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COURSE SYLLABUS

1. TITLE OF COURSE: RADIOGRAPHIC INTERNSHIP I
PREFIX/NUMBER: RTE 181 CREDIT HOURS: 5
2. PREREQUISITE: Program Admission, RTE 101
3. RESOURCES NEEDED:

TEXT:

 Ballinger and Franks, Merrill's Atlas of Radiographic Positions and  Radiologic Procedures, Mosby, 1999

Record of Clinical Exams, Summation notebook

Competency Based Clinical Education for Student Radiographers

SUPPLIES:

 Film Badge, Lead Markers, Name Tag, wrist watch with a second hand, liability insurance, and protective eye wear.
4. COURSE DESCRIPTION: PRQ: Program admission, RTE 101. Introduces the clinical education experience at the clinical education center. The student applies knowledge learned in the classroom to the actual practice of radiography.
5. COURSE OBJECTIVES:

The student will be able to:

A. Become involved in the everyday activities of a Department of Radiology in an affiliated hospital.
B. Become oriented to the policies and regulations of the affiliated hospital and its Department of Radiology.
C. Observe general and special radiographic procedures.
D. Be able to locate information on a requisition.
E. Process radiographs automatically (manually, if available).
F. Assist in moving and transporting patients.
G. Practice safe body mechanics.
H. Take vital signs; i.e., TPR and BP.
I. Perform CPR if necessary.
J. Learn department routines and techniques as they are performed in class and lab.
K. Participate in exams of the appendicular skeleton, spine, IVP, and fluoroscopic procedures.
L. Develop proficiency toward competency in simulated situations in procedures of appendicular skeleton, spine, chest, abdomen, and contrast studies.
6. EVALUATION PROCEDURES:
Schedules are posted in clinical affiliates and the classroom. No change will be made without prior permission of clinical instructor. No clinical credit will be given for unscheduled hours. Satisfactory completion of this (grade C or higher) will involve the following:
A. Minimum of 275 clinical hours. 
B. Four evaluations by instructor or R.T. as to competence in assigned area, in accordance with course description and objectives.
C. Clinical record of exams performed\Exam Summation
D. Clinical final exam.
E. Clinical quizzes/ Radiographic Exam Competency. Each of the above will count for 20% of your final grade. Read grade assessment for grading explanation.
GRADE RANGE
A = 93 to 100 3.5 - 4.0 = A
B = 85 to 92 2.5 - 3.4 = B
C = 77 to 84 1.5 - 2.4 = C
D = 70 to 76 . 5 - 1.4 = D
F = 0 to 69 0 - .4 = F
Special Remarks:
CPR Certification is required for completion of this course. In addition to tuition, a fee will be charged for the class and the booklet. The fee will be announced once details are finalized.
Any student reporting to the clinical affiliate who is not dressed according to the student dress code will be sent home immediately. On the third occurrence the student will be suspended from the clinic until the student can prove that he/she can follow the dress code.
Any female student who must be continually reminded about tying back her hair, or male student who must continually be reminded of his hair length will be suspended for one day after the third occurrence. The time missed must be made up and the absence will be considered an unexcused absence.
PUEBLO COMMUNITY COLLEGE

RADIOLOGIC TECHNOLOGY PROGRAM

CLINICAL GRADE ASSESSMENT

All clinical grades will be based on the following:
1. Attendance in clinical area:
A very important part of the student's success in radiology, both before and after graduation, concerns his or her ability to assume responsibility for appearing promptly at the correct time, day and place to perform clinical duties. This area will be watched closely by your clinical instructor, using your time card for accurate evaluation.
Points:

100%

 = 0 days absence

92%

 = 1 day absence (unexcused)

84%

 = 2 days absence (unexcused)

76%

 = 3 days absence (unexcused)

0%

 = 4 days absence (unexcused)-suspension from the clinic
On the fourth day of absence the student will be suspended from the clinic. If the student wishes to be reinstated, a petition must be submitted in writing to the Review Committee explaining the absences and why he/she should be reinstated. If the Review Committee votes for reinstatement the student then must be examined as to his/her clinical competency by means of written and practical test in clinical procedures.
*Suspension from the clinic will result in an "F" grade for clinical attendance. Upon reinstatement, the Review Committee will determine the percentage score for attendance not to exceed 60%.
Tardiness in excess of two times per semester will result in your clinical attendance grade being lowered by 1 point, plus 1 point for each additional two tardies. If 6 tardies are accrued the student will be suspended for one clinical day. This will be counted as an unexcused absence. The time missed during suspension must be made up. If tardies continue the student will be dismissed from the program.
ABSENCES:
All absences will be reported 15 minutes prior to start of a shift where the student is assigned. All absences will be made up as scheduled by Clinical Instructor. Any absence not reported will be considered as an additional absence and an additional make up.
St. Mary Corwin Hospital 560-5060
Parkview Episcopal Hospital 584-4550
NOTE: Due to inclement weather conditions out of town commuters will not be charged an absence; however, the clinical time missed must be made up.
NOTE: Excused absences are those in which the student provides an authorized written excuse to the instructor no later than one week after the absence. After that time period it will not be accepted. (i.e., physicians, court appearance, car towing bill, car repair bill, etc.)
2. Evaluation by R.T. and Clinical Instructor

POINTS

RANGE

4

-

A

3.5

-

4.0

=

A

93

-

100%

3

-

B

2.5

-

3.4

=

B

85

-

92%

2

-

C

1.5

-

2.4

=

C

77

-

84%

1

-

D

.5

-

1.4

=

D

70

-

76%

0

-

F

0

-

.4

=

F

69

-

Below
3. Clinical Record of Exams Performed\Exam Summation
The student must participate in a minimum of 15 exams to include the upper extremity, lower extremity, the spine, contrast studies, chest, and abdomen.
Points:
4-A Satisfactory completion of 15 exams (100%)
3-B Satisfactory completion of 12 exams ( 92%)
2-C Satisfactory completion of 9 exams ( 84%)
1-D Satisfactory completion of 6 exams ( 76%)
0-F Satisfactory completion of 3 exams ( 0%)
SUMMATION OF EXAMS
At the end of each rotation the student is required to write a summary of an exam observed or participated in. Students rotating in non patient areas will be assigned an exam. The data required in the summation is:
A. Patient's name
B. Patient's history
C. Room preparation
D. Patient identification
E. Patient preparation
F. Explanation of the exam
G. Description of each projection
H. Anatomy demonstrated on each projection
I. Type of cassette used for each projection
J. Technique for each projection
K. Diagnosis from the x-ray report
L. If films were repeated, explain why.
The summation must be turned in the Tuesday following the end of a rotation and kept in an 8 x 11 inch notebook. Lose sheets of paper will not be accepted.
***Both requirements must be met for grade qualification***
4. Knowledge of Clinical Area
A final exam will be given based on handouts of the clinical area and knowledge accumulated during your clinical assignments.
Points Awarded
93 -

100%

 = A
85 -

92%

 = B
77 -

84%

 = C
70 -

76%

 = D
69 -

Below

 = F
A minimum acceptable grade for a course in your major is a "C".
5. Clinical Quizzes
Quizzes will be given weekly covering information that is taught by the Clinical Instructor. (i.e.; location of supplies, department routines, techniques, placement of markers, positioning, cassette sizes, etc.)
Simulation of Radiographic Exam Competency
Students are required to perform a simulation of all department routine projections of the upper extremity, chest, and abdomen. These exams will be performed after the student has been checked off in the lab at school.

The student will perform the positioning on another student, instructor, or technologist.

The criteria will be as follows:

a.

Correct number and size of cassettes.

b.

Correct projections and positioning

c.

Correct marker placement

d.

Correct CR

e.

Correct estimated technique.

CLINICAL EDUCATION

Objectives for Clinical Competency
The students clinical education begins in the classroom where the theory for each clinical objective is taught utilizing audio-visuals and appropriate teaching aids. The laboratory experience accompanies the classroom theory. In the laboratory the student learns to put the theory into practice.
Laboratory classes are taught in both positioning and principles of technical exposure. These are evaluated by manipulative performance evaluations using the same evaluating tool that is used at the clinical sites in actual practice. New procedures are first taught in the classroom, demonstrated and practiced in the energized laboratory when practical, and then evaluated by the laboratory instructor. After the student has been proven competent to perform a procedure in the laboratory, the student is allowed to perform this procedure at the clinical site on patients.
At the clinical site, the student performs the procedure under the direct supervision of a Registered Technologist. The parameters of direct supervision are:
1. A qualified radiographer reviews the request for examination in relation to student achievement.
2. A qualified radiographer evaluates the condition of the patient in relation to the student's knowledge.
3. A qualified radiographer is present during the conduct of the examination.
4. A qualified radiographer reviews and approves the radiographs.
5. Unsatisfactory radiographs will be repeated only in the presence of a qualified radiographer regardless of the student's level of competency.
When the student feels confident in performing the procedure, he/she requests an evaluation. The clinical instructor then evaluates the student performing the procedure on a patient. (See the following sample evaluation tool.)
If the student is proven competent on this evaluation, he/she will be allowed to perform this procedure on patients at the clinical site with a minimum of direct supervision. After performing this procedure with minimum supervision, the student requests a final competency evaluation. Upon passing this evaluation, using the same tool, the student will be deemed competent for the procedure. (All evaluations must be 75% or above to be passing.)
A student who is deemed competent for a particular procedure will continue to practice the procedure under the indirect supervision of an immediately available qualified radiographer. Once the student has obtained abilities adequate to perform the exam, the student's goal will be one of developing proficiency with continued practice of the procedure.

 

7. METHODS OF INSTRUCTION:
To be successful in this course, students are expected to participate in discussions, readings, in-class writing, and peer review activities. The instructor may assign point values to such activities.
8. ACADEMIC INTEGRITY:
The very nature of higher education requires that students adhere to accepted standards of academic integrity. Therefore, Pueblo Community College has adopted a policy of academic conduct as described in the Student Handbook. Violation of academic integrity may be defined to include the following: cheating, plagiarism, falsification and fabrication, abuse of academic materials, complicity in academic dishonesty, and personal misrepresentation. It is the student’s responsibility to be aware of the behaviors that constitute academic dishonesty. Sanctions for violating the standards of academic integrity may include warning, probation, suspension, and/or failure of the course or assignment at the discretion of the instructor.
9. ADA NOTICE:

Students who have a documented disability may be eligible to receive accommodations for this class. Please contact the Disability Resources Center at 549-3446 for further information.