RAD 510 - Clinical Education IV

1. Evaluate and critique the diagnostic quality of radiographs to ensure evaluation criteria is met.

2. Maintain ongoing improvements in professionalism

3. Demonstrate knowledge from RAD-122, 142, &163 (Radiographic Procedures I & II & III) and adapt to different patient conditions and protocols.

4. Demonstrate the ability to manipulate exposure factors to accommodate different imagining situations and patient conditions.

5. Provide proper radiation safety to patient, health care team, self, and all personnel, at all times.

6. Demonstrate excellent patient care and safety with evidence of critical thinking that correlates to the patient condition, adapting to varying clinical situations.

7. Demonstrate ability to communicate with clinical instructor and all health care personnel, and exhibit advanced stages of patient communication.

8. Participate in all general, fluoroscopy, c-arm procedures, and surgical c-arm procedures.

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 apropriate) 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 an 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 CLINICAL 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.

Clinical Competency Requirements:

• The 36 mandatory imaging procedures must be completed.
• The 23 elective imaging procedures, that can be simulated must be either simulated or on a patient, and can not be discussed
• Out of the head category, one procedure must be completed on a patient and not simulated
• Fluoroscopy studies: Two procedures must be completed on a patient and not discussed. Of the two, one must be either myelography or arthrography & one from the following: Upper GI Series, Contrast Enema, Small Bowel Series, Esophagus, cystography/cystourethrography, ERCP, or hysterosalpingography must be done on a patient.
• There are 11 elective procedures that cannot be simulated, if they are not done on a real patient, they need to be marked off in the discussion column. Students will need to verbally explain the procedure, may need to simulate projections, may need to show supplies and equipment for the exam, and will need to explain pre and post procedure patient care.
• Students must complete all mandatory exams and all elective exams that can be simulated (59 total). There can be no more than 18 simulated exams.
• Both C-arm procedures need to be done on a patient and cannot be simulated.
• 41 total exams must be done on patients at a minimum, including two c-arm procedures, 2 of the above specified fluoroscopy procedures, and 1 from the head work section.
• All exams on ARRT sheet must be signed off, if you can not simulate the exam and it is not mandatory, you must discuss the examination with your clinical preceptor or traveling clinical instructor.

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.