radiologic technology clinical handbook 2018

Clinical Handbook

PURPOSE OF CLINICAL HANDBOOK

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

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

student will be familiar with information contained within this handbook.

College Website: http://www.bakersfieldcollege.edu

Program Website: http://www.bakersfieldcollege.edu/allied-health/radtech

Bakersfield College

Radiologic Technology Program

Summer 2018

Revised May 2018

http://www.bakersfieldcollege.edu/

http://www.bakersfieldcollege.edu/allied-health/

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Clinical Education Handbook

Table of Contents

I. Radiation Safety and Protection Guidelines

II. Student Orientation to Clinical Education Center

III. Attendance, Grade Computation and Progression

IV. Guidelines for Professional Clinical Appearance

V. Insurance, Accidents and Incidents

VI. Clinical Objectives

VII. Record of Clinical Procedures

VIII. Enrollment Into Trajecsys

IX. Performance Evaluation in the Clinical Education Center

X. Student Evaluation of Clinical Experiences

XI. Clinical Education Center Information

XII. Program Faculty and Staff

XIII. Student Complaint Procedures

XIV. Handbook Agreement

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

make requests to Disabled Students Programs and Services in CSS 10 (661-395-4334), or Delano room 1001 (661-720-

2000). All requests for accommodations require appropriate advance notice to avoid a delay in services. Please discuss

approved accommodations with me so we can work together to ensure your access and success at BC.

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I. Radiation Safety and Protection Guidelines

BAKERSFIELD COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

RADIATION SAFETY AND PROTECTION GUIDELINES

for FACULTY and STUDENTS

A. GENERAL

Pursuant to Title 17: Public Health, Subchapter 4 and 4.5 of the California Code of Regulations and recognized

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

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

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

(ALARA) levels.

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

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

B. SPECIFIC

1. Personnel Monitoring and Monitoring Reports

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

radiographic and fluoroscopic equipment both at

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

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

quarterly basis to all instructors/students respectively who enter controlled radiation areas.

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

lead protective apron. For consistent monitoring purposes, the monitoring device should be worn in the

same place at all times.

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

person and do not tamper with the device.

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

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

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

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

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

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

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

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

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2. Occupational Dose Limits

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

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

times. Dose limits are defined below.

Effective Dose Limits/Area cSv or rem per year

1. Occupational Exposure

(whole body)

a. Annual

b. Cumulative

a. 5 cSv or rem

b. 1 cSv or rem x age

2. Equivalent dose for tissues and

Organs

a. Lens of eye

b. Skin, hands & feet

a. 15 cSv or rem

b. 50 cSv or rem

3. Embryo-Fetus Exposure*

a. Equivalent dose limit

1. Monthly

2. Entire gestation

1. 0.05 cSv or rem

2. 0.5 cSv or rem

4. Education and Training

Exposures

(minor under the age of 18 years)

a. Effective dose limit

b. Equivalent dose limit for

tissues and organs

1. Lens of eye

2. Skin, hands, feet

1. 0.1 cSv or rem

2a. 1.5 cSv or rem

2b. 5.0 cSv or rem

5. Negligible Individual Dose 0.001 cSv or rem

* not annual dose

Threshold Dose:

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

meets or exceeds 60% of the dose limits as defined above.

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

meets or exceeds 3.0 cSv or rem/year (60% of 5 cSv or rem/year) then the

dose will be reported on the “Radiation Monitoring Device Incident Report”.

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

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

with the student, college faculty, and/or clinical education center, as

applicable. Individuals will be counseled regarding safe dose limits.

Individuals may not exceed the effective dose limits as defined by

regulations. Exclusion from work/school will occur until limits are lowered

to within acceptable levels.

3. Presence of Individuals in Radiographic/Fluoroscopic Room during Energized Exposures

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

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

radiography and fluoroscopy.

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

students:

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

2. The TLD will be worn as noted under B.1.b.

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

maintained between the student/instructor and the fluoroscopic tube during the time the

x-ray beam is on.

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

and students:

1. The operator of a mobile x-ray unit shall stand at least 6 feet (1.8 m) from the patient and

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

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

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

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

made.

4. Holding of Patients and/or Immobilization Devices during Exposures

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

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

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

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

lead (Pb) shielding devices.

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

"patients" for test exposures or experimentation.

5. Collimation

Careful collimation shall be used to restrict the radiation beam/field to the area of clinical interest.

6. Machine Safety Operations

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

a. For on-campus radiation exposures, refer to the operating instructions provided/posted for each

energized x-ray unit in the radiologic technology laboratory.

b. For use of radiation equipment at the clinical education center, refer to each department's

procedure manual and operating instructions.

7. General Shielding

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

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

interfere with the diagnosis.

8. Supervision of Students

a. On-Campus Laboratory

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

licensed/certified (ARRT & CRT) instructor in the radiology laboratory (MS 21-22). The

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

30418.

b. First Year Clinical

When performing radiographic procedures during the first year of the program, students will

function under the "direct" supervision of a licensed/certified (CRT or ARRT/CRT)

radiographer. The supervising qualified radiographer reviews the procedure in relation to the

student’s achievement, evaluates the condition of the patient in relation to the student’s

knowledge, is physically present during the exam, and reviews and approves the procedure

and/or image.

c. Second Year Clinical

When performing radiographic procedures during the second year of the program, students may

function under “direct” or "indirect" supervision. Indirect supervision will be by a

licensed/certified (CRT or ARRT/CRT) radiographer once the student has achieved competency

for a particular procedure. Until competency is achieved, students must be directly supervised.

"Indirect" supervision indicates that the supervising qualified radiographer will be immediately

available to assist students regardless of the level of student achievement. Immediately available

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

location where a radiographic procedure is being performed. This availability applies to all areas

where ionizing radiation equipment is in use on patients.

d. Repeat Exposures

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

licensed/certified (CRT or ARRT/CRT) radiographer. The supervising qualified radiographer

reviews the procedure in relation to the student’s achievement, evaluates the condition of the

patient in relation to the student’s knowledge, is physically present during the conduct of the

repeat image and must approve the student’s procedure prior to re-exposure.

e. Licensed/certified (ARRT/CRT) supervising radiologic technologists, as specified in this section,

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

individuals that supervise student competency examinations and imaging procedural logs

maintained by the student.

C. DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES

These instructions shall be distributed in the following manner:

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

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

and the clinical faculty at each clinical orientation meeting.

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

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

4. Published in the program's Master Plan of Education.

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D. REFERENCES

1. California Code of Regulations, Title 17: Public Health, Subchapter 4 (Radiation) and 4.5 (Radiologic

Technology).

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

3. NCRP Report # 111: Developing Radiation Emergency Plans for Academic, Medical or Industrial

Facilities (1991)

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

Medical and Dental Personnel (1990)

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

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

MeV (1989)

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

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

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

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

Note: A copy of Title 17: Public Health is located in the Radiologic Technology Laboratory (MS 21-22) and in

the radiologic technology program office (MS-178). NCRP reports are on file in the program office. They are

also accessed on-line at: www.ncrp.org.

Radiation safety guidelines faculty and students.doc (rtshare/radiation safety)

Rev: 7/2016

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II. Student Orientation to Clinical Education

SECTION II. STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS

A. Policy

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

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

Ultrasound, Magnetic Resonance, Nuclear Medicine, and Cardiac Catheterization Lab. It is the responsibility of the

Clinical Instructor to provide this orientation at the start of each semester/term of education and to ensure that staff

technologists have access to this information.

B. Procedure: The orientation will include:

1. Orientation and Expectations of this Department:

a. Review of routine procedures/views for procedures

b. Patient transportation procedures for the department

c. Operation of equipment

1. Radiographic equipment

2. Fluoroscopic equipment

3. Mobile Radiographic/Portable Units

4. Mobile Fluoroscopy/C-Arm Units

5. Digital processing and/or darkroom equipment

6. Special Equipment (monitors, I.V.’s, Oxygen, etc.)

7. Mobility Devices (transfer/sliding boards)

d. Expectations of Student Performance

1. Participation in Daily Work of Department

2. Patient Orders/Referrals/Requisitions

3. Conduct and Professionalism

4. Study and Free Time in Clinic

e. Student Supervision

1. Direct Supervision

i. 1st year students

ii. 2nd year students prior to competency

iii. Repeat exams

2. Indirect Supervision

i. 2nd year students

3. Clinical Competencies

f. Department telephone procedures for students

2. Supplies and Cleaning

Location of Supplies

Cassettes and grids

Contrast media and I.V. accessories

Immobilization aides

Lead markers

Emesis basins, bedpans, I.V. poles, etc.

Stocking Rooms

Linen

Cleaning Procedures

3. Radiation Safety Policies and Procedures for Department

a. Shielding Devices Available

b. Procedures

4. Confidentiality, Safety and Emergency Procedures

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a. Maintenance of Confidentiality (HIPAA)

b. Electronic Medical Record (EMR) Access for Patient Care

c. Standard Precautions, Infection Control and Blood Borne Pathogen Procedures

d. Hazard Regulations (Fire, Electrical and Chemical)

e. Emergency Procedures and Preparedness

i. Codes

ii. Carts

iii. Disaster Plan

f. Reporting accidents and incidents: Department and BC requirements

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

h. Security Services of Facility

5. Student Assignments:

a. Schedule and Room Assignments

b. Specific objectives

c. Procedures for Record Keeping and Signatures on Forms

6. Notification of Absence or Tardy

a. Contact Information for Personnel & Department

7. Introduction to Department Personnel

a. Supervisors

b. Radiologists

c. Staff technologists

d. Clinical support staff

8. Personal Communication during Clinical Assignment

a. Department telephone use

b. Personal Cell Phone Use: Regular and Smart Phones

i. .No camera phones/cameras permitted in patient care areas (must maintain

confidentiality)

c. Emergency Contact

9. Clinical Education Center Information

a. History of Facility

b. Bed Capacity (hospital)

c. Administrative personnel

d. Parking regulations (include day and evening rules)

e. Cafeteria Use

f. Meal Break (1/2 hour) and 2 breaks (15 min)

g. Food Policies inside Department

h. Restroom Facilities

i. Storage Facilities for Student Materials and Personal Items

10. Learning Resource Materials Available in Imaging Department

a. Case Study/Film Critique Preparation and Procedures for Image Utilization

Rtshare/clinical handbook/section II orientation 5-2012

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III. ATTENDANCE, GRADE COMPUTATION, PROGRAM

PROGRESSION

III. ATTENDANCE, GRADE COMPUTATION, PROGRAM PROGRESSION

ATTENDANCE

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

Program.

Lecture and/or Lecture/Lab Class

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

Two weeks in a sixteen week course, one and one-quarter weeks in a ten week course and two days in a six week

course. Example: If a class meets three times per week in a sixteen week course, then six absences would be the

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

program director.

Clinical Education

Clinical Education assignments currently occur at hospitals and imaging centers in Bakersfield, CA and Delano,

Ca. Hours are specified by the college according to each clinical education center’s schedule in the imaging

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

break:

Adventist Health-(previously San Joaquin Community Hospital)

Adventist Health- Quest Imaging Chester

Adventist Health-Quest Imaging Stockdale

Bakersfield Memorial Hospital (Dignity Health)

Delano Regional Medical Center

Kern Medical

Kern Radiology Medical Group

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

Southern California Orthopedic Institute

Truxtun Radiology Medical Group- Riverwalk/Stockdale

Day Shift P.M. Shift

6:00 a.m. – 2:30 p.m. 2:30 p.m. – 11:00 p.m.

7:00 a.m. – 3:30 p.m.

7:30 a.m. – 4:00 p.m.

8:00 a.m. – 4:30 p.m.

8:30 a.m. – 5:00 p.m.

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

hours are NOT adjusted for student convenience or request.

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

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

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

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

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

absence prior to the scheduled clinical experience.

Clinical hours missed should be made up in the same semester in which the hours are missed. Hour assignments

are made according to the “Verification of Addition Clinic Hours” form. Students are expected to adhere to and

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

education center and notify them prior to the absence. All clinical hours missed must be scheduled for “make-up”

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

incomplete grade may be assigned. The clinic hours must be made up in the subsequent semester/term as approved

by the Clinical Coordinator. These hours are in addition to, not in lieu of current semester/term requirements. In

addition to clinical hours, the Clinical Instructor/Coordinator may require that specific course objectives also be

met.

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

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

hours.

Mandatory Clinic Hours

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

of Public Health, Radiologic Health Branch, in the “Minimum Standards for Diagnostic Radiologic Technology

Programs”. Minimum hours for clinical education must be met to be eligible for State licensure.

Absences in Clinical Education 1-5

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

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

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

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

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

leave. Hours must be made up during the same semester/term of the absence. The personal leave

day/hours must be approved in advance of the leave by the Clinical Instructor and BC faculty member. A

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

does not preclude notification of the absence to the Clinical Instructor.

Personal leave in excess of eight hours requires a “Request for Leave from the Program.” Make-up or

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

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

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Personal leave and absences may be made up on the following days:

Monday through Saturday during the regular fall, spring and summer semesters

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

Sundays

College Closure Days

Holidays: New Year’s Day, Martin Luther King Holiday, Presidents Day, Spring Recess

Weekend (Friday-Sunday), Memorial Day, Fourth of July, Labor Day, Veteran’s Day,

Thanksgiving, Christmas Recess, Any Holiday Weekend

Absences/Make-up Assignments in the Program

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

Absence in no way relieves the student’s responsibility for work missed. The student must notify the instructor

of any absence prior to the scheduled class time. It is the student’s responsibility to contact the instructor for

missed assignments. Make-up assignments are at the instructor’s discretion.

Tardiness

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

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

conference/probation procedures.

Tardiness is included in the clinical education evaluation process. If a student is tardy the equivalent of one week

of clinical education days, the clinical objective on tardiness will be graded as an “A- Assisted”. [Example: Two

(2) clinical days for first year Fall/Spring; and three (3) clinical days for second year Summer/Fall/Spring.] If a

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

graded as a “U-Unsatisfactory”. [Example: Four (4) clinical days for first year Fall/Spring; five (5) clinical days

for second year Summer; and six (6) clinical days for second year Fall/Spring.]

Request for Leave from the Program

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

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

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

arrange “make-up” needs with instructor(s).

Holidays/Vacation

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

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

college’s regular summer session.

Trajecys Time Reporting System

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

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

1. Clock In/Out – Students will clock in each day at their clinical site and clock out at the end of their

shift. NOTE: This also may be done on the student’s smartphone; use phone browser to go to

Trajecsys.com, log in, then select Clock In/Out menu item. Phone screen will ask to share location with

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

toward the bottom of the screen.

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

typically students use the clock in/out menu item. However, if they forget, they must file a time

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

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

day that the student was absent, only one time exception is needed if “Absent” is selected as the reason.

Change in Health Status/Extended Illness

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

Technology Students”, a physician’s letter indicating their current abilities and/or limitations must be provided to

the instructor. The physician’s letter will be reviewed to determine what accommodations, if any, may be made,

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

tasks while in the program. (Refer to Appendices for the “Essential Technical Standards.”) All course objectives

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

program objectives.

Any disability/illness of three (3) consecutive days or more requires a doctor’s release to return to the clinical

area. This is submitted to your BC Clinical Coordinator/faculty member. A physician’s written approval is

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

following delivery.

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

Program and/or Clinical Coordinator.

GRADE COMPUTATION

A minimum of a “C” grade must be maintained in each radiologic technology and required courses. The

percentage value of the alphabetical grading in all radiologic technology courses will be assigned as follows:

100-90% = A 89-82% = B 81-75% = C*

74-65% = D 64- 0% = F

*Minimum level for pass/no pass courses

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

progress within the Radiologic Technology Program.

Lecture Course

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

technology program course. The probation status will continue until the end of the semester. A probation report

will be completed with the original provided to the student following a conference with the instructor and/or

program director. A copy of the report will remain in the student’s file. The probationary status will be removed

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

semester/term.

Clinical Education Course

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

course and is graded on a pass/no pass basis. The evaluation process consists of the following: clinical competency

examinations, written clinical performance evaluation(s), and/or radiographic case studies (film critique). The

exact evaluation process is described in each individual course description.

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

unsatisfactory/unsafe performance or an unsatisfactory performance evaluation in the clinical area, the student

will be placed on probation for the remainder of the semester. Failure to show satisfactory improvement and/or

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

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

analysis, a student’s professionalism, and the ability to follow college and clinical affiliate policy based on safe

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

category on the “Performance Evaluation” that student will receive an automatic 75% grade for the written

performance evaluation. This unsatisfactory performance results in a student being placed on probation. Students

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

Incomplete Grades

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

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

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

to the conclusion of the next semester/session. An Incomplete may not be assigned as a Withdrawal grade.

PROGRAM PROGRESSION

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

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

Conferences

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

Attendance and tardiness

Professional ethics and attitude

Completion of homework and laboratory reports and/or clinical paperwork

Academic failure including poor performance on examinations

Competency examination performance

Failure to adhere to rules of personal cleanliness

Failure to demonstrate knowledge, skill, and judgment at expected program level

Failure to demonstrate compliance with college/clinical policies and procedures

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

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

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

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

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

considered when assessing unsatisfactory progress and when placing students on probation.

Probation

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

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

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

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

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

student, and instructor.

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Withdrawal and Exit Interview

The Admissions and Records Office, instructor or Bakersfield College Schedule of Courses or the college

website should be consulted regarding withdrawal date deadline for each course. A “W” received by a student,

for a program course, will result in the student being dropped from the program.

An exit interview with the program director is advised for a student leaving the program for any reason.

Re-entry Into Program

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

the regular enrollment filing dates and/or in accordance with program direction instructions. RE-

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

entry into the forthcoming program. Students dropped due to documented, unsafe clinical practices will not be

re-enrolled.

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

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

immunizations/lab tests, drug and alcohol and background screening, current healthcare provider BLS/CPR

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

performed.

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

program enrollment.

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Rev: 6/2012


CLINICAL EDUCATION

VERIFICATION OF ADDITIONAL CLINICAL HOURS

INSTRUCTIONS:

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

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

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

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

one/two hour increments for imaging centers.

3. All signatures must be included.

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

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

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

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

BC's Radiologic Technology Program.

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

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

by re-submission of this form.

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

students in and out time on the Verification Time Sheet.

ADDITIONAL INSTRUCTIONS TO STUDENTS: Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional

hours according to the following code:

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

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

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

recommended by a clinical instructor/coordinator.

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

FACILITY DATE & DAY STARTING ENDING TOTAL CODE

OF WEEK TIME TIME HOURS

____________________________________________________________________________________

____________________________________________________________________________________

Student's Signature Clinical Instructor Signature BC Faculty Signature

Date Date Date

18

Bakersfield College


Verification Time Sheet for Banked or Make-up Hours

_______________________________________ ____________________________

Student Name Clinical Site

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

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

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

hours. It is the student’s responsibility to obtain signatures as required.

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

Coordinator/faculty member on the Verification of Additional Hour Form before making up or

banking clinical hours outside of their regularly assigned clinical shift.

Date Time In Technologist

Signature

Time Out Technologist

Signature

Clinical Instructor

Signature

(clinical) verification time sheet 2009

19

IV. Guidelines for Professional Clinical Appearance

IV. GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE

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

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

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

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

Procedures

Students are responsible and accountable to observe the dress and grooming regulations as delineated in

this handbook.

Students are to adjust their dress prior to a clinical education assignment requiring special clothing: i.e.,

surgery, isolation, catheterization lab, etc. The dress code of the healthcare facility must be followed.

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

bleachable materials. Shoes must be clean.

Inappropriate dress and/or grooming will be discussed with the student by the clinical instructor and/or

clinical coordinator. Established conference procedures will be followed. Students will be excluded

from the clinical area for inappropriate dress and/or grooming on the second offense.

Dress Code

Uniforms

Tops and Pants or Skirts

Students must wear the adopted red uniform/scrub top with black uniform/scrub pants or skirt of knee

length or longer. Students may wear white or black short or long sleeve T-shirts under this uniform.

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

Inappropriate Uniforms – Uniform tops must be of sufficient length to not show midriff area.

Leggings/stretch pants, cropped pants, sweaters, sweatshirts and denim/jeans are not permitted.

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

black uniform pants.

Undergarments – Must be worn and not be visible through clothes or be outside of clothes.

Shoes – White or black, flat-soled polishable uniform or tennis shoes are required. Clogs, sandals,

canvas tennis shoes and open-toed shoes may not be worn with the uniform. No openings are permitted

on the shoes. Shoes must be tied securely.

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

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

college.

Guidelines for Professional Clinical Appearance

Grooming

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

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

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

be avoided. Acceptable hair colors include natural colors of black, brown, red, gray and/or blonde.

20

Mustaches, beards, and sideburns must be neatly groomed and must comply with the regulations of the

clinical education center. Beards are not permitted at some clinical education centers. Facial hair must

not interfere with or compromise the proper fit of respirator devices.

Fingernails must be clean and short (1/8 inch beyond fingertips) so as to not interfere with clinical

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

are not to be worn. Anything applied to natural nails other than clear polish is considered to be an

enhancement.

This includes, but is not limited to: artificial nails, tips, wraps, appliqués, acrylics, gels and any

additional items applied to the nail surface. Chipped nail polish may not be worn and must be removed.

Makeup must be conservative.

Jewelry and Adornment

Jewelry may be worn, but must not impede radiographic procedures. Students may be required to

remove jewelry when assigned to surgery or other special procedures.

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

hand; and one short neck chain. Visible facial/body piercings are not permitted. These include, but are

not limited to, the tongue, nose, eyebrows, lips, chin, and neck.

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

make-up, etc.)

Photo ID

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

College Radiologic Technology Student.

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

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

Miscellaneous

Bakersfield College and the clinical education centers are not responsible for loss of valuables. It is

recommended that items of value not be taken to class or to the clinical areas.

Smoking is discouraged and permitted only in areas designated at each clinical education center. Some

clinical agencies have a tobacco free policy for their entire facility and students must observe this at all

times.

Neither profanity nor chewing gum is permitted while attending patients.

21

On-Campus Laboratory Attire

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

following guidelines must be followed.

MS-21 Radiologic Technology Lab

Students must wear a full shoe with closed toes during all lab activities. No openings are permitted on

the shoes. Shoes must be tied securely.

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

shorts/skirts and low cut tops are not permitted.

MS-58 Skills Lab

Students must wear a full shoe with closed toes during all lab activities. No openings are permitted on

the shoes. Shoes must be tied securely.

Students must wear their BC red scrub top uniform during all assignments held in this lab.

Students must wear their BC identification name-tag during all assignments held in this lab.

Revised 3/2018

22

V. INSURANCE, ACCIDENTS/EXPOSURES AND INCIDENTS

INSURANCE

Malpractice Insurance

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

Community College District.

Accident Insurance

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

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

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

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

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

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

ACCIDENTS/EXPOSURES/INCIDENTS

Accidents/Exposures

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

District Safety Coordinator as follows:

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

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

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

The District Safety Coordinator will obtain the details of the accident, exposure and/or incident from the

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

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

may be contacted by (661) 395-4336.

Students are required to provide to their Instructors a Physician’s Work Status report after attending the

medical appointment. The Physician’s Work Status report indicates your ability to return to full work

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

In addition, all accidents must be reported to the Radiologic Technology/Allied Health Department

office.

While students are covered by school insurance for injuries sustained in laboratory, there is no guarantee that the

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

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

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

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

for better coverage.

Incident Reports

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

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

does not require that an official report be submitted

23

VI. CLINICAL OBJECTIVES

IV. Introduction to Clinical Objectives and Examples

Introduction

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

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

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

introduction.

A. Image Processing Procedures, Reception and Archiving Procedures, and Transportation Procedures.

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

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

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

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

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

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

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

procedures occurs every semester at the Education Centers. During the first few weeks of every

semester at the Centers, the students rotate through the image processing, archiving and

Transportation Department and learn how these essential tasks are performed. Each student’s

rotation through these tasks should be two days or approximately 16 hours. The specific writing

assignments pertaining to the image processing/archiving and transportation objectives are assigned

during RADT B4a and RADT B4b. Consequently, these writing assignments are not given in

subsequent semesters when students repeatedly rotate through these areas. These writing

assignments are described in the RADT B4a and RADT B4b Syllabi.

B. Operating Room Rotations

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

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

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

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

student rotating in a facility that has a surgery department.

C. Evening Rotation

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

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

hours of the evening rotation are from 2:30 p.m. – 11:30 p.m. The purpose of the evening rotation is

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

exams than routinely occur on day shifts. As the students participate in the second year of the

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

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

them to apply critical thinking skills, as they must adapt routine exams to non-routine trauma exams.

Prior to rotating through the evening shift, each student must read the sections on trauma

24

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

must complete a writing assignment after the evening rotation.

D. CT - Computed Tomography

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

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

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

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

must also keep a record of CT exams.

E. Angiography Rotation (Cath Lab or Interventional Suite)

One of the California requirements for radiologic technology programs is radiography students’

participating in angiography. Consequently, students spend approximately 64 hours in angiography

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

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

department; also, the student must complete a writing assignment after the student’s angiography

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

F. Specialized Imaging Modalities/Rotations

Beginning with RADT B7 (Second Summer Semester), the students will be given the option of

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

Imaging Modality rotation is approximately 32 hours, and the students may choose to spend their

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

exams must be recorded and submitted by the students during and after their rotation. Also, the

students must complete a writing assignment and reading assignment pertaining to the Modality.

The Specialized Imaging Modality rotation is optional and students must choose or decline their

rotation during the first spring semester in the program.

G. Radiographic Case Studies (Film Critique)

Another California requirement for radiography programs is Film Critique. Consequently,

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

Fall Semester), the students will individually present radiographic exams to the students’ clinical

classmates and coordinator. There are approximately 6-9 case study assignments each semester.

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

introduction.

25

Clinical Education – Introduction, 1, 2, 3, and 4

RADT B4a, B4b, B6, B7 and B10

Patient-Centered Care for Diverse Populations (ASRT Series)

After completing the ASRT modules, you will be able to explain the concept of patient-centered care. Several factors have

driven the evolution toward patient-centered care. Most notably, the general populace has become more knowledgeable

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

and their families have become more involved in health care decision making. As a result, health care is moving toward a

model that is more patient centered than physician centered. To fully participate in decisions about their care, patients

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

populations face additional barriers to receiving and understanding health care information. To meet the needs of these

individuals, health care organizations must develop culturally and linguistically appropriate ways of communicating with

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

To assist students with achieving competency in patient-centered care concepts, students will complete the following 10

modules during the first five clinical education courses (RADT B4a, B4b, B6, B7 and B10.

Course and Topic Due Date in Semester/Term RADT B4a- Introduction to Clinical Education

Module 1- Fundamentals

Module 2-Elderly Patients

First Summer of Program

Week 2 of term

Week 4 of term

RADT B4b- Clinical Education 1

Module 3- Pediatric Patients

Module 4- Patients with Physical Disabilities

First Fall of Program

Week 6 of term

Week 12 of term

RADT B6- Clinical Education 2

Module 5- Patients with Intellectual Disabilities

Module 6- Cultural Competence

First Spring of Program

Week 6 of term

Week 12 of term


Module 7- Health Literacy

Module 8- Diverse Body Habitus

Second Summer of Program

Week 4 of term

Week 8 of term


Module 9- Chronically Ill Patients

Module 10- Equitable Patient Care

Second Fall of Program

Week 6 of term

Week 12 of term

After completing the 10 modules a certificate of

completion will be issued.

End of Second Fall of Program

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

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

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

points. Completion of each module is mandatory for each respective clinical education course. 80% mastery must be

achieved to earn the certificate of completion for all modules.

Rtshare/Clinical Handbook/ASRT Patient-Centered Care for Diverse Populations

26

RADT B4b/RADT B6 – CLINICAL EDUCATION 1 & 2

REQUIRED SECOND AND THIRD SEMESTER

CLINICAL ROTATIONS

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

archiving and front office/patient registration skills, the student will be rotated through the following areas

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

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

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

CLINICAL EDUCATION CENTER ROTATION AVAILABLE

Bakersfield Memorial Hospital Image Processing

Transportation

Patient Registration/Archiving

Delano Regional Medical Center Image Processing


Transportation

Kern Medical Image Processing


Transportation

Kern Radiology Medical Group Image Processing


Mercy Southwest Hospital Image Processing

Mercy Hospital Downtown Transportation


Adventist Health Bakersfield Image Processing

Quest Imaging (Chester & Stockdale) Patient Registration/Archiving

Adventist Health Bakersfield Image Processing

(San Joaquin Community Hospital) Patient Registration/Archiving

Transportation

Southern California Orthopedic Institute Image Processing


Truxtun Radiology Medical Group Downtown Image Processing

Truxtun Radiology Medical Group Riverwalk Patient Registration/Archiving

(clin.hndbk.)sectionvi.doc Rev: 2/17

27

Bakersfield College


CLINICAL EDUCATION 1 - 5

Image Processing Procedure Objectives

The student will be able to demonstrate knowledge and practice in:

1. Location and use of: equipment used for image processing/image processing area.

2. Import accurate image identification and proper image imprinting operations.

3. Identification of various image receptor sizes and types and their storage location.

4. Operation of processing equipment, including on/off procedures, minor trouble shooting and

maintenance.

5. Image processing, including familiarization with various image receptors, holders, opening of

cassettes, image identification, and cassette storage.

6. Procedure for image duplication.

7. Recognition of processing artifacts, causes and prevention.

Patient Registration File Room Procedures


1. Access file system to locate, file and retrieve patient records.

2. Transfer image records between facilities and storage areas.

3. Learn to send processed images to the radiologist within the facility.

4. Release or mail image or film records utilizing appropriate forms.

5. Assist staff physicians, radiologists, department staff and other personnel authorized to utilize

the image library in the location of imaging records.

6. Demonstrate proper telephone etiquette by identifying area and person speaking. Route calls as

per department protocol.

(clinhndbk)sectionvi.doc revised 05/11

28

Bakersfield College



Transportation Procedures


1. Overall floor plan of the clinical education center, with special emphasis on the location of

nursing and other patient care areas.

2. Overall floor plan of the imaging department, including the location of all examination

rooms, work areas and equipment related to patient transportation.

3. Clinical education center fire evacuation plan and procedure.

4. Proper body mechanics in the transfer of patients to and from beds, wheelchairs, gurneys

or x-ray tables.

5. Patient identification confirmation.

6. Responsibility of patient transporter for transmission of information to and from nursing

units to imaging department as it relates to specific patient care, general patient welfare

or as it relates to the examination ordered or performed.

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

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

care.

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

department work schedule as it relates to the control of patient flow, equipment

utilization and patient transportation.

10. Responsibility of patient transporters for the safe care of patients during their prompt

transportation to and from the imaging department.

(clinhndbk)sectionvi.doc revised 05/11)

29

BAKERSFIELD COLLEGE


EVENING ROTATION OBJECTIVES


RADT B7, 10, and 13

Summer, Fall, and Spring Terms

INTRODUCTION:

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

after 2:00 PM. Often these exams are trauma and mobile radiography, as they are performed on trauma victims

and in the operating room.

READING ASSIGNMENT:

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

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

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

with injuries.

CLINICAL OBJECTIVES:

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

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

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

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

room and intensive care personnel.

2. Perform routine radiographic procedures.

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

4. Operate and manipulate radiographic equipment specific to trauma radiography.

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

yourself.

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

(clinhndbk)sectionvi.doc

30

BAKERSFIELD COLLEGE


CLINICAL EDUCATION

OPERATING ROOM OBJECTIVES

INTRODUCTION:

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

environment. Timely and accurate procedures are expected due to the patient’s general anesthesia. Knowledge

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

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

program.

OPERATING ROOM POLICY

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

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

privacy. In addition to observing the confidentiality of patient information, it is also the expectation that

students will not participate in the care of a friend of acquaintance without the consent of the patient. This

practice is specific to the student’s care/presence in the operating room.

To ensure adherence to the care practice as stated above, the following process will be utilized as required by

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

Check the patient name.

If the patient is known to the student, the student will inform the charge nurse or department manager

AND the instructor.

The student will be required to accept an alternate assignment.

STUDENT OBJECTIVES: RADT B7, 10, and 13- CLINICAL EDUCATION 3-5 Summer, Fall, and Spring Terms

Under direct technologist supervision, the student will:

1. Identify routine procedures used in surgical radiography examinations.

2. Perform routine operating room radiographic procedures.

3. Operate and manipulate mobile and c-arm radiographic equipment.

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

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

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

recovery room.

7. Adapt routine procedures to accommodate for a sterile environment.

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

9. Assumed responsibility for assigned work in the surgical suite based upon the student’s current level in

the program.

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

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

READING ASSIGNMENT:

Before beginning the surgery rotation, students should read about operating room radiography in the Trauma,

Mobile, and Surgical Radiography chapter of Bontrager’s Textbook of Radiographic Positioning and Related

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

radiography)

31

BAKERSFIELD COLLEGE


CLINICAL EDUCATION 3-5

RADT B7, 10, and 13


RADIATION ONCOLOGY

INTRODUCTION

The rotation through this modality of radiology will serve to orient the student with the history, theory, clinical

applications, terminology and patient care in radiation oncology. Each student

will observe and participate in, under direct supervision, the radiation treatment of patients.

In addition, each student will observe and assist with the taking and processing of port films,

setting up for treatments and assisting in care of the patient during their course of treatment.

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

specialty. Rotations will be offered during the second year of the program.

READING ASSIGNMENT

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

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

will be assigned at the clinical site.

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

Additional Diagnostic and Therapeutic (section on oncology).

STUDENT OBJECTIVES

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

be able to:

1. Define terminology specific to radiation therapy.

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

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

4. Understand the early and late effects of radiation treatment.

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

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

radiation.

7. Assist with taking port films, processing them and reloading cassettes.

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

(clinhndbk)sectioniv.doc revised 4/16

32

BAKERSFIELD COLLEGE



RADT B7, 10, and 13


DIAGNOSTIC ULTRASOUND

INTRODUCTION

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

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

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

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

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

program.

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

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

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

capability to locate and measure tissue interfaces, visualize moving/pulsatile structures and produce images of

organs or selected anatomical areas.

READING ASSIGNMENT

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

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

clinical site.


Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound).

STUDENT OBJECTIVES

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

able to:

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

of the exam.

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

supervision. Review quality control procedures for operation of equipment.

3. Assist the sonographer in preparing patients for ultrasound examination.

4. Process films/images.


33

BAKERSFIELD COLLEGE



RADT B7, 10, and 13


NUCLEAR MEDICINE

INTRODUCTION

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

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

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

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

two (32) hours in this specialty.

READING ASSIGNMENT

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

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


Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine).

STUDENT OBJECTIVES

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

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

2. Format and film studies with the technologist’s assistance.

3. Participate in patient preparation and obtaining the patient history.

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

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

6. Perform basic keystrokes on the acquisition and processing computers.

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

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

dosages for exam protocols.

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

10. Relate the differences between scintillation detectors and radiography equipment.

(clinhdnbk)sectionvi.doc revised 4/16

34

BAKERSFIELD COLLEGE



RADT B7, 10, and 13


MAGNETIC RESONANCE IMAGING

INTRODUCTION

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

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

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

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

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

resonance. Additionally, the student will learn basic scanning, computer applications, patient

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

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

READING ASSIGNMENT


Additional Diagnostic and Therapeutic Modalities (Section on MRI).

STUDENT OBJECTIVES


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

completion of scans performed.

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

words relate to MRI.

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

patient.

4. Demonstrate a good working knowledge of MRI safety.

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

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

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

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

9. Compare and contrast MR images with conventional radiographers.


35

BAKERSFIELD COLLEGE


MRI SAFETY INFORMATION

A major concern of Magnetic Resonance Imaging (MRI) is the ability of the “fringe field” to attract ferromagnetic objects

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

“missile effect” poses potential risks to the patient, everyone near the MRI scanner and damage to the scanner. Prolonged

periods of MRI machine down time results if damage to the machine occurs.

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

and specialty rotations. Students are not permitted to assist with patient transfers or any other capacity within the MRI suite

of any clinical facility until the student has completed the MRI Screening form, and they are cleared by BC faculty to enter

the MRI environment.

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

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

Documentation of MRI Safety training will be maintained in the student’s personal file kept in the Radiologic

Technology/Allied Health office.

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

device, and completion of a new MRI Screening form.

Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or assist in MRI: Hair clips Necklaces TLD’s (alligator clips) Wallets (credit cards erase) Name tags Coins Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys, etc.) Watches Clothing with metal in the material Earrings/body rings Students may not be allowed to participate in an MRI rotation if they have internal metallic objects. These internal metallic objects could include but are not limited to: Cardiac pacemaker Hearing aid Aneurysm clip(s) Metallic foreign body, shrapnel, or bullet Implanted cardiac defibrillator Heart valve prosthesis Neurostimulator Ear implant Biostimulator Penile prosthesis Any type of internal electrode(s) including: Orbital/eye prosthesis Pacing wires Any type of implant held in place by a magnet Cochlear implant Any type of surgical clip or staple(s) Implanted insulin pump Vascular access port Swan-Ganz catheter Intraventricular shunt Halo vest or metallic cervical fixation device Artificial limb or joint Implant: electronic, mechanical or magnetic Dentures Diaphragm Tattooed makeup (eyeliner, lips, etc.) IUD Body piercing(s) Pessary (intra-vaginal device) Internal Pacing wires Wire mesh implants Any metallic or foreign body

36

Any implanted orthopedic item: pins, rods, screws, nails, clips, plates, wire, joint replacement. MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy. At this time, the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown. If the student has any questions concerning MRI safety, the student should consult his/her Clinical Coordinator before signing the MRI Safety Form. The safety form will be provided in the first summer of the program. Revised: June 2016

37

BAKERSFIELD COLLEGE



RADT B7, 10, and 13


CARDIOVASCULAR - INTERVENTIONAL IMAGING

INTRODUCTION

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

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

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

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

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

READING ASSIGNMENT

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

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


Angiography and Interventional Procedures.

STUDENT OBJECTIVES


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

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

3. Use proper universal precautions with blood or other body fluids.

4. Position and patient for routinely performed procedures.

5. Select appropriate equipment for examinations performed

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

personnel.

7. Provide appropriate post-procedural care for the patient.

8. Properly dispose of used or contaminated supplies.

9. Identify film anatomy for positioning and filming.

(clinhndbk)sectioniv.doc revised 04/12)

38

BAKERSFIELD COLLEGE



RADT B7, 10, and 13

Spring, Summer, Fall, and Spring Terms

COMPUTED TOMOGRAPHY ***Does this need update due to new CT Objective?

I. INTRODUCTION

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

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

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

student will participate in computer operations, patient preparation and positioning.

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

remainder of the program.

II. READING ASSIGNMENT

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

introduction to this imaging field. In addition, other reading materials will be assigned at the clinical

site.

Bontrager, Kenneth. Textbook of Radiographic Positioning and Related Anatomy, current

edition, chapter on Computed Tomography.

Bushong, Stewart. Radiologic Science for Technologists, current edition, Multislice Spiral Computed

Tomography chapter.

III. STUDENT OBJECTIVES


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

2. Film studies with technologist’s assistance.

3. Participate in patient preparation and information.

4. Route patients from C.T. to other departments for complementary studies.

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

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

C.T. technologist.

7. Gain knowledge in basics of C.T. relative to concepts of slice thickness, slice spacing,

table increments, technique selection and scan routines.

8. Complete the CT objective mandatory form each semester/term the CT rotation occurs.


39

RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE)

Clinical Education 2 – 4 (RADT B6, B7, B10)

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

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

radiographic case studies during scheduled film critique sessions.

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

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

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

case study at the beginning of the session as scheduled.

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

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

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

A. REGULAR RADIOGRAPHIC CASE STUDIES: (RADT B6, B7, B10)

The radiographic case study format must include the following:

1. Correct pronunciation and use of English and medical terminology in both

oral and written forms.

2. Describe the exam routine, image sequence, position of part/patient, collimation,

breathing instructions and immobilization used. Discuss the quality of positioning used.

3. Identify anatomical and pathological structures and anatomical parts best

demonstrated on each projection.

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

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

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

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

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

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

protection.

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

methods (lead markers and digital annotation), blockers and system speed for film/screen

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

7. Assess image quality for anatomical structures and pathological conditions

demonstrated. The impact of image density/brightness, contrast, detail and distortion must be

analyzed. Discuss how image brightness and contrast (digital/gray scale or film-screen/scale of

contrast) may be adjusted.

8. Identify use of equipment and radiation protection measures.

9. Summarize and evaluate all technical, positioning and equipment factors

and their impact on achieving an optimum product for radiologic

interpretation. If the image is less than optimum, alternatives that would

improve and maximize radiographic quality must be provided and explained.

40

B. PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 & B10)

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

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

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

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

sources.

Additional information necessary for this type of case study includes:

1. Definition of all medical terms related to the pathology

2. Etiology and predisposing causes

3. Prevalence, mortality, morbidity and statistics

4. Symptoms, signs and manifestations

5. Methods of Diagnosis

6. Methods of Treatment

7. Reference sources [must include more than one source]

a. Suggested references may include, but are not limited to:

radiology, nursing, surgical, or medical texts, Merck’s Manual,

Allied Health encyclopedias or dictionaries, professional

journals and online resources.

C. RADIOGRAPHIC CASE STUDY REQUIREMENTS

RADT B6 (Spring) 6 case studies

Suggested exams may include:

Chest, KUB, upper and lower extremities

Cervical, thoracic or lumbar spine, pediatric, geriatric and

trauma

RADT B7 (Summer) 5 case studies

1 pathology case study and 1 pediatric, 1 geriatric

and trauma case study.

Suggested regular exams may include:

Cervical, thoracic or lumbar spine

GI system, GU system, Angiography

Special Imaging Modality

Suggested pathology exams may include:

Any exam listed from RADT B6

or RADT B7

RADT B10 (Fall) 6 case studies

2 pathology case studies, 1 pediatric, geriatric or

trauma.

Suggested regular Exams may include:

GI System, GU system, Skull

Special Imaging Modality, Angiography

Suggested pathology exams may include:

Any exam listed from RADT B6,

RADT B7 or RADT B10

41

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

category or presents something new/different [example: a portable examination]. It is expected that students

will present examinations commensurate with their current level in the program.

VII. Record of Clinical Procedures

BAKERSFIELD COLLEGE


RECORD OF CLINICAL PROCEDURES

Instructions to Students:

Daily Logsheets – Students will complete the items on the daily logsheets page; select the date, clinical

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

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

ask program leader what to use for the key field.

List of Categories

Extremity Upper and Lower

Chest and Thorax

Spine & Pelvis

Head

Abdomen and Fluoroscopy Studies

Mobile

Surgical

Pediatric

Geriatric

Trajecsys - On-Line Radiologic Technology Clinical Reporting System

How to Enroll and Pay

Logon on to www.trajecsys.com

Select Payments (Students)

o Go to Registration Page

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

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

access the system.

Cost:

o Students will pay Trajecsys Corporation directly via a link on the Trajecsys. Payments page

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

payment can be made (money orders or checks can also be sent directly to Trajecsys Corporation

- a billing office address is available on the Payments page. Trajecsys permits students to begin

using the system even if they haven’t paid by the stated registration date provided by the

program.

o Graduating Class of 2020 (2018-2020 Rad Tech Student); $150 for access from June 2018-May

2020); payment is due by June 30, 2018.

http://www.trajecsys.com/

42

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

made thereafter.

Check or Money Orders are accepted at:

o Trajecsys Corporation

6342 West Lake Drive

Alexander, AR 72002

o Select “Go to Registration Page”

o Register for Trajecsys

o Institution Name: Bakersfield College

o Include your full name

43

o Select Current Student (Class of 2016-2018)

o Select New Student (Class of 2017-2018)

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

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

your own password.

o Select Area: California

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

44

VII. Performance Evaluation in the Clinical Education Center

VII. Clinical Competencies, Final Competencies, Performance Evaluation, Self-Evaluation

46


Clinical Education 1-5

RADT B 4b, 6, 7, 10, 13

Clinical Competency Requirements

1. Flow Chart of Student Activity and Experience

2. Clinical Competency Requirements

3. Clinical Competency Evaluation Instructions

4. Clinical Competency Evaluation Form

5. Clinical Competency Evaluation Criteria

6. Radiologic Procedure Categories

Completed during Clinical Education 1-5

a. Extremity- Upper and Lower

b. Chest and Thorax

c. Pediatric

d. Geriatric

e. Head

f. Spine and Pelvis

g. Mobile Studies

h. Abdomen

i. Fluoroscopy Studies

j. Electives

7. Student Record of Clinical Competency

8. Terminal Competency Requirements

9. Terminal Clinical Competency Evaluation Form

10. Terminal Clinical Competency Categories

Completed after individual radiologic procedure categories (#6 above)

Completed during Clinical Education 3-5

a. Extremity

b. Chest and Thorax

c. Head

d. Spine and Pelvis

e. Abdomen and Fluoroscopy (clinhndbook)clincompproc.00 Revised 4/2016

47



RADT B 4b, 6, 7, 10, 13


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

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

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

and sufficiently practicing the exam in the clinical setting.

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

Number of Radiologic Procedures Required for Clinical Competency

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

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

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

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

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

Course

Semester/Term

Number of

Required

Competency

Exams per

Semester/Term

OR a Total

Number of

Competency

Exams

RADT B4b Fall Semester 3 6*

RADT B6 Spring Semester 9 12

RADT B7 Summer Term 13 25

RADT B10 Fall Semester 13 38

RADT B13 Spring Semester 14 52

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

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

practice achieved.

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

Category Completion:

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

score of 26/30 points possible). Each competency procedure must follow the department’s routine for a

complete exam. (clinhndbook)clincompproc.2016

48

COMPETENCIES

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

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

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

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

Trajecsys.

View and Sign

Students must view and sign all Competency Exams by:

1. From Left Menu Click: Reports

2. Select: Skill Summary

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

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

5. To sign the Competency form choose “Signature” from the drop down menu

6. Choose the from the drop down menu to add/type a comment if you choose

Note: Please document the specific Comp Exam performed for “Specify” Exams

EXAMPLE: Trauma Upper Extremity: Please note the specific exam performed

7. You may opt to print from this screen also

Clinical Instructors will document Competency Exams on Trajecsys by:

1. From Left Menu Click: Comp Evals

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

3. Add comments by selecting the (+) icon, please note none specific exams

Example: Trauma, Lower Extremity (note ankle on the form)

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

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

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

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

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

49

RADT B4B, 6, 7, 10, 13

Clinical Competency Evaluation Form Instructions: The student will notify the clinical instructor/radiographer evaluator when ready to perform a competency. The radiographer

evaluator will monitor the exam/procedure with a final review made by the clinical instructor if they are not the evaluator. Starred (*)

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

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

Student Name: Date:

Circle Major Study: Abdomen C-ARM Chest & Thorax Fluoro Geriatric

Head Lower Extremity Mobile Pediatric Spine & Pelvis Trauma Upper Extremity

Exam/Procedure Name: Performance Evaluation Areas: YES NO

1. Evaluation of Requisition

A. * Selected Correct Patient

B. Identified Correct Procedure

A._____ *

B._____

A._____ *

B._____

2. Physical Facilities Readiness:

A. Provided clean room and equipment

B. Obtained appropriate supplies for exam/patient

C. * Verified operation of equipment & suitability for exam

A._____

B._____

C._____ *

A._____

B._____

C._____ *

3. Patient Care: A. Gowned patient properly and maintained privacy/comfort

B. Introduced him/herself and explained procedure

C. Assessed patient and assisted/transported patient correctly

D. Programmed control panel according to exam

E. *Applied universal precautions

A._____

B._____

C._____

D._____

E._____ *

A._____

B._____

C._____

D._____

E._____ *

4. Equipment Operation:

A. Manipulated equipment controls/locks properly

B. *Selected correct imaging device & grid combinations

C. Selected appropriate exposure factors

D. Programmed control panel according to exam

A._____

B._____ *

C._____

D._____

A._____

B._____ *

C._____

D._____

5. Positioning Skills:

A. *Positioned patient properly

B. *Aligned central ray to part/image receptor/detector

C. *Selected correct tube angle

D. *Selected correct SID

E. Used immobilization devices, as needed

A._____ *

B._____ *

C._____ *

D._____ *

E._____

A._____ *

B._____ *

C._____ *

D._____ *

E._____

6. Radiation Protection:

A. *Collimated to Part

B. Used appropriate shielding devices, as needed

C. Maintained ALARA for personnel & patients

D. *Requested information on pregnancy, as appropriate

A._____ *

B._____

C._____

D._____ *

A._____ *

B._____

C._____

D._____ *

7. Repeats/Exam Completion Time:

A. *Student had no repeats

B. Exam completed in reasonable time limit Begin_____ End______

A._____ *

B._____

A._____ *

B._____

8. Image Evaluation: (Completed by Clinical Instructor)

A. *Anatomical part demonstrated in proper position

B. Optimal image density & contrast

C. Identified anatomical structures shown

D. Image & patient identification properly demonstrated

E. *Image correctly marked (annotation of right or left not accepted)

A._____ *

B._____

C._____

D._____

E._____ *

A._____ *

B._____

C._____

D._____

E._____ * SCORE: 30 POINTS POSSIBLE (minimum passing score is 26 or 85%) points

EVALUATOR'S SIGNATURE

CLINICAL INSTRUCTOR'S SIGNATURE

Comments: M:Clinical/Trajecsys Comp Form_

50

RADT B 4b, 6, 7, 10 and 13

CLINICAL COMPETENCY EVALUATION INSTRUCTIONS

The Student will:

Notify the Clinical Instructor/Radiographer Evaluator that they plan to complete a competency exam.

Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam.

Perform the competency exam under appropriate supervision.

Review the competency exam with the Clinical Instructor.

The Evaluator will:

Monitor the competency exam.

Complete Sections 1-7 on the evaluation form.

Record a response for each area, even if the competency is only partially completed by the student (i.e.,

technologist intervenes in exam). Write a brief explanation of why “no “was checked on the evaluation form.

Record the beginning and ending times of exam.

Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7.

The Clinical Instructor will:

Complete Section 8: Image Evaluation on the evaluation form.

Score the competency exam.

Review the competency exam, form and score with the student. Document remediation for

incomplete and/or failed exams.

Upon completion of the review with the students, give the competency evaluation forms to the Clinical

Coordinator.

The Clinical Coordinator will:

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

Review competency exam progress with the student.

(clinical)competent.doc

51

RADT B 4b, 6, 7, 10 and 13

CLINICAL COMPETENCY EVALUATION CRITERIA

PERFORMANCE EVALUATION AREA

1. Evaluation of Requisition

The student will:

Identify patient’s name and date of birth and verbally verify with patient or with ID band.

Inform evaluator of exam and positions to be performed.

Inform evaluator if clinical history requires adaptations.

2. Physical Facilities Readiness

The student will:

Select proper room and equipment for exam.

Demonstrate room and equipment readiness prior to patient and physician entering exam

room.

Inspect all radiographic equipment and accessories to ensure they are clean and ready for

use.

Manipulate equipment in positions necessary for exam.

Supply clean linens.

Locate and prepare necessary materials for routine exams.

Have appropriate immobilization and shielding devices available.

Have appropriate number and size of image receptors/detector ready for use.

Locate emergency equipment and supplies.

3. Patient Care The student will:

Introduce self to patient.

Address patient utilizing effective communication.

Determine the mode of transportation and manipulate equipment accordingly.

Transport patient to appropriate imaging area.

Determine need and provide for patient’s comfort and safety.

Maintain patient’s dignity by providing the patient with proper size and type of gown.

Remove all unnecessary articles from patient prior to exam.

Provide appropriate assistance to radiographic table based on patient’s condition.

Explain procedure to patient in understandable terms.

Answer any questions the patient may have concerning procedure.

Give proper instructions for moving and breathing.

Maintain confidentiality.

Demonstrate kindness, compassion and empathy towards patient.

Use personal protective equipment correctly.

Properly dispose of contaminated materials.

4. Equipment Operation The student will:

Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks.

Determine image detector, screen and grid combinations appropriate for procedure

and patient.

Determine proper image receptor/detector orientation.

Refer to technique chart

Select exposure factors following assessment of patients size, measurement and condition.

52

Select control panel parameters (i.e., AEC, Table Bucky, upright chest, photocells,

focal spot, sec, mA and kVp).

5. Positioning Skills The student will:

Position patient according to established protocol.

Adapt positions according to patient limitations.

Use correct baseline or landmark.

Align central ray to part and image receptor/detector.

Set correct tube angle.

Set correct SID

Use patient appropriate devices to immobilize.

6. Radiation Protection The student will:

Manipulate collimator to limit x-ray field size.

Demonstrate evidence of collimation on the part and image

Demonstrate appropriate use of lead apron, gloves, thyroid shields and lead blockers.

Select proper exposure factors to minimize dose.

Adjust exposure factors for procedure and patient.

Question female patient of child bearing age about possible pregnancy,

document and follow-up as necessary.

7. Repeats/Exam Completion Time The procedure required no repeats due to student’s action.

The student will complete the exam within reasonable time limits with regard to patient and

equipment variables.

8. Image Evaluation The radiograph demonstrates:

Part shown in proper position.

Proper tube, part and image receptor alignment.

Adequate detail.

Pertinent anatomy, student identifies structures best demonstrated.

Proper image density and appropriate scale of contrast.

Right, left and other markers displayed correctly and out of the area of interest.

Correct patient information and date

(clinical)competent.doc

53



Imaging Procedures

Required Exams

CATEGORY:

EXTREMITY- UPPER AND

LOWER

REQUIRED VIEWS

Thumb or Finger PA or AP, Oblique, Lateral

Hand PA, Oblique, Lateral

Wrist PA, Oblique, Lateral

Forearm AP, Lateral

Elbow AP, Oblique, Lateral

Humerus AP, Lateral

Shoulder AP, Internal and External

Clavicle AP, AP Axial

Trauma Shoulder or Trauma

Humerus (Trauma is considered a serious injury

or shock)

Scapular Y, Transthoracic or Axillary

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

include variations in positioning, movement of body parts, etc., non-

shoulder.

Foot Dorsoplanter, Oblique, Lateral

Ankle AP, Oblique, Lateral

Tibia and Fibula AP, Lateral

Knee AP, Oblique, Lateral

Femur AP, Lateral

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

include variations in positioning, minimal movement of body parts, etc.

CATEGORY:

CHEST and THORAX

REQUIRED VIEWS

Chest, routine PA, Lateral

Chest, wheelchair or stretcher AP

Ribs AP or PA, Obliques

CATEGORY:

PEDIATRIC

REQUIRED VIEWS

Chest, age 2 years or younger PA/AP, Lateral

Chest, age 6 years or younger PA/AP, Lateral

Extremity, age 6 years or

younger

Specify complete exam, either upper or lower extremity

54

Required Exams, Clinical Competency

CATEGORY:

GERIATRIC * Geriatric Patient (At Least 65 Years

Old and Physically or Cognitively

Impaired as a Result of Aging)

REQUIRED VIEWS

Chest* PA and lateral

Upper extremity* Specify Exam

Lower extremity* Specify exam

CATEGORY:

HEAD

REQUIRED VIEWS

Paranasal Sinuses 3 view Minimum, 5 view Preferred: Parietoacanthial

(Waters), Lateral, PA, PA Axial (Caldwell)

CATEGORY:

MOBILE STUDIES

REQUIRED VIEWS

Portable Chest AP

Portable Abdomen KUB (to include symphysis pubis)

Portable Orthopedic Specify Exam

CATEGORY:

MOBILE C-ARM

REQUIRED VIEWS

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

and manipulation around a sterile field

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

Requires manipulation to obtain more than one projection

CATEGORY:

SPINE and PELVIS

REQUIRED VIEWS

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

Mouth

Trauma Cervical Spine

Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock. Modifications may include variations in

positioning, minimal movement of body parts, etc.)

Thoracic Spine AP, Lateral

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

preferred

Pelvis AP

Hip AP, Lateral

Cross-Table Hip Lateral- horizontal beam

CATEGORY:

ABDOMEN

REQUIRED VIEWS

Abdomen, (KUB) Supine

Abdomen Upright

55

Required Exams, Clinical Competency

CATEGORY:

FLUOROSCOPY STUDIES

REQUIRED VIEWS

Upper GI Series, Single/ Double

contrast

OR

Barium Enema, Single/ Double

Contrast

Per site protocol

Small Bowel Series Per site protocol

Clinical Competency Requirements Imaging Procedures Continued:

ELECTIVE EXAMS,

Minimum of 10 Exams Required for Clinical Competency

CATEGORY:

EXTREMITY, Upper and

Lower

REQUIRED VIEWS

Scapula AP, Lateral

Acromioclavicular Joints Bilateral AP with/without weights

Toe AP, Oblique, Lateral

Calcaneus Lateral, Axial

Patella Sunrise or complete knee to include Sunrise

CATEGORY:

CHEST and THORAX

REQUIRED VIEWS

Chest Lateral Decubitus

Sternum Oblique, Lateral

Upper Airway Soft-Tissue Neck

CATEGORY:

PEDIATRIC

(6 years and younger)

REQUIRED VIEWS

Mobile study

Specify Exam

Abdomen

Specify Exam

CATEGORY:

HEAD

REQUIRED VIEWS

Skull AP/PA, Laterals, AP Axial (Towne)

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

56

ELECTIVE EXAMS,

Minimum of 10 Exams Required for Clinical Competency

Nasal Bones Laterals, Parietoacanthial (Waters)

Mandible PA/AP, Axiolateral Oblique, Lateral, AP Axial

Zygomatic Arches Submentovertex

Orbits Parietoacanthial/Orbitoparietal Oblique or Parietorbital Obliqe

TMJ Per site protocol

CATEGORY:

SPINE and PELVIS

REQUIRED VIEWS

Scoliosis Series Complete Series

Sacroiliac Joints Obliques/AP Axial

Sacrum and/or Coccyx AP or PA Axial, Lateral

CATEGORY:

ABDOMEN

REQUIRED VIEWS

Abdomen Decubitus

Intravenous Urography Per site protocol

CATEGORY:

FLUOROSCOPY STUDIES

REQUIRED VIEWS

Esophagus Per site protocol

ERCP Per site protocol

Cystography or

Cystourethrogram

Per site protocol

Arthrography Per site protocol

Hysterosalpingography Per site protocol

Myelography Complete exam, includes material and equipment prep

57

STUDENT’S RECORD OF CLINICAL COMPETENCIES

Name: ________________________________________ Class of 2018-2020

REQUIRED COMPETENCIES

All of these exams must be completed.

DATE LOCATION SCORE SIM./PT.

EXTREMITY- Upper and Lower

Finger

Hand

Wrist

Forearm

Elbow

Humerus

Clavicle

Shoulder

Trauma Shoulder or Humerus

Trauma Upper Extremity, non-shoulder

Foot

Ankle

Tibia and Fibula

Knee

Femur

Trauma Lower Extremity (Specify)

CHEST and THORAX

Chest

AP Chest – stretcher/wheelchair

Ribs

PEDIATRIC

Chest (2 years or younger – 2 view)

Chest (6 years or younger – 2 view)

Extremity, age 6 years or younger

GERIATRIC (at least 65 years old and physically or

cognitively Impaired)

Chest, routine

Upper Extremity (Specify)

Lower Extremity (Specify)

58

REQUIRED COMPETENCIES

All of these exams must be completed


HEAD

Paranasal Sinuses

SPINE AND PELVIS

C-Spine

Trauma Lateral C-Spine

T-Spine

Spine and Pelvis Continued

L-Spine

Pelvis

Hip

Hip – Cross table lateral

MOBILE STUDIES

Portable Chest

Portable Abdomen

Portable Orthopedic

SURGICAL STUDIES

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

C-Arm Procedure (Requires sterile field)

ABDOMEN

Abdomen Supine

Abdomen, Upright

FLUOROSCOPY STUDIES

UGI or BE

SBS

M:Clinical Competencies/2017-2019 (revised 2018)

59

STUDENT’S RECORD OF ELECTIVE CLINICAL COMPETENCIES

ELECTIVE COMPETENCIES

10 of these 27 elective procedures must be completed.


EXTREMITY- UPPER & LOWER

Scapula

AC Joints

Toes

Calcaneus

Patella

CHEST and THORAX

Decubitus Chest

Sternum

Upper Airway Soft Tissue Neck

PEDIATRIC

Mobile Study

Abdomen

HEAD

Skull

Facial Bones

Orbits

Zygomatic Arches

Mandible (no Panorex)

Nasal Bones

SPINE and PELVIS

Scoliosis Series

Sacroiliac Joints

Sacrum or Coccyx

ABDOMEN

Abdomen Decubitus

Intravenous Urography

FLUOROSCOPY STUDIES

Esophagus

Cystography/Cystourethrography

Myelography

ERCP

Arthrography

revision 2018

60



RADT B10 & B13

Terminal Competency Requirements

Introduction:

During Clinical Education 4-5, RADT B10 & 13, the terminal clinical competency system will be completed.

A student will perform the required terminal competencies after demonstrating competency for an individual

radiologic procedure category. The terminal competencies will be completed as a simulated exam at Bakersfield

College.

Each terminal competency category has a specified number of exam sections. A student will complete one of

the exam sections identified on the category listing. The exam section is selected at random. Refer to the

attached category listing for the required exams.

Terminal Competency Completion

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

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

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

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

85% for the position.

61

Bakersfield College


TERMINAL CLINICAL COMPETENCIES

Completion of Terminal Competencies:

A student will be required to complete each of the five (5) required exam sections listed below. Each

radiographic position must be successfully passed, with an 85% or higher, in order to complete the Terminal

Competency Evaluation.

If any position score is below 85%, the student will meet with the instructor for remediation purposes.

Following remediation, the student will perform a complete exam for the position not successfully passed.

All 5 categories must be passed to successfully complete the Radiography Program.

CATEGORY: EXTREMITIES

REQUIRED EXAMS: Lateral Forearm

Oblique Wrist

AP Humerus

AP Ankle

Oblique Foot

Lateral Knee

Axial Calcaneus

OR

Lateral Hand

AP Forearm

Lateral Elbow

Transthoracic Shoulder

AP Tibia-Fibula

Lateral Foot

Oblique Knee

OR

Oblique Hand

Lateral Wrist

Axial Clavicle

External Rotation Shoulder

AP Foot

Lateral Ankle

Sunrise View Patella

OR

PA Wrist

AP Elbow

Lateral Humerus

Y View Shoulder

Lateral Tibia-Fibula

Oblique Ankle

AP Femur

62


CATEGORY: HEAD

REQUIRED EXAMS: PA Skull

Parietoacanthial (Water’s) Sinuses

Lateral Facial Bones

AP Axial (Towne) Skull

Pa Axial (Caldwell) Sinuses

OR

AP Skull

Parietoacanthial (Water’s) Facial Bones

Lateral Skull

AP Axial (Towne) Skull

PA Axial (Caldwell) Sinuses

CATEGORY: ABDOMEN and FLUOROSCOPIC STUDIES

REQUIRED EXAMS: RAO Stomach

Oblique Esophagus

Lateral Rectum- BE

AP Bladder- IVU

KUB – BE. IVU, SBS

OR

PA Stomach – UGI

Oblique Esophagus

Lateral Rectum – BE

AP or PA Axial - BE

Lateral Decubitus KUB – BE

CATEGORY: CHEST AND THORAX

REQUIRED EXAMS: Lateral Decubitus Chest

PA Chest

Lateral Chest

AP Right Unilateral Ribs Above Diaphragm

Oblique Right Unilateral Ribs

AP Below Diaphragm Ribs

63


CATEGORY: SPINE and PELVIS

REQUIRED EXAMS: Lateral C- Spine

AP T-Spine

Oblique L-Spine

AP Axial Sacrum or Coccyx

Lateral Hip

OR

AP Axial C-Spine

Swimmer’s View T-Spine

Lateral L-Spine

AP Open Mouth C-Spine

AP Pelvis

OR

AP Axial Oblique C-Spine

Lateral T-Spine

AP L-Spine

Oblique L-Spine

Trauma Cross-Table Lateral Hip

OR

Oblique L-Spine

Lateral Sacrum and Coccyx

AP T-Spine

Trauma Cross-Table Lateral C-Spine

AP Pelvis

64

Example Form

TERMINAL CLINICAL COMPETENCY EVALUATION FORM

CATEGORY: ABDOMEN & GI TRACT

2

STUDENT DATE CARD NUMBER

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

following:

1. Acceptable 0. Unacceptable

TIME LIMIT SPECIFICATIONS: Student completed the competency within 30 minute time limit. Yes/No

Begin Time: ____________________________ Conclusion Time: ________________________


YES NO

SECTION A

1. PATIENT CARE: The Student:

a. Identified patient/introduced self

b. Asked patient to remove unnecessary articles and to gown

c. Requested information on pregnancy, as appropriate

SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING

SECTION B.


SECTION B PA

Stomach

Oblique

Esophagus

Lateral

Rectum-BE

AP or PA

Axial -BE

Lateral

Decubitus

KUB-BE

1. POSITIONING SKILLS: The Student:

a. Properly centered patient

b. Gave clear positioning instructions

c. Aligned central ray to part

d. Aligned central ray to image receptor

e. Utilized correct tube angle

f. Gave proper breathing instruction

g. Immobilized patient properly

h. Used appropriate devices for comfort or

immobilization

i. Maintained patient comfort and safety throughout

exam

2. EQUIPMENT OPERATION: The Student:

a. Manipulated equipment controls/locks

properly

b. Selected grid/Bucky/chest board/table top as

appropriate

c. Programmed control panel appropriately

kVp

mAs

65


SECTION B (CONTINUED) PA

Stomach

Oblique

Esophagus

Lateral

Rectum- BE

AP or PA

Axial- BE

Lateral

Decubitus

KUB- BE

2. EQUIPMENT OPERATION: The Student:

d. Selected appropriate cassette size

e. Oriented cassette correctly

f. Correctly placed marker(s)

g. Selected correct marker

h. Placed blocker out of area of interest

i. Used appropriate SID

3. RADIATION PROTECTION: The Student:

a. Collimated to cassette size or within one inch of

area of interest

b. Shielded patient when necessary

TOTAL EACH COLUMN:

/20

/20

/20

/20

/20

85% =

17/20

17/20

17/20

17/20

17/20

OVERALL TOTAL SCORE

/100

Achieved Competency in all positions with 85% or better: /YES /NO

COMMENTS/OR REMEDIATION TERMS:

Signature of Clinical Coordinator Date

Rev: 7/2012

(clinicalcomp)abdomen-gitract2 2012.doc

66

Performance Evaluations

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

System. Students will be notified when Evaluations are ready for review with their Clinical Instructor

and Clinical Coordinator. Students will review and print the Performance Evaluation and Self

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

Instructor and Clinical Coordinator.

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

familiar with the evaluation grading criteria.

Sample Performance Evaluation


CLINICAL EDUCATION PERFORMANCE EVALUATION Course: RADT B6 - Clinical Education 2

____________________________ _______________________

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

A. Attendance: The student demonstrates competency in this category by meeting the following objectives: (I) Independent: Performs consistently each time without support or direction (S) Supervised: Performs consistently each time; requires occasional support or direction; Occasionally absent (A) Assisted: Performs adequately under supervision; requires regular support or direction, occasionally absent; inefficient use of time (U) Unsatisfactory: Performs inconsistently; requires constant support or direction; inefficient use of time, regularly absent (N/A) Not applicable: Not observed or does not apply.

Points 4 I

Points 3 S

Points 2 A

Points 1 U

N/A

1. Arrives on time, remains for entire shift, and observes scheduled break and lunch times: notifies appropriate clinical personnel as to absence and tardiness.

2. Prepared to work upon arrival.

3. Pattern of attendance is conducive to learning.

Attendance Comments: ________________________________________________________________________________________________________________________ Evaluation continues with 4 more categories:

A. Professional Conduct B. Patient Care and Communication C. Technical Skills D. Productivity

Student Comments (Optional): ______________________________________________________________________________________________________________________________

*Grades are computed for individual evaluations using the point scale below.

67

A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less The course is graded on a pass/ no pass basis. Course credit is based on earning a 75% or higher for the total points possible as referenced in the course syllabus. Note: Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle. The probation status also includes an automatic 75% on the evaluation. Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective. Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course. Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy. Clinical Instructor signature B.C. Clinical Coordinator signature Student signature ________________________ Date Date Date NOTE: Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester.

68

Self-Evaluations

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

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

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

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

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

Clinical Instructors and Clinical Coordinator for review.

SAMPLE:

BAKERSFIELD COLLEGE


STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION

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

__/ Final (due at time of evaluation) RADT B7___

Clinic Location

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

level of performance.

Below

Passing

Grade of

C

Grade of

B

Grade of A

A. ATTENDANCE: I demonstrate competency in this category by meeting

the following objectives:

less than

75%

At least

75% -81%

At least

82% -89%

At least

90%-100%

1. Arrive on time, remain for entire shift, and observe scheduled break and

lunch times. Notifies appropriate clinical personnel as to absence and tardiness.

2. Arrive prepared to work.

3. Have a pattern of attendance that is conducive to learning.

Comments: ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

B. PROFESSIONAL CONDUCT: I demonstrate competency in this

category by meeting the following objectives:

less than

75%

At least

75% -81%

At least

82% -89%

At least 90%-

100%

1. Maintain patient confidentiality.

2. Accept direction and guidance from supervisors and technologists.

3. Adapt well to varying assignments.

4. Participate in and demonstrate effective communication skills with

physicians and the health care team.

5. Work efficiently without outside interferences, (limits social conversations,

phone use, etc.).

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

by the program.

Comments: ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of

B

Grade of A

C. PATIENT CARE AND COMMUNICATION:

I demonstrate competency in this category by meeting the

following objectives:

less than

75%

At least

75% -81%

At least

82% -89%

At least 90%-

100%

1. Determine patient identity and assess patient condition/mobility.

2. Obtain patient history pertinent to exam/procedure.

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

patient.

4. Anticipate and respond to the patients’ needs to ensure safety.

69

5. Provide privacy and comfort for the patient.

6. Observe standard precautions.

Comments: ________________________________________________________________________________

Below

Passing

Grade of

C

Grade of B Grade of A

D. TECHNICAL SKILLS: I demonstrate competency in this

category by meeting the following objectives:

less than

75%

At least

75% -81%

At least

82% -89%

At least

90%-100%

1. Assist patient in preparing for examination, (gowning, removal of non-

essential items for area being examined, etc.).

2. Prepare the room prior to beginning of examinations.

3. Demonstrate proper use of radiographic equipment.

4. Demonstrate proper use of fluoroscopic equipment.

5. Demonstrate effective positioning skills according to course objectives and

determine the extent to which modifications may be necessary according to

patient condition.

6. Select appropriate image receptor, digital plate and/or grid combinations.

7. Utilize lead markers correctly to identify body position, time, etc.

8. Restrict the beam to the area of interest.

9. Use proper immobilization devices for positioning or to restrict patient

motion.

10. Demonstrate ability to formulate technical factors (kVp, mA, time

photosensor, etc.), on control panel

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

appropriately.

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

this clinical education center.

13. Employ appropriate radiation protection practices for patient and myself while

maximizing ALARA.

14. Can recognize suboptimal images and determine causative factors.

15. Transport patients safely utilizing proper body mechanics within the

department and/or clinical education center.

16. Understand and follow emergency procedures for the department and

clinical education center.

17. Demonstrate satisfactory knowledge of clerical and office procedures

(procedures for requisitions, telephone protocols, patient information retrieval,

etc.).

Comments: _______________________________________________________________________________

Student Signature Clinical Instructor

Date Date M:clinical/Student Self Assess Forms/Revised B6&B7 2018

Below

Passing

Grade of

C

Grade of B Grade of

A

E. PRODUCTIVITY: I demonstrate competency in this category by

meeting the following objectives:

less than

75%

At least

75% -81%

At least

82% -89%

At least

90%-100%

1. Make myself available for additional learning experiences when free from

routine assignments.

2. Maintain adequate amount and type of room supplies.

3. Initiate work on my own.

4. Assume responsibility for work completion.

5. Work independently based on current course objectives.

6. Minimize the number of repeat exposures.

7. Perform examinations within acceptable time limit.

Comments: ________________________________________________________________________________

70

IX. Student Evaluation of Clinical Experience

STUDENT EVALUATION OF CLINICAL EXPERIENCE

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

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

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

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

category from “strongly agree” to “strongly disagree” including a not applicable category. All students are

encouraged to provide both positive and negative criticisms on this evaluation.

Summaries are made of all evaluation forms for each specific education center. After review of the

summaries by the Clinical Coordinators and the Program Director, the summaries are delivered to the respective

clinical education centers. Clinical Coordinators review the summaries with the Clinical Instructors and the

managers of the radiology departments. Each of the evaluations as well as the summaries are kept on file in the

Program Office.

SAMPLE FORM BAKERSFIELD COLLEGE


STUDENT EVALUATION OF CLINICAL EXPERIENCE

Date: ______________________________ Affiliate: _________________________

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

assigned clinical facility according to the following scale in the spaces

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

QUESTION NUMBER OF RESPONSES

Strongly

Agree

Agree

Neutral

Disagree

Strongly

Disagree

Not

Applicable

1. Your time was well spent in this

clinical facility.

2. The amount of time spent in this

clinical affiliate was adequate time to

expose you to a variety of procedures.

3. You were adequately rotated through

the various rooms and department

work areas to allow for optimum

exposure to various procedures.

4. You received adequate orientation in

equipment operation and maintenance.

5. You received an adequate orientation

to office, transportation and image

processing procedures.

6. The clinical routines and procedures

were explained sufficiently to allow

71

for thorough understanding.

7. You received adequate supervision

while performing your assigned duties.

8. You were allowed ample opportunity

to “work on your own”.

9. You received thorough feedback on

your performances to enable you to

improve on your weaknesses.

10. You received individualized

instruction when necessary.

QUESTION NUMBER OF RESPONSES

Strongly

Agree

Agree

Neutral

Disagree

Strongly

Disagree

Not

Applicable

11. The theories and principles learned in

didactic courses were adequately

reinforced in the clinical setting.

12. The clinical instructor(s) was/were

available when you needed them.

13. You were able to discuss problems

with the staff.

14. The technologists were interested and

willing to take time to give

instructions and assistance.

15. The radiologists and/or physicians

were interested and willing to take

time to give instructions and

assistance.

16. The overall impression of the working

relationships among the radiologists,

physicians, technologists, students and

ancillary personnel was one of

teamwork.

COMMENTS:

17. What do you like best about this clinical rotation?

18. What do you like least about this clinical rotation?

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

20. Specific comments for questions 1-16(indicate#)

72

X. CLINICAL EDUCATION CENTER INFORMATION

Clinical Affiliates

Clinical Education Setting Clinical Instructor

Adventist Health Bakersfield

(San Joaquin Community Hospital )

2615 Chester Avenue Spencer Orr, RT(R)

Bakersfield, CA 93301 Benjamin Barnard, RT(R)

(661) 869-6260 Kristen Myers, RT(R)

Director, Radiology – Scott Conlee


Quest Imaging-Stockdale Tammara Newby, RT(R)

9602 Stockdale Highway Lynette Smith, RT(R)

Bakersfield, CA 93311

(661) 633-5000 (main)

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

(661) 633-2500 Fax

Manager, Diagnostic Imaging – Chris Granillo, RT(R)(MR)


Quest Imaging Chester 2700 Chester Avenue Lisa Barnett, RT(R)


(661) 637-8727

Manager, Diagnostic Imaging – Danyell Deckard, RT(R)

Bakersfield Memorial Hospital (Dignity Health) Uyen Le, RT (R)(M)

420 - 34th Street Kalvir Sohal, RT (R)

(661) 327-4647 Ext 3106

Bakersfield, California 93301

Director of Imaging Services – Gary Stevens, RT(R)

Delano Regional Medical Center Armando Ramirez, RT(R)

1401 Garces Highway

Delano, CA 93215

(661) 322-4757

(661) 725-4800

Director of Imaging –

73

Clinical Education Setting Clinical Instructor

Kern Medical 1700 Mount Vernon Avenue Cynthia Acosta, RT(R)(M)

Bakersfield, CA 93306 Andrea Slagter, RT(R)

(661) 326-2522

Radiology Manager – Suzanne Knight, RT(R)

Kern Radiology Medical Group, Inc. Cindy Randall, RT(R)

2301 Bahamas Drive


(661) 326-9600, ext. 6270 or 6272

CEO: Teri Macedo, RT(R)(CT)(MR)

Mercy Hospitals of Bakersfield- Downtown (Dignity Health)

2215 Truxtun Avenue Joyce Horvath, RT(R)


(661) 632-5281

Director of Imaging Services – Evangelea Morgan, RT(R)

Mercy Hospitals of Bakersfield-Southwest (Dignity Health) Tara Martinez, RT(R)(CT)

400 Old River Road


(661) 663-6281

Director of Imaging Services – Evangelea Morgan, RT(R)

Southern California Orthopedic Institute 2400 Bahamas Drive Julie Unruh, RT(R)


(661) 328-5565

Practice Administrator, Bakersfield Operations –

Rashal Campos

Truxtun Radiology Medical Group Marissa Diaz, RT(R)

9900 Stockdale Highway, Suite 100


(661) 616-5123

Chief Technologist – James Vance, RT(R)(MR)(CT)

Site Manager – Mari Marquez

Truxtun Radiology Medical Group 1817 Truxtun


(661) 325-6800, ext. 20177

Chief Technologist – James Vance, RT(R)(MR)(CT)

Site Manager – Carolina Sanchez

74

Clinical Education

Site Locations and Parking

The Radiologic Technology Program website, www.bakersfieldcollege.edu/allied-health/radtech, has links to all clinical

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

the location for each center.

Parking Instructions:

Adventist Health-Quest Imaging Stockdale

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

Adventist Health-Quest Imaging Chester

Parking is adjacent north of building.

Adventist Health- San Joaquin Community Hospital

Visitor/Employee Parking Garage is located on 28th Street. Park on the top floors. Do not park in visitor/patient

parking areas.

Bakersfield Memorial Hospital

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

Delano Regional Medical Center

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

Kern Medical

Park in the East visitor parking lot adjacent to Mt. Vernon Avenue across from East High School.

Kern Radiology Medical Group

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

Mercy Hospital Downtown

Employee/student parking is on 16th Street south of the main hospital. Do not park in the patient parking areas

which are closest to the hospital.

Mercy Hospital Southwest

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

available in the rear lot behind the hospital.

Southern California Orthopedic Institute

Parking is adjacent to the side of the building closest to Hwy 99.

Truxtun Radiology Medical Group- Downtown

Parking is available in a gated lot south of the main building off of “G” Street.

Truxtun Radiology Medical Group- Riverwalk

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

http://www.bakersfieldcollege.edu/allied-health/radtech

75

XI. PROGRAM FACULTY AND STAFF

Radiologic Technology

Program Contact Information

College Address Program Messages Bakersfield College (661) 395-4284 Main Office


1801 Panorama Drive Voice Mail

Bakersfield, CA 93305-1299 Contact each phone number

to leave messages on voicemail

Program Director

Nancy J. Perkins, M.A. Ed., RT(R)(M) Program Office Location

Professor Math-Science – Room 178

(661) 395-4247

[email protected] Program X-Ray Laboratory

MS-181 Math-Science – Room 21 & 22

Full-Time Program Faculty

Vacant, TBA

(661) 395-4467

MS-162

Jacy Hill, M.A. Ed, RT(R)

Instructor

(661) 864-9969

[email protected]

MS-161

Adjunct Program Faculty

Kellie Smith, B.A., RT(R)(MR)

Instructor

[email protected]

Program Assistant

Department Assistant

(661) 395-4284

MS-178

Rtshare/Faculty/Program Contact List

Rev: 4/2018

mailto:[email protected]

mailto:[email protected]

76

Section XII – Student Complaint Procedures

Student Complaint Policy

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

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

Community College District’s (KCCD) Board Policy. The board policy may be accessed on-line at:

https://www.kccd.edu. Review the Board of Trustees section of the website and then access the board policy,

Section 4: Students/Instructional Services.

Student Treatment Statement

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

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

expected by society.

Student Complaint Procedure

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

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

compelling, substantive, and verifiable nature (KCCD Policy 4F10).

Informal Student Complaint Procedure

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

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

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

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

the date of the incident leading the complaint.

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

Technology Program is as follows:

Discuss the issue with Instructor and if not satisfied;

Discuss the issue with the Program Director

Formal Student Complaint Procedure

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

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

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

Course content

Access to classes

Verbal or physical abuse by faculty, staff, or students

Faculty member refusal to confer with student(s)

Harassment

This procedure does not apply to student complaints, which involve:

Unlawful Discrimination (See KCCD Policy 7D4)

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

maintain a working and educational environment free of sexual harassment.

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

77

STUDENT CONDUCT

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

www.bakersfieldcollege.edu. Review the Student Services section of the catalog under Student Conduct

http://www.bakersfieldcollege.edu/

78

XV. HANDBOOK AGREEMENT

Bakersfield College

Associate in Science Degree


Clinical Handbook Agreement

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

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

Failure to abide by the policies in this handbook will/may result in disciplinary action.

_______________________________

Print Name

________________________________ ________________________

Student Signature Date

Notice to Student:

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

radiologic technology clinical handbook 2018

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