PAP 11/00

Rev. 6/01; 12/04, 11/13, 3/18

67




Policy 31

Student Participation in Fluoroscopy Studies

According to New York State Public Health Law, Part 89, “Practice beyond the scope of the

practice of radiologic technology for the purpose of Section 3510 of the Public Health Law

shall include, but not be limited to, any use of fluoroscopes of fluoroscopy. The foregoing

notwithstanding, a radiologic technologist under the immediately personal supervision of a

licensed practitioner may assist the licensed practitioner in the operation of fluoroscopic

equipment in the course of the performance by the licensed practitioner of a fluoroscopic

examination or of a special radiographic examination which includes fluoroscopy, and a

radiologic technologist may use fluoroscopy for localization purposes prior to the taking of a

spot film of a mobile organ such as the gall bladder or the duodenal cap.”

Therefore, students may operate fluoroscopic equipment, during a fluoroscopic examination,

only under direct supervision of a licensed practitioner, when the need arises.

Approved by the Radiologic Technology faculty 1/01.

PO31

1/01, 11/08, 3/18

68



Resolution of Allegations of Non-compliance with the JRCERT Standards

Policy #32

JRCERT Standards

A copy of the Standards for an Accredited Educational Program in Radiologic Sciences is

available to all students, faculty, staff, affiliate personnel, advisory board member and other

interested parties from the program director. Students are informed that the Standards are

published on the web at www.jrcert.org. The Joint Review Committee on Education in

Radiologic Technology, 20 N. Wacker Drive Suite 2850, Chicago, IL 60606-3182 accredits

our educational program.

Procedure for filing a Complaint of Non-compliance with Program Officials

1. Allegations of non-compliance or unfair practice must be in writing and may be submitted

to any program official. If the allegation is initiated by a student, the student will be

directed to the College’s Grievance Procedure detailed in the MCC Catalog & Student

Handbook.

2. Program officials including the program director and full-time faculty will review all

complaints. Other institutional offices may be consulted as needed. Where deemed

appropriate, policy and procedure will be adjusted to resolve the issue.

3. In an effort to come to resolution, program officials will meet with the party who filed the

allegation to share findings and, if appropriate, actions.

4. A record of all complaints regarding allegations of non-compliance will be on file in the

program director’s office.

Approved by Radiologic Technology faculty 9/01.

EMD

P032

9/0112/05, 11/08, 1/12, 3/18

http://www.jrcert.org/

69



Workplace Safety

Policy #33

Right to Know Information for Students

As a student in a health care facility, there is potential for exposure to hazardous materials

and communicable disease. It is believed that these exposures can be controlled through

proper educational offerings, the provision of information, and the use of personal protective

equipment. The purpose of this policy is to enhance student awareness of these potential

exposures and to assist in recognizing resources to limit exposure.

Potential Exposures – What Are They?

There will be a number of sources for exposure to hazardous situations in your daily work.

Depending on the department, some of these potential exposures vary, while others are

universal within the hospital. For example, maintenance workers may be exposed to solvents

and their vapors that are used exclusively within the department: this is a department specific

issue. On the other hand, if a maintenance worker is called to a patient room to fix a sink, he

or she may be exposed to a communicable disease and may need to use protective equipment

such as a mask and gloves. Another example is the nurse who is very accustomed to dealing

with blood-borne pathogens and the protective equipment for protection against exposure.

He or she may also however, be exposed to vapors or spills of housekeeping chemicals that

are routinely used on the nursing units by the housekeeping staff. As a student in a health

care facility, you may also be exposed to hazardous material, communicable disease and

radiation exposure. These potential exposures need to be planned for and controlled. The

widely accepted way of dealing with these issues is the central posting of any chemicals,

coupled with readily accessible MSDS (Materials Safety Data Sheets) and training for all

employees on Standard Precautions (Policy 28) and radiation protection measures (Policy

11).

Written Hazard Communication Program

Employers who use hazardous chemicals must develop a written hazard communication

program, describing how provisions of the HCS (Hazard Communication Standards) are met.

One can be found in the MCC Safety Office and Health Professions Department office. The

following items must be included.

1. Location of this written communications program, which must be readily available to

employees.

2. The accessible location of the hazardous chemicals and all MSDS sheets.

3. Explanation of the labeling system used.

4. Explanation of hazard warnings.

5. How to use MSDS sheets.

6. Methods used to inform employees of new chemicals, including hazards of routine and

non-routine tasks. (This is left to the individual manager who will keep all employees

current with all new products.)

7. Monitoring programs.

8. Protective measures for employees (personal safety equipment, emergency procedures,

area operating practices.)

9. Methods used to inform contractors about possible hazards.

10. A summary of the requirements of the OSHA Hazard Communication Standard, 29

CFR, 1910.1200.

70

Labels and Other Forms of Warning

Each container of chemicals in the workplace must be labeled and marked with the following.

1. Name or identity of the product. This must correspond with the MSDS.

2. Hazard warning stating the main health risks from over-exposure.

3. Name and address of the manufacturer or other responsible party.

Labels alert you to special handling and precautions that should be used when working with

the chemicals. Users must ensure that each container of chemicals in the workplace is

labeled. Labels must be written in English. The labels serve as an immediate warning. They

are reminders that more detailed information is available elsewhere. Symbols, pictures and/or

words may be used on labels to present their message. Product labels usually contain signal

words indicating severity of the hazard.

Flammable Radioactive Poison

Biohazard Explosive Corrosive

Employee Information and Training

The Hazard Communication Standard requires employers to provide their employees with

information and training as follows.

1. At the time of the initial hiring.

2. Whenever a new hazard is introduced into the work area, or

3. Whenever they are reassigned to a work area where different chemicals are used.

The training shall consist of:

1. Ways to detect or observe the presence of hazardous chemicals.

2. Physical and health hazards in the chemicals in the work area.

3. Protective and preventive procedures that employees can use when working with

hazardous chemicals. The explanation must specify the details of the labeling system

used, how to read and understand the MSDS forms, and how to obtain and use

appropriate hazards information.

4. How to recognize employee exposure to a hazard and what to do in case of exposure.

*Department managers should keep a record of when this training is given to the

employee.

71

Many hospitals use so many chemicals that no one can be expected to remember all their

names and how to use them. For that reason, chemicals are categorized into groups. Each

chemical group has similar characteristics. Some common categories of chemicals include

adhesives, solvents, compressed gases, corrosives, lubricants and metals. When handling any

hazardous chemical, you will need to know the following.

1) Routes of entry into the body. Chemicals can enter the body via three typical routes.

a) Breathing – or through inhalation of hazardous materials. These particles are usually very

small and in the form of dusts, fumes or vapors.

b) Skin and eye contact – Some substances may only affect the skin's surface, typically in the

form of a rash. Others are absorbed into the body through the skin. This is sometimes

called "dermal abrasion." Open wounds of any kind are extremely susceptible to

becoming affected upon contact with a hazardous material.

c) Ingestion – anything taken into the body through the mouth is called ingestion. You can

easily swallow small particles of dust and powder if they fall, for example, onto your

hands or food.

2) Effects of overexposure. You should be aware of possible health hazards and the degree of

severity of being overexposed. Labels and MSDS 's will tell you the possible hazards

associated with the chemical.

3) First Aid Procedures. Report to the supervisor. Treatment is available in the Emergency

Room.

4) Flammability hazard ratings and fire-fighting techniques. Your supervisor will explain the

flammability rating system used in your work area. He/she will also be able to explain the

proper emergency response procedures to follow in case there is a fire.

5) Reactivity ratings. You should know which chemicals you work with are stable or unstable

at high temperatures and pressures. The MSDS and/or labels will have this information.

6) Safe use instructions. You need to be informed of the safety procedures to use when

handling hazardous chemicals. This training will be provided at the work area by the

department supervisor. The MSDS also contain information regarding safety precautions.

7) Personal protective equipment. You will be given information about the appropriate

personal protective equipment and its proper use for each hazardous chemical you handle or

are exposed to. Typical equipment you might need to use includes goggles, masks with face

shields, gloves, aprons, gowns, etc. The MSDS should provide the information you will

need to determine safe work practices to use handling any materials. ALWAYS CHECK,

TO BE SURE YOU ARE PROPERLY PROTECTED.

Hazard Recognition

A hazard is defined as a source of danger. All chemicals can be dangerous. However, if we

learn to recognize the danger signals, we can reduce or eliminate the hazards connected with

them. Recognizing chemicals can be difficult because sometimes they can be seen and other

times they can't. Chemicals can be solids, liquids or gases.

Solids can be large or small pieces of compact matter. Fumes, smoke and dust are three

forms of solids that have such tiny particles that sometimes they cannot be seen. These three

forms of solids are often found in manufacturing facilities.

72

Liquids can typically be poured. Water, oil and liquid gas are examples. Liquids can be

conver6ed into a mist that is still technically a liquid, but is hard to see under certain

circumstances.

Gases are chemicals that are in gaseous form. Gases often cannot be seen, smelled or felt,

such as carbon monoxide that can be fatal with sufficient exposure. They are typically used

as part of a manufacturing process and special precautions must be followed when handling

them. MRI units run on cryogenic gases that are fatal if inhaled.

There are two basic kinds of chemical hazards.

1) Health hazards

a) Carcinogens – Chemicals that cause cancer.

b) Corrosives – Chemicals that cause visible destruction of living tissues.

c) Toxic and highly toxic chemicals.

d) Irritants – Chemicals that are not corrosive, but cause a reversible inflammatory effect

on living tissue.

e) Sensitizers – Chemicals that cause allergic reaction after repeated exposure.

2) Physical hazards

a) Combustible liquids

b) Compressive gases

c) Explosives

d) Chemicals that are flammable

e) Organic peroxides

f) Reactive chemicals

How Do You Know If You Are Being Exposed?

Your five senses of sight, smell, touch, taste, and hearing can help you detect potential

hazards, but you cannot rely on your senses. For example, you cannot see, touch, taste, or

feel carbon monoxide, but it is still a dangerous chemical. Your past work experience and

training programs may help you to recognize potential hazards.

Some clued to watch for are:

1) Gauges and meters that are not functioning normally. If they show high or low

readings, you may want to check for potential hazards.

2) If you seem to be using too much/too little of a chemical or if the chemical is being

consumed faster/slower than normal.

3) The procedures used do not seem to be yielding a typical reaction.

4) Levels of consciousness are not normal.

Any changes from what is normal and routine could mean there is something wrong.

Everyone working in the facility should share the responsibility of preventing safety hazards.

Everyone should work as a team to detect possible hazards and correct them before they

become problems. Employees/students should immediately inform their supervisor if they

suspect they are being exposed to a chemical hazard.

73

How Hazards Can Be Controlled.

You can help keep hazards to a minimum. Likewise, your employer can sometimes take

actions that will reduce or eliminate hazards in the workplace. The following things can be

done to control or reduce potential hazards.

1) Elimination – If hazardous chemicals aren't needed, they should be removed from the

work area.

2) Substitution – Determine whether a less hazardous material can be used.

3) Changing the process – Instead of working directly with hazardous materials, the

procedures can often be altered to keep contact to a minimum. Walls or partitions can

often be used as physical barriers, helping to separate employees from hazardous

materials. Changing the ventilation system can also help reduce exposure.

4) Job changes – Under certain circumstances, it may be beneficial to change people's jobs

so that only one or a few are exposed to or required handling hazardous materials.

5) Purchasing – Only order what is needed of a hazardous item, and if it is not needed,

don't order it at all.

Employee/Students Responsibilities

Employers are responsible for providing employees/students with information and training

related to chemical hazards in the workplace. In turn, employees/students are responsible for:

1) Understanding the information provided about hazardous materials.

2) Using safe work practices.

3) Keeping work areas uncluttered and free of debris.

4) Not smoking, eating or drinking in areas where chemical materials could accidentally be

ingested as a result of contact with food or tobacco.

5) Keeping hazardous material off themselves and their clothes by practicing good

personal hygiene.

6) Properly using the right equipment for the right job. Personal protective equipment

such as goggles, gloves, etc. are sometimes necessary.

7) Immediately notifying their supervisor if they suspect exposure to a chemical hazard.

8) Seek medical treatment. * An incident report will be filled out for both tracking and

prevention purposes.

Standard Precautions

Each hospital has policies and guidelines outlining infection control procedures and use of

standard precautions. The main idea of these precautions is to limit any exposure to disease.

These policies are readily available to employees and students. Ask your supervisor for the

location of the policy manual in the institution where you are assigned.

Material Safety Data Sheets

Each hospital unit and department maintains a register of hazardous materials and associated

materials safety data sheets. The sheets give information such as environmental impact,

chemical content, volatility, combustibility, emergency treatment in case of exposure,

instructions using the equipment. The employee/student has the right to receive training for

the safe operation of all equipment. Safety is important for both the patient and the

employee/student. An employee/student who feels that they have not been given adequate

training in the use of equipment/devices that they are required to use should notify their

supervisor to arrange for the training.

74

OSHA

The Occupational Safety and Health Administration is a federal agency that works for safety

in the workplace. Of importance to the employee is OSHA's rulings that have led to THE

RIGHT TO KNOW PRACTICES. The employee/student has the right to know the hazards

to which they may be exposed, how to limit exposure to such hazards, instruction on the use

of protective equipment, as well as policies, procedure, standards, or practice guidelines that

affect the employee/student in the work area. If the employee feels that they are subject to a

hazard and have not received proper training, it is the employee's responsibility to contact the

supervisor. On the other hand, the employer is required to assess the potential hazards of the

workplace on a regular basis, provide notice of potential exposures, offer training for safety

purposes, and keep registers and MSDS sheet for chemicals (etc,) current.

Employees/students who do not feel that their employer is fulfilling its' responsibility for

safety should bring this to the employer's attention. As a last resort, after reasonable attempts

to resolve safety issues in the workplace, the employee does have the right to report their

concern to OSHA.

Non-Routine Tasks

Occasionally an employee performs a non-routine task. An example might be a housekeeper

who usually cleans the hospital lobby being asked to clean the Operating Room after surgery.

It is essential that the employee being asked to do non-routine tasks have training and

resources available PRIOR to the performance of the task. Information essential for safety

and limiting exposure to hazards will NOT be omitted for non-routine tasks.

Hazardous Waste Management

The hospital has a very complete plan for the disposal of both hazardous and non-hazardous

waste, including paper, biological waste, chemicals, etc. This plan is available in the

department and should be reviewed with all new employees/students.

MCC Radiologic Technology Laboratory Hazard Safety

MSDS for processing chemicals (developer and fixer solutions) are displayed in the

laboratory darkroom area. Protective clothing of plastic apron, goggles and disposable gloves

should be worn by faculty or others handling processing chemicals. In case of exposure to

the skin or eyes:

1) Use the eyewash station supplies and sink to flush the eyes and skin for 30 minutes.

2) Call Public Safety at 9211 to report the incident.

3) Contact Health Services for follow-up treatment.

PAP

10/01; 12/04, 3/18

P033

75




Readmission Policy

Policy # 35

Radiologic Technology is a high demand, competitive program. Readmission to the radiologic

technology program is not automatic. Readmission eligibility is dependent on documented extenuating

circumstances that warrant consideration. For students who have successfully completed at least one

semester of the program, readmission will only be considered within one year of the date of stop-out.

Students seeking readmission to the program should contact the Admissions Office or Advising Center.

Readmission would be considered only on a space-available basis.

Attachment: Readmission Extenuating Circumstances Form

Approved by Radiologic Technology faculty on 3/19/2009.

EMD 3/09 Rev. 3/11, 3/18

M: offices: //policies: P035 Readmission Policy

76

EXTENUATING CIRCUMSTANCES

Please describe the extenuating circumstances that you have experienced that you feel should make you

eligible for consideration for readmission into the Radiologic Technology program. Extenuating

circumstances are events that occur that prevent a student from attending class and successfully

completing a course (e.g., a death or serious illness in the family, student illness that prevents class

attendance for a prolonged period of time).

Name Date

Student ID Last Course Taken & Grade Earned

The presence of an extenuating circumstance does not guarantee readmission to the program. It

provides an opportunity for a student to be considered for readmission. Proving proof of the

extenuating circumstance will help in processing your requests.

77




MCC Imaging Laboratory Protocols

Policy #36

Radiologic Technology laboratory sessions are listed under our XRT course descriptions and are

under the supervision of a faculty member (qualified radiographer) who is readily available to

assist and facilitate the image taking process. In “non energized” (no exposures) laboratory

sessions, a qualified supervisor is appointed to supervise positioning simulations.

All Staff/students are required to wear a personal monitoring device “thermoluminescent

dosimeter (TLD” at all times while operating energized radiographic equipment.

All students/staff are instructed on the proper handling of all imaging equipment/accessories prior

to usage including, X-ray tube & table controls including: proper technique formation,

processing and networking protocols.

Students/ staff are made aware of emergency codes and electrical /mechanical shut off devices.

Staff/students are made aware and instructed to observe all hall warning lights, safe areas to stand

/observe (leaded windows) during their allotted laboratory time.

The program’s energized laboratory is evaluated by the New York State Dept of Health on a

regular basis (results are posted on our radiation safety board 9-162). The program performs

required radiation safety and quality assurance equipment tests semi-annually. The results are on

file in the program’s radiation safety manual in Build. 8-641

TJ/ 2011, reviewed 3/18

78




Transfer Credit Policy

Policy #37

The Admissions Office will evaluate transfer credit after receipt of official transcripts. Transfer credit is awarded

from colleges and universities that are recognized by an appropriate accrediting agency, such as Middle States

Association of Colleges and Schools or the American Council of Education (ACE). This policy can be found

published in MCC Catalog and Student Handbook and on the website www.monroecc.edu.

Courses other than Radiologic Technology courses will be evaluated by the Admissions Office.

Transfer credit for Radiologic Technology courses will be awarded by the Admissions Office with approval by the

Department of Health Professions, Radiologic Technology Program. Program faculty will review the curriculum

and course descriptions from the institution where the credit was completed. Transfer credit will be approved only

when curriculum and course content match MCC Radiologic Technology courses and when the grade awarded

was “C” or higher. For clinical education courses, the applicant must also submit copies of completed clinical

competency requirements including image evaluations.

Approved by Radiologic Technology faculty on September 26, 2012.

Reviewed 3/18

EMD 9/12

M: offices://policies: P037 Transfer Credit


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Policy #38

PRIVACY OF HEALTH INFORMATION

Professional standards and norms for all health care providers include areas of:

professional behavior

confidentiality

Patient’s rights

informed consent

privileged communication

health care settings standards and norms

Additionally, federal laws, including HIPAA, state regulations, licensure requirements, and practice

standards detail use of specific information related to health care settings and professional behavior.

As a student in the MCC Radiologic Technology Program, I understand it is my responsibility to adhere

to any and all of the above standards and regulations, in any clinical setting.

The relaying, discussing, transferring, or using of any privileged information including pictures, or

knowledge of events or actions by any verbal, written, electronic, computer, and/or other technology

form(s) including social media that concern identifying client information, health care agency

information (institution or staff), MCC faculty and staff, fellow MCC students, or any other like

information is strictly prohibited.

Failure to comply with this directive in any way will result in disciplinary action which may include

immediate dismissal from the program. IF I, the student, have any questions or concerns, or am unclear

regarding this issue/topic I should contact the Director of Radiologic Technology Program for

clarification.

NAME: __________________________________________

Print name on line above

SIGNED: _________________________________________

Signature of person named above

DATE: ______________________

M: offices/master plan of education: policies: P038 privacy of health information

Reviewed 3/2018

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Policy #39

Privacy of Information Statement

Expected Professional Standards and Norms

Professional standards and norms for all health care providers include areas of:

Professional behavior

Confidentiality

Patent rights

Informed consent

Privileged communication

Health care settings standards and norms

Additionally, federal law, including HIPAA, state regulations, licensure requirements, and practice

standards detail use of specific information related to health care settings and professional behavior.

As a student in the Monroe Community College (MCC) Radiologic Technology Program, I understand

it is my responsibility to adhere to any and all of the above standards and regulations, in any clinical

setting.

The relaying, discussing, transferring or using of any privileged information, or knowledge of events or

actions by any verbal, written, electronic, computer, and/or other technology form(s) that concern

identifying patient information, health care agency information (institution or staff), MCC faculty and

staff, fellow MCC students or any other like information is strictly prohibited.

Failure to comply with this directive in any way will result in disciplinary action which may

include immediate dismissal from the program. If I, the student, have any questions or concerns,

or am unclear regarding this issue/topic I should contact the Director of the Radiologic

Technology program for clarification.

______________________________________ ________________________ Print name Date

___________________________________________________________________ Signature

M: offices/master plan of education: policies: P039 privacy of information expected standards and norms PAP:XRT: policy 39

8/14, 3/18

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Policy #40

Complaint Policy

At times issues arise that do not reach the level of a grievance. Issues that might lead to a grievance

would be an actual or perceived violation of a documented college or program policy or academic

malfeasance. In the event that other complaints arise which would negatively affect the quality of

your education in the Radiologic Technology Program, the procedure is as follows:

1. The issue is put in writing, in detail, including location, date and time of event and is

submitted to a program official.

2. The program will investigate the issue within 14 days of receipt.

3. The program will hold appropriate meetings with involved parties, obtaining testimony in

writing.

4. Based on this fact finding a decision will be made within 10 days of these meeting (holidays

and breaks will extend the period of time required for a final decision).

5. Final decisions will be made by the program faculty.

M: offices/master plan of education: policies: P040 complaint policy expected standards and norms PAP:XRT: policy 40

8/14, 3/18

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Policy #41

Student Holding Policy

Radiologic Technology students may assist in holding patients in the following circumstances: An

example would be studies where patient movement compromises the quality of the image. Examples

are: pediatric imaging studies. Students should not hold patients during any radiographic procedure

when an immobilization method is the appropriate standard of care. As students progress in the

program, they must become increasingly proficient in the application of radiation safety practices.

Holding patient must not be part of their regular clinical experience.

Students must not hold image receptors during any radiographic procedures.

Student must understand basic radiation safety practices prior to assignment to clinical settings.

Approved by program faculty November 2015.

Reviewed 3/18 Mdrive:offices:academic services:divisions:science/health/business:healthprofessions:radiologictechnology:masterplanofeducation:policies

83



Policy #42

Faculty – Student Relationships

It is the policy of the Radiologic Technology program that students and faculty (including clinical staff)

treat each other in a professional manner. Students can expect that faculty will act in their best interests

and respect their dignity at all times. In light of the current social climate and the widespread use of

social media the following information defines the parameters for student/faculty and clinical staff

relationships:

1. Faculty and students will maintain a professional relationship.

2. Students should not expect an instructor to act as a personal counselor or therapist. Faculty are

not qualified to act in such a role. Students should seek assistance from counselors employed by

the college.

3. Faculty should function as academic advisors only.

4. Students should not expect an instructor to join an individual group or class in social situations

while in the program.

5. Students should refrain from excessive personal disclosures to faculty members.

6. Faculty should refrain from involvement in the personal affairs of a student.

7. In a student role professional boundaries exist among the student, the instructor and/or the clinical

staff. Students, faculty or clinical staff unclear of proper behavior or of an appropriate response

to any of these situations should consult the Program Director or Clinical Coordinator for

guidance.


PAP

PO#42

Reviewed and revised 3/18 m:offices:academicservices:divisions:healthprofessions:radiologictechnology:masterplanof education:policies

84



Policy #43

MR Safety Screening Protocol for Students

It is the policy of the Radiologic Technology Program that all students assigned to any clinical site

should be oriented and screened as to MRI safety information. This screening should include but not

be limited to the following information: potential dangers of implants or foreign bodies and magnetic

wave and radiofrequency hazards. Student shall be made aware of these hazards at program

orientations on campus and in the clinical setting. Screening protocols will be those used at that

particular MRI site.

References

http://www.acr.org/quality-safety/radiology-safety/mr-safety

http://www.ismrm.org/smrt/

Approved by program faculty November 18, 2015

Reviewed 3/18

Mdrive:offices:academic services:divisions:science/health/business:healthprofessions:radiologictechnology:masterplanofeducation:policies

http://www.ismrm.org/smrt/

85



Policy #44

Health Requirements and Immunizations

It is the policy of the Radiologic Technology program that students have health insurance in effect

before entering the program. Student may be exposed to accident, injury or illness. Student must have

a completed health assessment/physical prior to starting the program.

Students must be in compliance with the immunization policies of Monroe Community College and the

Radiologic Technology program.

Verification documentation of a health assessment and completion of all immunizations and a

tuberculin skin test should be submitted through the MCC website to Student Health Services prior to

the beginning of classes. Find forms at:

• (http://www.monroecc.edu/depts/stuhealth/forms.htm)

Effective May 2018

Medical Programs Annual Health Reassessment Policy

Effective May 1st, 2018 all students/staff in a medical program will be required to complete an Annual

Health Reassessment every May. This will include completion of the medical program reassessment

form with PPD placement and read, or documentation of a negative QuantiFeron blood test results or

TB screening if indicated for previous positive PPD or positive QuantiFeron blood test with negative

chest x-ray, to meet program clearance requirements.

Students/staff can call Health Services at 585-292-2018 to schedule an appointments for a

Reassessment review, PPD placement and read or TB screening. If the student/staff member has had a

PPD placed and read or a QuantiFeron blood test from an outside agency in MAY, they can provide that

documentation and reassessment form to Health Services for review and clearance.

The requirements for students entering the Radiologic Technology

-MMR (measles, mumps, rubella)

Provide proof of one of the following – written proof of two MMR immunizations or proof of a positive

titer for each one of these diseases. The student must submit all results and documentation to health

services and the Clinical Coordinator.

-Varicella (chicken pox)

Documented proof of completion of the Varicella vaccination protocol, a positive IgG titer OR if the

titer is NEGATIVE obtain the varicella vaccination and submit documentation to health services and

the Clinical Coordinator.

-Tetanus, diphtheria and cellular pertussis (Tdap): (TD = Tetanus/Diptheria)

Student must provide proof of a one-time dose of Tdap, followed by a booster every 10 years. Provide

documentation to the Health Services office and the Clinical Coordinator.

-Influenza – Required annually during flu season (when designated by state health department or

individual facilities).

-PPD Tuberculin Skin Testing

Negative Tuberculin (TB) Test (annual requirement) and/or negative chest x-ray.

If there is a history of a positive PPD test or having TB, must provide documentation of a negative chest

x-ray or completed treatment.

Approved by program faculty 2/16, revised 4/18

m:xrtmasterplanof education:policies

http://www.monroecc.edu/depts/stuhealth/forms.htm

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Policy #45

Student Counseling Reports and Anecdotal Records

It is the policy of the Radiologic Technology Program that clinical faculty and supervisors shall provide

a written bi-weekly evaluation of student progress using the attached form.

The evaluation should note student progress, achievements or regressions through the previous 2 weeks

and include specific information that the program officials can use to monitor student progress and

properly assign students to future clinical sites.

The forms below should also be used to note improper behaviors in the clinical setting or in the

classroom when warranted.

****An “Anecdotal Record” report for a specific incident, whether on campus or in the clinical setting (not the bi-

weekly anecdotal record) may be recorded for a warranted behavior/occurrence.

The categories for the severity of a warranted behavior/occurrence are noted on the form.

A violation of Category 1 behavior results in dismissal from the program as they violate Monroe Community

College policies.

****Please note, three offenses for the same behavior in Category 2 will result in dismissal from a clinical site/the

program as they violate program/college/hospital policies.

****NOTE - Five violations of any type documented through program faculty/officials/clinical staff will result in

immediate dismissal from the program, regardless of status in the program.

PAP

5/16, 3/17, 3/18

m:offices:academicservices:divisions:healthprofessions:radiologictechnology:masterplanof education:policies

87


BI-WEEKLY STUDENT ANECDOTAL REPORT

Radiologic Technology Program Anecdotal Report

The following counseling report was issued today and is to be made part of the following student’s file.

Student Name ___________________________________ Date _________________ Clinical Site ____________________________ Semester ____________________ Class ________________

Be-weekly student anecdotal evaluation:

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

Concerns/Recommendations: _______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

_______________________________________________________________________________________________________________

*Student Signature: _____________________________________________________Date: ____________ Faculty/Coordinator Signature: ___________________________________________ Date: ____________

Signature does not necessarily indicate agreement but indicates that the student has reviewed this record

005:PP 12/2003 rev 8/2006, 12/13; 3/16, 8/16, 12/17

88


STUDENT COUNSELING REPORT

Radiologic Technology Program Anecdotal Report

The following counseling report was issued today and is to be made part of the following student’s file.

Student Name ______________________________________Date ____________________________ Clinical Site _______________________________ Semester ______________ Class _____________

Category I - Immediate Dismissal Category II Category III

1. Narcotic and/or other drug infraction 1. Unprofessional/disorderly behavior 1. Helped patient

2. Misuse/theft of hospital property 2. Leaving assigned clinical area 2. Complimented by physician/staff

3. Disclosure of confidential information 3. Failure to be alert 3. Other Category

4. Falsification of clinical documents 4. Hindering clinical flow Category I Dismissal from site/program

according to College policy

5. Unprofessional/unethical conduct 5. Insubordination Category II 1st Offense – Counseling

6. Possession of weapons 6. Excessive absences/tardiness 2nd Offense–Three Point

deduction from final grade

7. Assault, abuse of negligence with respect to any person

7. Violation of safety rules/regulations 3rd Offense – Dismissal from

Site/program

8. Tampering with official documents 8. Failure to comply with supervision policy

Category III Positive Event – 3 point

addition to final grade

9. Cheating 9. Unauthorized use of hospital equipment, supplies

10. Non-compliance with code of conduct 10. Radiation protection policy infraction

11. Second failure of competency exam in the same exam category

11. Poor quality patient care and/or comfort

12. Fifth counseling report for any discipline action

12. Insufficient exam supervision

13. Endangering safety of patient 13. Inappropriate personal appearance

14. Displays moral turpitude 14. Loss or regression of clinical skills

15. Inability to apply positioning and/or imaging principles

Description of occurrence/review (continue on back if necessary) _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________

Resolution (if required) (continue on back if necessary) _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ ________________________________________________________________________________________________________

*Student Signature: ________________________________________________Date: ____________

Faculty/Coordinator Signature: _____________________________________ Date: ____________

Signature does not necessarily indicate agreement but indicates that the student has reviewed this record.

005:PP 12/2003 rev 8/2006, 12/13; 3/16, 3/17

89



Policy #46

Official Communications

The following policy for students is also the recognized means of communication

between MCC and the faculty of the Radiologic Technology Program:

Student Email Account an Official Mode of Communication

Frequently Asked Questions

What does this policy mean to you?

The college administrative offices, staff, and faculty will be using the student MCC email system

as an official means of communication with you. This will allow campus offices to share

important information more quickly and directly. As such, it will be to your benefit, as well as

your responsibility, to check your MCC email account regularly.

Are there advantages to using my MCC email account rather than an outside account?

Absolutely. First, your MCC email account is free. Second, your MCC email account offers you

more storage space than most commercial accounts. And finally, your MCC email account

identifies you as a member of this academic community; this is especially useful as you apply

for internships, communicate with outside agencies, and search for jobs.

Can I forward my MCC email account to my preferred email account?

Yes. You may forward your assigned MCC email account to any email account that you prefer

(e.g. Yahoo, AOL, Hotmail, etc.). It is easy to do – just follow the directions provided at the end

of this document. However, be sure that you forward your MCC email account to an email

address that you regularly check, and be sure that you enter the correct forwarding email

address: the College will not contact you if mail cannot be delivered to your preferred

address. Also note: if you forward your MCC email account, you are responsible for managing

the disk quota on your preferred email account so that there is room for new mail to arrive.

Can I forward my MCC email to a preferred account at any time?

Yes. You can choose to forward your MCC email account now or at any time in the future.

However, MCC is not responsible for email that has been forwarded to any other address.

What happens if I don't read my MCC email or my preferred email?

You risk the consequences of missing important deadlines and information about registration,

financial aid, etc. College offices will hold you responsible for all email communications/

notifications sent to you.

Is email the only form of communication there will be between College offices and students?

No, select information will continue to be sent via regular mail. However, college offices will be

using email frequently as a means of communication, so it is to your benefit to check your

email.

90

What are examples of official College communications?

Official college communications are defined as any administrative correspondence that either

requires a response from the student/faculty or are required notifications by the College to the

student/faculty. There are numerous documents that you may have received that are considered

official college communications. Here are a few examples of documents that may be delivered

student e‐mail:

Will I get spammed with numerous emails from the College because of MCC student email?

No, MCC student email is for official communications from administrative offices that require a

student to take action or to notify a student of important information. MCC student email is not

a public list for promoting events or services. Email will not be used to announce parties,

receptions, dances, sales, club events, and other information that is of an unofficial nature.

What are a student’s and faculty members responsibilities when they receive MCC student

email?

Responsible for:

1. Checking your college email on a regular basis for any new official communications. As

most correspondence identified to be sent may vary in purpose, either initiated by the

student (like Title IV authorizations and refund notices) or is on a pre‐determined

schedule (like Enrollment notices and bills), the frequency for checking your campus

email account for official communications may differ from student to student.

Please keep in mind that you will need to monitor your college email account to ensure

it does not go over quota. The College is not responsible for official communications

that cannot be delivered to you because your account is over quota.

If I do not own a computer, how can I receive email?

Every student enrolled at MCC receives a college email account. This account is accessible via

the World Wide Web from anywhere in the world where you have Internet access, including

public libraries and many other public places. You may also access your college email account

from any computer lab at a MCC campus or facility or library.

How can I direct incoming messages to another email account?

Instructions Automatically Redirecting Incoming Messages to Another Email Account

1. Log into your student email account.

2. Click “Options” (located at the top right‐hand corner)

3. Select “Organize E‐mail,” click on the “Inbox Rules” tab.

4. Then click on “New.”

5. Under “do the following” click on the down arrow and select “Redirect the message to . . .”

6. At the bottom of the page under message recipients click the “TO” button and type the new

email address.

7. To confirm click “SAVE.”

MCC college policy

Reviewed 3/17

91


Student Email Account an Official Mode of Communication

Monroe Community College considers MCC’s student email system (Microsoft Windows Live) as

an official means of communications. MCC will use the system to conduct and notify students

of college‐related business, and to share general information of importance to students. To

ensure the effectiveness of the system the following conditions are set forth:

The College will consider students to be informed and in receipt of correspondence sent

to their MCC email account.

MCC will direct official communications to students’ MCC email accounts. Students are

responsible for reading their college email on a regular basis and for recognizing that

certain communications are time sensitive.

Students who choose to have the MCC email forwarded to an off‐campus account, do so

at their own risk. The College is not responsible for any difficulties that may occur in the

proper or timely transmission of, or access to, MCC email forwarded to an off‐campus

email account. Any such problems will not absolve a student of their responsibilities to

know and comply with the content of official email communications sent to the

student’s MCC email account.

Access to and use of the student MCC email system is considered a critical service at the

College. The MCC Code of Conduct for Users of College Computer Systems applies to the

student email system. The College reserves the right to immediately withdraw access

and use of student email when there is reason to believe that violations of the Code of

Conduct have occurred. In such cases, the alleged violation will be referred to the Vice

President of Student Services for further investigation and adjudication under the

College’s Conduct Regulations procedures.

Students with a disability who are unable to access their email account may request

support from the Office for Students with Disabilities.

Communication via the MCC student email system is subject to the same public

information, privacy and records retention laws as other forms of communication.

Redirecting MCC email by students to outside accounts and the sharing of messages

with third parties may negate the privacy protection rights afforded to the College.

Executive Staff Approval: January 21, 2010

College Student Email Committee Endorsement: March 10, 2010

92



Policy #47

MCC Health Programs Policy and Procedure for the Suspected Impaired Student in Clinical

Setting

Policy

Students shall not be in a clinical setting when their performance is impaired by any substance.

Health Related programs at MCC adhere to the Monroe Community College Student Conduct

Regulations as outlined in the Catalog and Student Handbook when addressing students who may be

impaired while in the classroom or clinical setting. In addition to the expectations outlined in the

Student Conduct Regulations, students in the clinical setting are held to the expectations defined for

licensed professionals and/or as defined by clinical health care sites who enter into contractual

agreements with MCC. Therefore students in Health Related programs are expected to adhere to

program specific policies regarding impairment while in the clinical setting. Our goals are to identify

students experiencing impairments and to maintain professional standards of conduct and safety to the

public.

A major aspect of student learning in health programs occurs in clinical settings, and many involve

direct student-patient contact. While in clinical courses, students are acquiring knowledge, cognitive

and psychomotor skills. In addition, they are developing judgment. Students are expected to perform

at the level indicated in the curricular objectives. Safety and ethical behavior are critical components

of each clinical course.

The right of patients and the public to safe professional practice supersedes students’ learning and

skill acquisition needs. The responsibility of the College and the faculty to protect patients, the

public, and the staff of clinical settings from unnecessary exposure to dangerous situations is

paramount. Faculty have the obligation to assess and make professional judgment with respect to

each student’s fitness for safe and ethical practice during clinical hours.

Students have the responsibility to practice without undue risk to themselves or others, and to

maintain fitness for duty throughout all clinical hours. When a faculty member, or clinical staff

member charged with supervising the student, makes a professional judgment that a student’s

psychological and/or physical condition has impaired his/her ability to perform in accordance with

course-specific clinical behaviors, the student will be asked to leave the clinical area and the

procedure for intervention for students in a clinical setting who are suspected of being impaired will

be initiated. The student is then given the opportunity to hear the reasons for the suspension of

participation, and to discuss the incident with a representative from the College.

When the clinical agency has a policy regarding fitness for duty, in addition to the health program’s

policy, that policy will be followed.

If assessment by staff at Rochester Immediate Care determines that the student can safely participate

in the clinical experience, the student will return to clinical and the behavior(s) that prompted the

referral will be addressed by the faculty. If Immediate Care determines that the student should not

return to participating in clinical the student will receive a failing grade for the clinical portion of the

93

course and will be dismissed from the program. Students who have been dismissed under these

conditions will be eligible to apply to return to the program on a space available basis after MCC

Health Services has notified the program that they are able to safely participate in the clinical

experience.

Procedure for Intervention if a student in a clinical setting is suspected of being impaired:

A) Remove Student from the clinical setting

(1) Faculty/ Staff Supervisor Responsibilities

(a) Inform the student of the behavior(s) that have been observed.

(b) Explain briefly that the student is being removed from the clinical area according to

MCC “Policy for the Suspected Impaired Student in Clinical Setting” policy, “MCC

Conduct Regulations,” and NYS standards of professional practice; because the student

has been observed behaving/presenting themselves in a manner that indicates he/she

cannot perform duties safely and effectively.

(c) If appropriate, contact the security department at the clinical site to remove student

from setting. If security department at the clinical site is contacted, then MCC Public

Safety should be notified.

(d) Arrange transportation to Rochester Immediate Care

Henrietta 2685 E. Henrietta Road

Greece 2745 West Ridge Road

Webster 1065 Ridge Road

Do not let the student drive. This may require the assistance of a friend, relative, taxi, or

police. Student must agree to be evaluated in this setting as quickly as transportation can

be arranged to avoid immediately being withdrawn from the class.

Immediate Care accepts MCC sponsored student health insurance. It will take 3-4 days

for the assessment to be completed as lab results require 2-3 days before they are

available.

(e) Call Immediate Care-Pulse facility to inform them that a student is on their way to

their site for assessment of impairment due to alcohol or substance use. (Pulse is the

occupational program component of Immediate Care.)

Henrietta site: 585-444-0058

Greece site: 585-225-5252

Webster site: 585-872-2273

(f) Notify the Department Chair’s office to notify the chair that a student is being referred

to Rochester Immediate Care - Pulse for assessment of impairment. The Chair will notify

MCC Health Services.

(g) On the program’s Incident Report form, document the behavior, name of a witness if

present, the conversation with the student and the action taken. Documentation should

include factual, descriptive, and objective information. If anecdotal information is

94

included, (information that is reported to but not observed by the writer) the source

should be identified. Document referral to Immediate Care and arrangements for

transportation as well as the fact that the Department Chair was notified. Documentation

is completed with date, time, and faculty/staff supervisor signature.

(h) Complete a Behavioral Incident Report (BIR) through Student Services.

(http://www.monroecc.edu/depts/stuserv/ . Documentation should include factual,

descriptive, and objective information. If anecdotal information is included, (information

that is reported to but not observed by the writer) the source should be identified. The

documentation is reviewed by the Office of Student Services during regular College

business hours and used to determine the appropriate follow-up.

(i) Notify appropriate personnel: Department Chairperson; Course Coordinator/Program

Director*; Division of Science, Health & Business Dean, and Student Services using the

BIR.

(j) Submit the Incident Report as soon as possible to Department Chairperson and

provide a copy to the student. Submit the BIR report as soon as possible but within 1

business day.

(k) Remind the student that students have access to the “MCC Conduct Regulations”

(located in the MCC Catalog/Student Handbook), “Student Right-to-Know and Campus

Security Act (Drug and Alcohol Prevention Program) Annual Report,” and “MCC Health

Programs Policy & Procedure for the Suspected Impaired Student in Clinical Setting.”

(l) Contact student on or before the next business day to arrange a meeting within 5

business days of the incident. Inform the student that the faculty member, Department

Chairperson, Program Director and student will attend the meeting. Recommend that the

student review the above policies.

*Directors will be included for programs that have Program Directors.

(2) Student Responsibilities

(a) Leave the clinical area as directed by faculty member and go to Immediate Care for

assessment.

(b) Prepare a written account of the incident and submit within 2 business days to

Department Chairperson.

(c) Review “MCC Policy & Procedure for the Suspected Impaired Student in Clinical

Setting” in the department’s student-related policies document.

(d) Arrange to meet with the faculty, Department Chairperson and Program Director as

requested within 5 business days of the incident. One student advocate may attend the

meeting if pre-arranged with Department Chair and faculty.

B) Meeting with Faculty, Department Chairperson, Program Director and Student

1) Agenda

(a) Review of the incident and academic consequences.

http://www.monroecc.edu/depts/stuserv/

95

(b) Discuss procedures to follow outlined in this policy.

(d) Request written permission for medical information regarding fitness to return to

clinical to be released from Immediate Care - Pulse to MCC Health Services for review.

(e) Review any specific procedures outlined for the student.

(f) Methods to be used to document completion of a treatment plan if required.

(Immediate Care will notify MCC Health Services and Health Services will notify the

department that the student has completed treatment.)

(g) Documentation of the meeting signed by Department Chair and student.

2) Faculty Responsibilities

(a) Review faculty observations of the student’s behavior.

(b) Discuss the policy for student suspected of being impaired in the clinical setting and

its implementation.

(c) Discuss the consequences related to the policy:

i. If student declined to comply with the initial assessment, the student will receive a

failing grade for the course and will be dismissed from the program.

ii. If the student complied with getting the initial assessment from Immediate Care s/he

may continue to attend classes but may not participate in the clinical area until

results of assessment from Immediate Care are communicated to MCC Health

Services.

iii. If the initial assessment from Immediate Care indicates that the student may

return to clinical, s/he will continue with clinical coursework and will be

counseled by the faculty and/or chair regarding the specific clinical performance

concerns documented on the department incident report.

iv. If the initial assessment from Immediate Care indicates that the student should

not return to clinical s/he will receive a failing grade for the clinical portion of the

course and s/he will be dismissed from the program.

If the student completes a treatment program and submits documentation of

successful completion to MCC Health Services the student will be eligible to

apply to return to the program. Return is on a space available basis. Student

Services can provide appropriate referral for services to the student if needed.

v. If the student does return to the program and there is a subsequent similar

incident the student will be dismissed and will be ineligible to apply for

readmission.

(d) Document the above actions and obtain the signatures of the student, Department

Chairperson and faculty. Place the documentation of meeting in the student’s department

file.

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A student may choose to initiate a perceived grievance by instituting the formal academic

grievance procedures as described in the MCC Student Catalog and Handbook.

3) Student Responsibilities

(a) Attend previously arranged meeting with faculty person and Department Chairperson

and Program Director. One student advocate may attend the meeting if pre-arranged with

Department Chairperson and faculty involved.

(b) Sign consent for release of information regarding Immediate Care staff’s assessment of

student’s fitness to return to clinical to MCC Health Services.

C) Signs and Symptoms of Possible Impairment

(1) Psychological Problems: irritability; moodiness; tendency to isolate self; avoidance of group

work; dishonesty, difficulty with focus and concentration

(2) Social Changes: eats alone, avoids social gatherings

(3) Changes in Personal Appearance: change in dress; unkempt appearance; flushed

complexion;’ red eyes; swollen face; hand tremors; persistent rhinorrhea, drowsiness

(4) General Behavior Changes: inappropriate responses, elaborate and/or inconsistent excuses

for behavior; intolerance of others; suspiciousness; nervousness; agitation pattern of

absenteeism and tardiness; decreased clinical and academic productivity; fluctuation in

clinical and academic performance; decreased alertness; falling asleep in class or conference

(5) Signs Associated with Impairment: odor of alcohol; slurred or rapid speech; unsteady gait;

errors in judgment; altered pupil dilation; declining health.

Faculty should keep in mind that patterns often emerge slowly over time, are often observed by

more than one faculty member, and can be variable.

Approved by MCC faculty

Revised Spring 2016 in consultation with MCC Health Services

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Policy #49

Programmatic Probation

It is the policy of the Radiologic Technology program that a student may be placed in a

“probationary status” under the following circumstances:

-One or more behavioral referrals from the classroom, laboratory or clinical setting is issued.

-Failure to turn in a second homework assignment in a course.

-Failure on two or more exams in all courses combined.

In the event a probationary status is placed on a student, it will be the faculty’s discretion as

to whether makeup work may be assigned to correct the matter.

Approved by the Radiologic Technology Faculty 3/2018

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Affirmation of Understanding

(To be completed prior to first clinical day)

I received, read and understand the contents of:

____ Student Orientation Booklet and its contents:

____ Policy 1 Class Attendance Policy

____ Policy 4 Grading Policy

____ Policy 6 Procedure for Reporting Communicable Disease by Student

____ Policy 8 Student Involvement in Portables & Operating Room Procedures

____ Policy 11 Radiation Protection Safety Guidelines and Pregnancy Policy

____ Policy 18 Student Insurance Requirements

____ Policy 19 Student Employment in a Radiology Department

____ Policy 20 Student Accident / Injury

____ Policy 28 Standard Precautions / Infection Control

____ Policy 32 Resolution of Allegations of Non-compliance with the JRCERT

Standards

____ Policy 33 Workplace Safety with review of MSDS for developer and fixer solutions

____ Policy 34 Program Grievance Policy

____ Policy 35 Readmission Policy

____ Policy 36 Lab Supervision Protocols

____ Policy 37 Transfer Credit Policy

____ Policy 38 Privacy of Health Information

____ Policy #39 Privacy of Information Statement Expected Standards and Norms

____ Policy #40 Complaint Policy

____ Policy #45 Anecdotal Records

____ Policy # 46 Official Communications

____ Policy #47 MCC Health Programs Policy and Procedure for the Suspected Impaired Student in Clinical

Setting

_____Policy #48 Exposure to Blood Borne Pathogens (MCC Policy)

_____Policy #49 Programmatic Probation

____ HIPAA Health Information Portability and Accountability Act

I successfully completed the competency requirements for:

____ Safe Patient Transfer

____ Vital Signs including Blood Pressure

____ Standard Precautions

____ O2 administration

_____________________________ __________________________________

Student Name (Please Print Clearly) Student Signature

__________________________________

Date PAP/EMD

10/01, 3/03, Rev. 8/2006, 3/09, 3/11, 11/13, 9/14, 3/17, 3/18

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Affirmation of Understanding

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