RAD 620 - Clinical Education VI

1. Independently evaluates and critiques diagnostic quality of radiographs to ensure it meets evaluation criteria.

2. Maintains ongoing improvements in professionalism

3. Independently evaluates radiographs for pathology.

4. Independently demonstrates knowledge from RAD-122, 142, &163 (Radiographic Procedures I & II & III) and adapts to different patient conditions.

5. Independently manipulates exposure factors to accommodate different imagining situations and patient conditions.

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

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

8. Demonstrates ability to communicate with clinical instructor and all health care personnel, and advanced stages of patient communication.

9. Participates in all general, fluoroscopy, surgery, and c-arm exams.

Course Objectives 

All objectives in RAD-620 should be performed with independence/leadership/confidence when applicable, to prepare the student to enter the work force.

• Utilizing critical thinking skills in planning priorities and providing safe patient care

• Being 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.

• Maintains appropriately professional appearance at all times

• Maintains appropriately professional behavior at all times

• Developing two patient identifiers, pregnancy (if pertinent) and three critical thinking questions when addressing the patient, their needs, their appearance, and/or the disease process.

• Asking appropriate questions according to the exam, disease process, and develop a professional connection with the patient.

• Displaying 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 ease their time at the facility

• Working and thinking independently with direct supervision, when working with critically ill and patients with large body habitus patients

• Working and thinking with direct supervision with difficult patients.

• Working with direct supervision and being independent during portable examinations

• Knowing and displaying procedures, set-up, and technique for pediatrics

• Displaying an innate ability to think critically when addressing patient’s needs.

• Works independently and with indirect supervision on all radiographs they have comped on.

• Manipulates independently equipment and patient medical equipment such as I.V. poles, oxygen equipment, suction, and other patient care items.

• Documents and investigates the reasons for repeat radiographs and how to improve the radiograph

• Identifies and acknowledges exposures factors and exposure index while performing radiographs.

• Develops a threshold on when to perform an exam with indirect supervision, and when to ask for help/direct supervision.

• Performs procedures in a logical and sequential manner to expedite the exam

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.