RAD 230 - Clinical Education II

1. Identify essential anatomy on all exams learned, and appropriately position patients, in all procedures learned in RAD-122 & RAD-142 (Radiographic Procedures I & II).
2. Maintain ongoing improvement in professionalism
3. Demonstrate proficiency without needing assistance in the operation and manipulation of radiographic equipment through clinical experience, practice, and daily use.
4. Recognize appropriate factors for specific body parts learned in RAD-122, RAD-142 (Radiographic Procedures I & II), and apply radiation safety.
5. Display empathy and develop ability to provide a safe environment, while appropriately caring for patient needs.
6. Demonstrate ability to communicate with clinical instructor and all health care personnel, and demonstrate intermediate stages of patient communication.
7. Participate in all general radiology exams in RAD-122 & 142 (Radiographic Procedures I & II) and observe and assist in all exams and procedures in the department.

Course Objectives:

• Develop critical thinking skills in prioritizing and providing safe patient care.
•  Utilize intermediate communication skills to foster working relationships with staff technologists, clinical Instructor, and other members of the health care team.
• Exhibit appropriate and safe radiation safety practices at all times.
• Maintain appropriate professional appearance at all times.
• Demonstrate appropriate professional behavior at all times.
• Develop two patient identifiers, check for pregnancy (if appropriate) and three critical thinking questions when addressing the patient, the patient needs, patient condition, and/or the disease process.
• Ask appropriate questions relevant to the exam.
• Maintain a conversation with the patient to help facilitate patient time in the radiology department.
• Gain experience working and thinking critically with patients who exhibit a large body habitus while under direct supervision.
• Demonstrate the ability to adapt according to difficult and challenging patient conditions with minimum assistance under direct supervision.
• Know the beginning steps for procedures, considerations, and equipment set-up for pediatric patient procedures.
• Develop an innate ability to assess patient and think critically when addressing patient needs.
• Work independently and with indirect supervision on all radiographs that have been documented as competent to perform.
• Manipulate independently, equipment and patient medical equipment such as I.V. poles, oxygen equipment, suction, and other patient care items.
• Investigate and document the reasons for repeat radiographs and explain how to improve the radiograph.
• Identify appropriate exposures factors and exposure index range while performing radiographs.

IOWA CENTRAL’S COMPETENCY REQUIREMENTS

Iowa Central Radiology Technology Program Clinical Competency Requirements The ten General Patient Care Procedure competencies are mandatory. These competencies may be simulated according to the ARRT requirements.

Students are required to have all 36 mandatory imaging procedures completed, 15 elective imaging procedures completed (one from the head section and two from the fluoroscopy studies section (one either myelography or arthrography & one from the following: Upper GI Series, Contrast Enema, Small Bowel Series, Esophagus, cystography/cystourethrography, ERCP, or hysterosalpingography)). Students must complete all mandatory exams and all elective exams that can be simulated (59 total), with a maximum of 18 simulated exams). Both C-arm procedures need to be done on a patient and cannot be simulated.

Clinical Rotation-Minimum Required Competencies

• Clinical I-5 Competencies
• Clinical II-10 Competencies
• Clinical III-12 Competencies
• Clinical IV-15 Competencies
• Clinical V-17 Competencies
• Clinical VI-Any incomplete competency must be obtained during this semester for completion of the program.

Students are encouraged to surpass the minimum competency requirements. It is advisable to perform these competencies, when the situation allows. This reduces the possibility of receiving an incomplete (prohibiting a student from continuing in the program) for a particular clinical rotation.

The grading for competencies will be the following: # of completed competencies/# of required competencies. **The highest percentage a student is allowed is 100%