RAD 270 - Clinical Education III

1. Identify essential anatomy on all exams learned, and appropriately position patients in all procedures learned in RAD-122 & RAD-142 & RAD-163 (Radiographic Procedures I & II & III).
2. Maintain ongoing improvements in professionalism.
3. Demonstrate proficiency by independently operating and manipulating radiographic equipment through clinical experience, practice, and daily use.
4. Recognize appropriate exposure factors for specific body parts learned in RAD122 & RAD-142 & RAD-163 (Radiographic Procedures I & II & III), and apply radiation safety.
5. Demonstrate excellent patient care and safety with evidence of critical thinking that correlates to the patient condition.
6. Demonstrate ability to communicate with clinical instructor and all health care personnel, and demonstrate advanced stages of patient communication (no longer in the intermediate stage of patient communication).
7. Participate in all general radiology exams in RAD-122 & RAD-142 & RAD-163 (Radiographic Procedures I & II & III) and observes and assists in all exams and procedures in the department.
8. Explores the role of other diagnostic imaging modalities.

Course Objectives:

• Utilize critical thinking skills in prioritizing patient care and patient safety.
• Be a leader in the department and reacting and knowing the next step(s) to procedures and daily processes throughout the department.
• Utilize advanced communication skills to foster working relationships with individuals, families, and 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 pertinent) 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, disease process, and develop a empathic connection with the patient.
• Display a desire to promote high standards of ethical and moral conduct, adhering to school and hospital policies.
• 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.
• Work under indirect and direct supervision during portable procedures.
• Know and carry out procedures, equipment set-up, and exposure technique for pediatrics
• 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.
• Know when to perform an exam with indirect supervision, and when to ask for help/direct supervision.

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 4 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%.