Clinical Handbook
Transcript of Clinical Handbook
Clinical Handbook
PURPOSE OF CLINICAL HANDBOOK
This handbook is designed to serve as an information guide to assist in the orientation of students and to clarify policies and
procedures for all Associate in Science Radiologic Technology students as necessary It is expected that each radiography
student will be familiar with information contained within this handbook
College Website httpwwwbakersfieldcollegeedu
Program Website httpwwwbakersfieldcollegeeduallied-healthradtech
Bakersfield College Radiologic Technology Program
Summer 2020
May 2020
2
Radiologic Technology Program Clinical Education Handbook
Table of Contents
I Radiation Safety and Protection Guidelines
II Student Orientation to Clinical Education Center
III Attendance Grade Computation and Progression
IV Guidelines for Professional Clinical Appearance
V Insurance Accidents and Incidents
VI Clinical Objectives
VII Record of Clinical Procedures
VIII Enrollment Into Trajecsys
IX Performance Evaluation in the Clinical Education Center
X Student Evaluation of Clinical Experiences
XI Clinical Education Center Information
XII Program Faculty and Staff
XIII Student Complaint Procedures
XIV Handbook Agreement
Supportive Services at Bakersfield College Students with disabilities needing accommodation including those who had an IEP or 504 Plan in high school should
make requests to Disabled Students Programs and Services in CSS 10 (661-395-4334) dspsdeskbakersfieldcollegeedu
or Delano room 1001 (661-720-2000) All requests for accommodations require appropriate advance notice to avoid a delay in services Please discuss approved accommodations with me so we can work together to ensure your access and
success at BC
3
I Radiation Safety and Protection Guidelines
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
A GENERAL
Pursuant to Title 17 Public Health Subchapter 4 and 45 of the California Code of Regulations and recognized
national standards pursuant to the published regulations of the National Council on Radiation Protection and
Measurement (NCRP) the following radiation safety and protection standards have been established Every
reasonable effort shall be made by the user of radiation to control radiation to as low as reasonable achievable
(ALARA) levels
The specific requirements are mandatory and must be followed by college faculty and staff clinical
coordinators clinical instructors and students during on-campus energized laboratories and clinical education
B SPECIFIC
1 Personnel Monitoring and Monitoring Reports
a A personnel-monitoring device must be worn by all students and instructors when operating
radiographic and fluoroscopic equipment both at
the college and clinical education centers The thermoluminescent device (TLD) or other designated
monitoring device shall be the accepted monitoring method and will be provided by the college on a
quarterly basis to all instructorsstudents respectively who enter controlled radiation areas
b During fluoroscopic procedures the TLD shall be worn at or near the collar outside the lead
protective apron For consistent monitoring purposes the monitoring device should be worn in the same
place at all times
c The TLD issued to you is your responsibility Never wear a monitoring device issued to another
person and do not tamper with the device
d Report loss or damage of the TLD through completion of the Radiation Monitoring Incident
Report immediately to your instructor (students) or program director (faculty)
e Student radiation monitoring reports are posted quarterly in the x-ray laboratory following
review by the program director Instructor radiation monitoring reports are distributed to the faculty via
interoffice mail following review by the program director Both students and instructors are required to
initial the report upon posting and review All radiation-monitoring reports are maintained on
permanent file in the program office Upon program graduation graduate students upon signing a
release are provided a written report of their radiation exposure received while attending the college
4
2 Occupational Dose Limits
The occupational effective dose limits set by the California Code of Regulations- Title 17 Public Health
and the National Council on Radiation Protection and Measurements (NCRP) shall be observed at all
times Dose limits are defined below
Effective Dose LimitsArea cSv or rem per year
1 Occupational Exposure
(whole body)
a Annual
b Cumulative
a 5 cSv or rem
b 1 cSv or rem x age
2 Equivalent dose for tissues and
Organs
a Lens of eye
b Skin hands amp feet
a 15 cSv or rem
b 50 cSv or rem
3 Embryo-Fetus Exposure
a Equivalent dose limit
1 Monthly 1 005 cSv or rem
2 Entire gestation 2 05 cSv or rem
4 Education and Training
Exposures
(minor under the age of 18 years)
a Effective dose limit
b Equivalent dose limit for
1 01 cSv or rem
tissues and organs 2a 15 cSv or rem
1 Lens of eye
2 Skin hands feet
2b 50 cSv or rem
5 Negligible Individual Dose 0001 cSv or rem
not annual dose
Threshold Dose
A Radiation Monitoring Device Incident Report must be completed if a dose
meets or exceeds 60 of the dose limits as defined above
Example If the effective annual Occupational Exposure dose (whole body)
meets or exceeds 30 cSv or remyear (60 of 5 cSv or remyear) then the
dose will be reported on the ldquoRadiation Monitoring Device Incident Reportrdquo
The incident report will include a description of the incident that led to the
dose the action taken by the Program which will include an investigation
with the student college faculty andor clinical education center as
applicable Individuals will be counseled regarding safe dose limits
Individuals may not exceed the effective dose limits as defined by
regulations Exclusion from workschool will occur until limits are lowered
to within acceptable levels
3 Presence of Individuals in RadiographicFluoroscopic Room during Energized Exposures
Except for three specific situations a student may not remain at any time in an
5
x-ray room in which radiation is produced The exceptions to this policy are for surgery mobile
radiography and fluoroscopy
a During fluoroscopic procedures the following rules must be followed by both faculty and
students
1 Protective lead (Pb) aprons shall be worn at all times
2 The TLD will be worn as noted under B1b
3 When consistent with the conduct of the examination maximum distance must be
maintained between the studentinstructor and the fluoroscopic tube during the time the
x-ray beam is on
b During mobile and surgical radiography the following rules must be followed by both faculty
and students
1 The operator of a mobile x-ray unit shall stand at least 6 feet (18 m) from the patient and
the useful beam The operator must wear a protective apron during the procedure
2 The target-to-skin distance shall not be less than 12 inches (30 cm)
3 The room shall be cleared of all visitors and other non-essential
personnel (unless circumstances dictate otherwise) while the actual exposure is being
made
4 Holding of Patients andor Immobilization Devices during Exposures
a Students must not hold or support a patient or image receptor during exposures
b No radiation worker should be permitted to hold patients during exposures
except during emergencies nor shall any other person be regularly used to hold patients When
patients must be held by another individual the individual shall be protected with appropriate
lead (Pb) shielding devices
c Under no circumstances will a student permit themselves or another individual to serve as
patients for test exposures or experimentation
5 Collimation
Careful collimation shall be used to restrict the radiation beamfield to the area of clinical interest
6 Machine Safety Operations
The radiation operator must adhere to any radiation safety instructions related to a specific machine
a For on-campus radiation exposures refer to the operating instructions providedposted for each
energized x-ray unit in the radiologic technology laboratory
b For use of radiation equipment at the clinical education center refer to each departments
procedure manual and operating instructions
7 General Shielding
Gonadal shielding of not less than 5 mm of Pb equivalent shall be used for patients of reproductive age
during procedures in which the gonads are in the direct beam except in cases in which this would
interfere with the diagnosis
8 Supervision of Students
6
a On-Campus Laboratory
Radiation exposures may be made only under direct supervision by the qualified
licensedcertified (ARRT amp CRT) instructor in the radiology laboratory (MS 21-22) The
qualified instructor must be present in the lab and must meet the requirements of Title 17 section
30418
b First Year Clinical
When performing radiographic procedures dur ing the first year of the program students w ill
function under the direct supervision of a licensedcertified (CRT or ARRTCRT)
radiographer The supervising qualified radiographer reviews t he procedure in relation to the
studentrsquos a chievement evaluates t he condition of the patient in relation to the studentrsquos
knowledge is phy sically present during the exam and reviews and approves t he procedure
andor image
c Second Year Clinical
When performing radiographic procedures dur ing the second year of the program students m ay
function under ldquodirectrdquo or indirect supervision Indirect supervision will be by a
licensedcertified (CRT or ARRTCRT) radiographer once the student has a chieved competency
for a particular procedure Until competency is a chieved students must be directly supervised
Indirect supervision indicates t hat the supervising qualified radiographer will be immediately
available to assist students r egardless o f the level of student achievement Immediately available
is interpreted to mean the physical presence of a qualified radiographer adjacent to the room or
location where a radiographic procedure is b eing performed This a vailability applies to all areas
where ionizing radiation equipment is in use on patients
d Repeat Exposures
Ensure that repeats made by all students are under direct supervision of a
licensedcertified (CRT or ARRTCRT) radiographer The supervising qualified radiographer
reviews the procedure in relation to the studentrsquos achievement evaluates the condition of the
patient in relation to the studentrsquos knowledge is physically present during the conduct of the
repeat image and must approve the studentrsquos procedure prior to re-exposure
e Licensedcertified (ARRTCRT) supervising radiologic technologists as specified in this section
must have a minimum of two years of experience as a radiologic technologist These are the
individuals that supervise student competency examinations and imaging procedural logs
maintained by the student
C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
These instructions shall be distributed in the following manner
1 Posted in the radiologic technology laboratory (MS 21-22)
2 Published in the Clinical Education Handbook and reviewed with students by the Clinical Coordinators
and the clinical faculty at each clinical orientation meeting
3 Published or made available in all radiologic technology laboratory courses involving energized x-ray
exposures (RAD T 2a 2b 2c 3a 3b and 5 and other activities as appropriate)
4 Published in the programs Master Plan of Education
7
D REFERENCES
1 California Code of Regulations Title 17 Public Health Subchapter 4 (Radiation) and 45 (Radiologic
Technology)
2 NCRP Report 116 Limitation of Exposure to Ionizing Radiation (1993)
3 NCRP Report 111 Developing Radiation Emergency Plans for Academic Medical or Industrial
Facilities (1991)
4 NCRP Report 107 Implementation of the Principle of As Low As Reasonable Achievable for
Medical and Dental Personnel (1990)
5 NCRP Report 105 Radiation Protection for Medical and Allied Health Personnel (1989)
6 NCRP Report 102 Medical X-Ray Electron Beam and Gamma Ray Protection for Energies up to 50
MeV (1989)
7 NCRP Report 54 Medical Radiation Exposure of Pregnant and Potentially Pregnant Women (1977)
8 NCRP Report 160- Ionizing Radiation Exposure of the Population of the US (2009)
9 NCRP Report 157- Radiation Protection in Educational Institutions (2007)
10 NCRP Report 134-Operational Radiation Safety Training (2010)
Note A copy of Title 17 Public Health is located in the Radiologic Technology program office (MS-178) and
online NCRP reports are on file in the program office They are also accessed on-line at wwwncrporg
Radiation safety guidelines faculty and studentsdoc (rtshareradiation safety)
Rev 72016
8
II Student Orientation to Clinical Education
SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
A Policy All students must be oriented to the clinical education center where clinical education is provided and to additional
imaging areas such as Operating Room Emergency Room Nursery Intensive Care Units Computed Tomography
Ultrasound Magnetic Resonance Nuclear Medicine and Cardiac Catheterization Lab It is the responsibility of the Clinical Instructor to provide this orientation at the start of each semesterterm of education and to ensure that staff
technologists have access to this information
B Procedure The orientation will include
1 Orientation and Expectations of this Department
a Review of routine proceduresviews for procedures
b Patient transportation procedures for the department c Operation of equipment
1 Radiographic equipment
2 Fluoroscopic equipment 3 Mobile RadiographicPortable Units
4 Mobile FluoroscopyC-Arm Units
5 Digital Processing 6 Special Equipment (monitors IVrsquos Oxygen etc)
7 Mobility Devices (transfersliding boards)
d Expectations of Student Performance
1 Participation in Daily Work of Department 2 Patient OrdersReferralsRequisitions
3 Conduct and Professionalism
4 Study and Free Time in Clinic e Student Supervision
1 Direct Supervision 1st year students i 2nd year students prior to competency ii
iii Repeat exams
2 Indirect Supervision 2nd year students i
3 Clinical Competencies
f Department telephone procedures for students
2 Supplies and Cleaning
Location of Supplies
Cassettes and grids
Contrast media and IV accessories Immobilization aides
Lead markers
Emesis basins bedpans IV poles etc Stocking Rooms
Linen
Cleaning Procedures
3 Radiation Safety Policies and Procedures for Department
a Shielding Devices Available
b Procedures
4 Confidentiality Safety and Emergency Procedures
9
5
6
7
8
9
10
a Maintenance of Confidentiality (HIPAA) b Electronic Medical Record (EMR) Access for Patient Care
c Standard Precautions Infection Control and Blood Borne Pathogen Procedures
d Hazard Regulations (Fire Electrical and Chemical)
e Emergency Procedures and Preparedness i Codes
ii Carts
iii Disaster Plan f Reporting accidents and incidents Department and BC requirements
g Access to Patient Exam Areas Outside of Imaging and Restricted Areas
h Security Services of Facility Student Assignments
a Schedule and Room Assignments
b Specific objectives
c Procedures for Record Keeping and Signatures on Forms Notification of Absence or Tardy
a Contact Information for Personnel amp Department
Introduction to Department Personnel a Supervisors
b Radiologists
c Staff technologists d Clinical support staff
Personal Communication during Clinical Assignment
a Department telephone use
b Personal Cell Phone Use Regular and Smart Phones i No camera phonescamerassmart watches permitted in patient care areas (must maintain
confidentiality)
c Emergency Contact Clinical Education Center Information
a History of Facility
b Bed Capacity (hospital)
c Administrative personnel d Parking regulations (include day and evening rules)
e Cafeteria Use
f Meal Break (12 hour) and 2 breaks (15 min) g Food Policies inside Department
h Restroom Facilities
i Storage Facilities for Student Materials and Personal Items Learning Resource Materials Available in Imaging Department
a Case StudyFilm Critique Preparation and Procedures for Image Utilization
Rtshareclinical handbooksection II orientation 5-2020
10
III ATTENDANCE GRADE COMPUTATION PROGRAMPROGRESSION
III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
ATTENDANCE
Students are expected to be knowledgeable about and fully comply with the procedures of the College and
Program
Lecture andor LectureLab Class
A student will be dropped from class when absences exceed the following equivalencies
Two weeks i n a sixteen week course one and one-quarter weeks i n a ten week course and two days i n a six week
course Example If a class meets t hree times per week in a sixteen week course then six absences would be the
maximum number allowed Further absences would result in a progress review with the course instructor and the
program director
Clinical Education
Clinical Education assignments c urrently occur at hospitals a nd imaging centers in Bakersfield CA and Delano
Ca Hours are specified by the college according to each clinical education centerrsquos schedule in the imaging
department Typically the following hours are required for 8 hour regular days allowing for a 30 minute lunch
break
Adventist Health-(previously San Joaquin Community Hospital)
Adventist Health- Quest Imaging Chester
Adventist Health-Quest Imaging Stockdale
Bakersfield Memorial Hospital (Dignity Health)
Delano Regional Medical Center
Kern Medical
Kern Radiology (Radnet)-BahamasOld River
Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)
Southern California Orthopedic Institute
Day Shift PM Shift
600 am ndash 230 pm 230 pm ndash 1100 pm
700 am ndash 330 pm
730 am ndash 400 pm
800 am ndash 430 pm
830 am ndash 500 pm
These hours may vary for clinical assignments for the catheterization lab surgery and special rotations Clinical
hours are NOT adjusted for student convenience or request
11
A student will be dropped from clinic when absences exceed the following equivalencies two weeks in a sixteen
week clinical rotation one and one-quarter weeks in a ten week rotation and two days in a six week rotation
Example If a class meets sixteen hours per week in a sixteen week course then 32 hours missed would be the
maximum number allowed Further absences would result in a progress review with the clinical coordinator and
the program director The student must notify the Clinic Instructor (or in their absence a clinic supervisor) of
absence prior to the scheduled clinical experience
Clinical hours missed should be made up in the same semester in which the hours a re missed Hour assignments
are made according to the ldquoVerification of Addition Clinic Hoursrdquo form Students are expected to adhere to and
complete the hours as scheduled If a student cannot complete these make-up hours they must call the clinical
education center and notify them prior to the absence All clinical hours missed must be scheduled for ldquomake-uprdquo
time within one week of the absence If all clinic hours have not been made up by the end of the term an
incomplete grade may be assigned The clinic hours must be made up in the subsequent semesterterm as approved
by the Clinical Coordinator These hours are in addition to not in lieu of current semesterterm requirements In
addition to clinical hours the Clinical InstructorCoordinator may require that specific course objectives also be
met
In clinical education the maximum number of consecutive Incomplete (Inc) grades issued for insufficient clinic
hour requirements is two Students will be subject to dismissal if a third consecutive semester is deficient in clinic
hours
Mandatory Clinic Hours
The required number of clinical education hours for students are specified by the State of California Department
of Public Health Radiologic Health Branch in the ldquoMinimum Standards for Diagnostic Radiologic Technology
Programsrdquo Minimum hours for clinical education must be met to be eligible for State licensure
Absences in Clinical Education 1-5
Students are permitted the equivalent of one absence day 8 hours each semester for Clinical Education
1-5 This absence does not have to be made-up by the student
Personal Leave During all Clinical Education Courses Introduction and Course 1-5
Students may take one personal leave day (8 hours) for clinical education This personal leave absence
must be made-up Students may bank hours in advance of the personal leave day or make it up after the
leave Hours must be made up during the same semesterterm of the absence The personal leave
dayhours must be approved in advance of the leave by the Clinical Instructor and BC faculty member A
Verification of Additional Clinical Hours form is used for this approval process Submission of this form
does not preclude notification of the absence to the Clinical Instructor
Personal leave in excess of eight hours requires a ldquoRequest for Leave from the Programrdquo Make-up or
banked clinical hours do not excuse any recorded absence(s) Any personal leave time banked in advance
of an absence and not used for that course is not carried over to future courses
Personal leave and absences may be made up on the following days Monday through Saturday during the regular fall spring and summer semesters
Personal leave and absences may not be made up on the following days
12
Sundays College Closure Days Holidays New Yearrsquos Day Martin Luther King Holiday Presidents Day Spring Recess
Weekend (Friday-Sunday) Memorial Day Fourth of July Labor Day Veteranrsquos Day
Thanksgiving Christmas Recess Any Holiday Weekend
AbsencesMake-up Assignments in the Program
All absences in lecture laboratory or clinical classes are recorded as such regardless of the circumstances
Absence in no way relieves the studentrsquos responsibility for work missed The student must notify the instructor
of any absence prior to the scheduled class time It is the studentrsquos responsibility to contact the instructor for
missed assignments Make-up assignments a re at the instructorrsquos d iscretion
Tardiness
Tardiness in lecture laboratory or clinical classes is recorded as such regardless of the circumstances A pattern
of tardiness is disruptive to the instructional process Students will be counseled according to the
conferenceprobation procedures
Tardiness i s i ncluded in the clinical education evaluation process If a student is tardy the equivalent of one week
of clinical education days the clinical objective on tardiness w ill be graded as a n ldquoA- Assistedrdquo [Example Two
(2) clinical days for first year FallSpring and three (3) clinical days for second year SummerFallSpring] If a
student is tardy the equivalent of two weeks o f clinical education days the clinical objective of tardiness will be
graded as a ldquoU-Unsatisfactoryrdquo [Example Four (4) clinical days for first year FallSpring five (5) clinical days
for second year Summer and six (6) clinical days for second year FallSpring]
Request for Leave from the Program
Students requesting a leave must submit a request in writing to the Director at least two (2) weeks in advance and
make an appointment with the Director to discuss leave After consulting with the student and instructor(s) the
Director will notify the student by memorandum with a final decision If a leave is granted the student must
arrange ldquomake-uprdquo needs with instructor(s)
HolidaysVacation
Students are entitled to academic holidays specified by the college (Refer to the College Academic Calendar)
Students are advised that summer sessions for the radiologic technology program do not always follow the
collegersquos r egular summer session
Trajecys Time Reporting System
Students will use the Trajecsys Program to clock in and out of clinic including time in lunch in and out and
clock out again at the end of the shift (See pg 61 to enroll)
1 Clock InOut ndash Students will clock in each day at their clinical site and clock out at the end of their
shift NOTE This also may be done on the studentrsquos smartphone use phone browser to go to
Trajecsyscom log in then select Clock InOut menu item Phone screen will ask to share location with
Trajecsys click OK Scroll down and select clinical site from dropdown then click the clock in button
toward the bottom of the screen
2 Time Exception ndash Students will file a time exception if they did not clock in or out for some reason
typically students use the clock inout menu item However if they forget they must file a time
exception for each missing clock record If a student forgot to clock in AND out on the same day the
13
student must file two time exceptions ndash one for each missing clock record If filing a time exception on a
day that the student was absent only one time exception is needed if ldquoAbsentrdquo is selected as the reason
Change in Health StatusExtended Illness
If a student has a condition that changes their ability to meet the ldquoEssential Technical Standards for Radiologic
Technology Studentsrdquo a physicianrsquos l etter indicating their current abilities andor limitations m ust be provided to
the instructor The physicianrsquos letter will be reviewed to determine what accommodations if any may be made
to assist the individual in completing the technical standards required to complete the job-related radiography
tasks whil e in the program (Refer to Appendices for the ldquoEssential Technical Standardsrdquo) All course objectives
and standards must be met by the student Any restriction of activity will be considered in terms of meeting
program objectives
Any disabilityillness of three (3) consecutive days or more requires a doctorrsquos release to return to the clinical
area This is submitted to your BC Clinical Coordinatorfaculty member A physicianrsquos written approval is
required for a pregnant student to remain in the program and again before the student can return to school
following delivery
Any change in health status or medication use must be reported to the Director of the Radiologic Technology
Program andor Clinical Coordinator
GRADE COMPUTATION
A minimum of a ldquoCrdquo grade must be maintained in each radiologic technology and required courses The
percentage value of the alphabetical grading in all radiologic technology courses w ill be assigned as follows
100-90 = A 89-82 = B 81-75 = C 74-65 = D
64- 0 = F
Minimum level for passno pass courses
A grade of ldquoDrdquo or lower assigned at the close of any radiologic technology or required course will prevent normal
progress within the Radiologic Technology Program
Lecture Course
A student will be placed on probation if they receive a grade of ldquoDrdquo or lower at midterm in any radiologic
technology program course The probation status w ill continue until the end of the semester A probation report
will be completed with the original provided to the student following a conference with the instructor andor
program director A copy of the report will remain in the studentrsquos file The probationary status w ill be removed
if the grade has been raised to a ldquoCrdquo or higher and all terms of the probation have been met at the close of the
semesterterm
Clinical Education Course
The clinical performance of the student is based upon a percentage () of the total points possible for the entire
course and is graded on a passno pass basis The evaluation process consists of the following clinical competency
examinations written clinical performance evaluation(s) andor radiographic case studies (film critique) The
exact evaluation process is described in each individual course description
Documentation as to performance will be placed in the studentrsquos file If a student receives documentation of
unsatisfactoryunsafe performance or an unsatisfactory performance evaluation in the clinical area the student
will be placed on probation for the remainder of the semester Failure to show satisfactory improvement andor
comply with the probationary terms will result in dismissal from the course Determination of unsatisfactory
performance in the clinical area will be based on clinical objectives clinical competency testing film critique 14
analysis a studentrsquos professionalism and the ability to follow college and clinical affiliate policy based on safe
and competent practice If a student receives a rating that is unsatisfactory (U-Unprofessional) in at least one
category on the ldquoPerformance Evaluationrdquo that student will receive an automatic 75 grade for the written
performance evaluation This unsatisfactory performance results i n a student being placed on probation Students
dropped due to documented unsafe clinical practice(s) will not be re-admitted
Incomplete Grades
A grade of Incomplete (Inc) may be granted under extenuating circumstances and only when the student has
maintained a satisfactory performance prior to the assignment of an Incomplete The instructor of record will
make the decision for assignment of an Incomplete grade The Incomplete must be satisfactorily completed prior
to the conclusion of the next semestersession An Incomplete may not be assigned as a Withdrawal grade
PROGRAM PROGRESSION
To progress within the Radiologic Technology Program the student must maintain a grade of ldquoCrdquo or higher in
radiography and required related courses that are prerequisites for advanced radiologic technology courses
Conferences
A conference will be held for unsatisfactory progress such as but not limited to
Attendance and tardiness
Professional ethics and attitude
Completion of homework and laboratory reports andor clinical paperwork
Academic failure including poor performance on examinations
Competency examination performance
Failure to adhere to rules of personal cleanliness
Failure to demonstrate knowledge skill and judgment at expected program level
Failure to demonstrate compliance with collegeclinical policies and procedures
Conference reporting is based upon a three step process in which a verbal warning is given first a written
warning second and probationary action last However if unsafe clinical practice occurs the student will be
immediately placed on probation The issuing instructor will confer with the student and discuss the reasons for
the conference and remediation If satisfactory progress is not made following the issuance of a written
conference report the student will be placed on probation Conference reports from prior semesters will be
considered when assessing unsatisfactory progress and when placing students on probation
Probation
The instructor will discuss probationary actions with the student A probation report will specify the cause of
probation steps for remediation terms of the probation and length of time for improvement and re-evaluation
The original report will be given to the student and a copy will be placed in hisher personal file in the
Radiologic Technology office Failure to comply with the terms of probation will result in dismissal from the
program Notification of student dismissal will be made by the Program Director after consultation with the
student and instructor
Withdrawal and Exit Interview
The Admissions and Records Office instructor or Bakersfield College Schedule of Courses or the college website should be consulted regarding withdrawal date deadline for each course A ldquoWrdquo received by a studentfor a program course will result in the student being dropped from the program An exit interview with the program director is a dvised for a student leaving the program for any reason
15
Re-entry Into Program
Any student who withdraws or who is dr opped from the Radiologic Technology Program must reapply during
the regular enrollment filing dates a ndor in accordance with program direction instructions RE-
ENROLLMENT I S ON SPACE AVAILABLE BASIS Re-entry will be based on current criteria used for
entry into the forthcoming program Students d ropped due to documented unsafe clinical practices w ill not be
re-enrolled
Students who are re-enrolled will be required to comply with all current Program entrance requirements and
regulatory requirements of program accreditation agencies such as but not limited to the physical examination
immunizationslab tests drug and alcohol and background screening current healthcare provider BLSCPR
certification and safety tests Competency testing will also be completed for clinical procedures previously
performed
Students must complete program requirements within 150 of the published program length following
program enrollment
16
____________________________________________________________________________________
____________________________________________________________________________________
Rev 62012
RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
INSTRUCTIONS
This form will be used to give permission and to verify any additional hours other than regularly scheduled
clinical hours at your currently assigned clinical site Please note the following guidelines
1 This form must be completed prior to the date and time of schedule change
2 The hours should be minimally scheduled in four or eight hour increments for hospitals and
onetwo hour increments for imaging centers
3 All signatures must be included
4 The Clinical Coordinator will document all additional hours on the student attendance sheet
5 The Clinical Instructor will post this form at the clinical site until the additional hours are completed
6 Without the proper completion of the form any clinical hours beyond those regularly scheduled will be
invalidated Any unauthorized attendance at a clinical site will be regarded as not under the auspice of
BCs Radiologic Technology Program
7 After submission of Verification of Additional Clinical Hours any further changes of the times
submitted must be communicated to the assigned BC Clinical Coordinator and Clinical Instructor
by re-submission of this form
8 To ensure proper documentation of hours students must have the supervising technologist initial the
students in and out time on the Verification Time Sheet
ADDITIONAL INSTRUCTIONS TO STUDENTS
Please list the additional day(s) and hour(s) you plan to attend clinic and indicate the purpose of the additional
hours according to the following code
(1) Makeup hours for ____________ (date) due to absence (illness injury etc)
(2) Banking of 8 hours (personal necessity leave)
(3) Additional clinical experience based on individual demonstrated need and as
recommended by a clinical instructorcoordinator
This form must be completed and turned in prior to the date of additional hours
FACILITY DATE amp DAY
OF WEEK
STARTING
TIME
ENDING
TIME
TOTAL
HOURS
CODE
Students Signature Clinical Instructor Signature BC Faculty Signature
Date Date Date
17
_______________________________________ ____________________________
Bakersfield College Radiologic Technology Program
Verification Time Sheet for Banked or Make-up Hours
Student Name Clinical Site
Instructions This form is used to verify non-routine clinical hours by completing the form below A staff
technologist signature is required for start and stop times for each shift completed outside of the
regular shift assignment Non-verified hours will not be counted towards mandatory clinical
hours It is the studentrsquos responsibility to obtain signatures as required
Note Students must have the permission of both the Clinical Instructor and the college Clinical
Coordinatorfaculty member on the Verification of Additional Hour Form before making up or
banking clinical hours outside of their regularly assigned clinical shift
Date Time In Technologist
Signature
Time Out Technologist
Signature
Clinical Instructor
Signature
(clinical) verification time sheet 2009
18
IV Guidelines for Professional Clinical Appearance
IV GUIDELINES FOR PROFESSIONAL CLINICAL APPEARANCE
Student dress and grooming will reflect the policies of the clinical facility the technical and safety requirements
of the task and the professional image of students in the Associate Degree Radiologic Technology Program
The purpose of this policy is to ensure that a distinct and separate wardrobe for the clinical education
environment be maintained Street clothing should be kept separate from uniform clothing for infection control
Procedures
Students a re responsible and accountable to observe the dress a nd grooming regulations a s de lineated in
this handbook
Students a re to adjust their dress pr ior to a clinical education assignment requiring special clothing ie
surgery isolation catheterization lab etc The dress c ode of the healthcare facility must be followed
Uniforms must be clean unwrinkled and correctly sized and be made of washable and color-safe
bleachable materials Shoes must be clean
Inappropriate dress a ndor grooming will be discussed with the student by the clinical instructor andor
clinical coordinator Established conference procedures w ill be followed Students wi ll be excluded
from the clinical area for inappropriate dress a ndor grooming on the second offense
Dress Code
Uniforms
Tops and Pants o r Skirts
Students must wear the adopted red uniformscrub top with black uniformscrub pants o r skirt of knee
length or longer Students m ay wear white or black short or long sleeve T-shirts un der this u niform
White Lab Coat ndash May be worn over the uniform but are not required
Inappropriate Uniforms ndash Uniform tops m ust be of sufficient length to not show midriff area
Leggingsstretch pants cropped pants sweaters sweatshirts a nd denimjeans a re not permitted
Hosiery ndash Neutral colored hose must be worn with skirts White or black socks must be worn with the
black uniform pants
Undergarments ndash Must be worn and not be visible through clothes o r be outside of clothes
Shoes ndash White or black flat-soled polishable uniform or tennis shoes a re required Clogs sandals
canvas t ennis s hoes a nd open-toed shoes may not be worn with the uniform No openings a re permitted
on the shoes Shoes m ust be tied securely
Radiation monitoring badges must be worn at all times whil e in the clinical education area They are to
be worn on the collar area and outside of the lead apron when an apron is wo rn These are issued by the
college
Guidelines for Professional Clinical Appearance
Grooming
Student and uniforms must be clean and free of odor No fragrances cologne or sprays
Hair must be clean and well groomed Long hair must be kept controlled in such a manner that it does
not come in contact with the patient or visitors Extremes in hair style color and hair adornments must
be avoided Acceptable hair colors include natural colors of black brown red gray andor blonde
19
Mustaches beards and sideburns must be neatly groomed and must comply with the regulations o f the
clinical education center Beards a re not permitted at some clinical education centers Facial hair must
not interfere with or compromise the proper fit of respirator devices
Fingernails must be clean and short (18 inch beyond fingertips) so as to not interfere with clinical
assignments Clear unadorned non-fluorescent nail polish may be worn Artificial nail enhancements
are not to be worn Anything applied to natural nails o ther than clear polish is c onsidered to be an
enhancement
This includes but is n ot limited to artificial nails tips wraps appliqueacutes acrylics gels a nd any
additional items a pplied to the nail surface Chipped nail polish may not be worn and must be removed
Makeup must be conservative
Jewelry and Adornment
Jewelry may be worn but must not impede radiographic procedures Students m ay be required to
remove jewelry when assigned to surgery or other special procedures
Acceptable jewelry includes one small post-type stud earring per ear (no dangle) one ring on each
hand and one short neck chain Visible facialbody piercings a re not permitted These include but are
not limited to the tongue nose eyebrows lips chin and neck
Visible tattoos or body-paintings a re not permitted (they must be covered with clothes Band-Aids
make-up etc)
Photo ID
Photo identification badges a re considered part of the uniform and identify the wearer as a Bakersfield
College Radiologic Technology Student
The photo identification badge must be attached to clothing above the waist and visible at all times
Replacement photo ID badges a re requested in the Allied Health office and a fee may be assessed
Miscellaneous
Bakersfield College and the clinical education centers a re not responsible for loss o f valuables It is
recommended that items o f value not be taken to class o r to the clinical areas
Smoking is d iscouraged and permitted only in areas de signated at each clinical education center Some
clinical agencies h ave a tobacco free policy for their entire facility and students m ust observe this a t all
times
Neither profanity nor chewing gum is pe rmitted while attending patients
On-Campus Laboratory Attire
For the safety of students practicing in both the x-ray lab (MS-21) and the patient skills lab (MS-58) the
following guidelines must be followed
MS-21 Radiologic Technology Lab
Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on
the shoes Shoes m ust be tied securely
Lab attire must fit in a manner that is pr ofessional and allow physical movement in the lab setting Short
shortsskirts a nd low cut tops a re not permitted
MS-58 Skills Lab
Students m ust wear a full shoe with closed toes du ring all lab activities No openings a re permitted on
the shoes Shoes m ust be tied securely Students m ust wear their BC red scrub top uniform during all assignments h eld in this lab Students m ust wear their BC identification name-tag during all assignments h eld in this lab
Revised 32018
20
V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS INSURANCE
Malpractice Insurance
Students are covered by malpractice insurance A policy covering all Allied Health students is purchased by Kern
Community College District
Accident Insurance
Bakersfield College students are covered by accident insurance Students are covered by this policy for accidents
that happen on campus or at college related activities including clinical experience for students in Allied Health
Programs Students who are injured in clinic or in any school related activity may be treated in the hospital
Emergency Room or by their personal physician Treatment of a student in the hospital Emergency Room is not
free regardless of whether or not hospital personnel suggest they go there The clinical education center accidents
reports must be completed according to the procedures of the individual clinical facility
ACCIDENTSEXPOSURESINCIDENTS
AccidentsExposures
Facility accident reports must be completed according to the procedures of the individual facility as well as the
District Safety Coordinator as follows
Students are required to immediately report a work (class) related incident injury or illness to their
Instructor Your Clinical Coordinator or BC Instructor will contact the District Safety Coordinator
Sheila Shearer at (661) 336-5135 or cell number (661) 747-1007
The District Safety Coordinator will obtain the details of the accident exposure andor incident from the
student andor Instructor and make the initial referral to the medical facility physician or BC Student
Health Center The Student Health and Wellness Center is located in the Campus Center Room 3 and
may be contacted by (661) 395-4336
Students are required to provide to their Instructors a Physicianrsquos Work Status report after attending the
medical appointment The Physicianrsquos Work Status report indicates your ability to return to full work
(class) activities diagnosis and date of your re-examination or follow-up appointment
In addition all accidents must be reported to the Radiologic TechnologyAllied Health Department
office
While students a re covered by school insurance for injuries s ustained in laboratory there is no guarantee that the
entire claim will be covered If there is a deductible or a balance after insurance pays the balance is the
responsibility of the student Since the Bakersfield College insurance policy is an accident only policy students
are encouraged to carry their own medical insurance Students who have private insurance should file a claim
with their carrier in addition to the student insurance claim Most insurance companies will coordinate benefits
for better coverage
Incident Reports
Reports of incidents will be completed and placed in the students file when a safety violation or injury occurs
involving a student in any capacity in the clinical area This must be done even if the Clinical Education Center
does not require that an official report be submitted
21
VI CLINICAL OBJECTIVES
IV Introduction to Clinical Objectives and Examples
As Students progress through the radiography program they must attain several specific Clinical Objectives
Brief descriptions of these objectives and when these objectives occur in the program are stated below The actual
reading and writing assignments that relate to these objectives are included in the pages that follow this
introduction
A Image Processing Procedures Reception and Archiving Procedures and Transportation Procedures
Beginning in RADT B4a (First Summer Semester) and continuing in an abbreviated form
throughout every clinical rotation the student will learn the image processing reception archiving
and transportation procedures for the individual Clinical Education Center Detailed descriptions of
each of the above Procedures are presented in the RADT B4a Syllabus
A few of the Clinical Education Centers do not have transportation Students assigned to these
facilities will experience these procedures at their next center during their next clinical rotation
As mentioned above an abbreviated form of the Image Processing and Archiving and Transportation
procedures occurs e very semester at the Education Centers During the first few weeks o f every
semester at the Centers the students r otate through the image processing archiving and
Transportation Department and learn how these essential tasks a re performed Each studentrsquos
rotation through these tasks s hould be two days o r approximately 16 hours The specific writing
assignments pe rtaining to the image processingarchiving and transportation objectives a re assigned
during RADT B4a and RADT B4b Consequently these writing assignments a re not given in
subsequent semesters wh en students r epeatedly rotate through these areas These writing
assignments a re described in the RADT B4a and RADT B4b Syllabi
B Operating Room Rotations
Surgical room rotations offer the student an opportunity learn procedures in a sterile environment
Beginning with RADT B4b- Clinical Education 1 and continuing throughout the remainder of the
program students will be assigned mandatory rotation(s) with each clinical course Starting with the
RADT B7-Clinical Education 3 courses a mandatory objective sheet will be completed by each
student rotating in a facility that has a surgery department
C Evening Rotation
All second year (RADT B7 10 and 13) students a re required to experience one rotation of
approximately 64 hours of the evening shift at their assigned Clinical Education Center Usually the
hours o f the evening rotation are from 230 pm ndash 1130 pm The purpose of the evening rotation is
to provide an opportunity for students to experience a higher level of non-scheduled and trauma type
exams t han routinely occur on day shifts As t he students pa rticipate in the second year of the
program with indirect supervision on completed competency exams they will experience a more
challenging level of independence in working on exams o n the evening shift This further enables
them to apply critical thinking skills as t hey must adapt routine exams t o non-routine trauma exams
Prior to rotating through the evening shift each student must read the sections o n trauma
radiography in the current Textbook of Radiographic Positioning and Related Anatomy The student
must complete a writing assignment after the evening rotation
22
D CT - Computed Tomography
Beginning with RADT B6 (First Spring Semester) and continuing throughout the program the
students will experience CT during an approximate one-week rotation each semester There is a
reading assignment for the CT rotation but there is no writing assignment CT is a mandatory
rotation because it fulfills a California requirement of radiologic technology programs The students
must also keep a record of CT exams
E Angiography Rotation (Cath Lab or Interventional Suite)
One of the California requirements for radiologic technology programs is r adiography studentsrsquo
participating in angiography Consequently students s pend approximately 64 hours i n angiography
after the first Spring Semester starting with RADT B7 through RADT B10 and RADT B13 The
student should complete a reading assignment before the student arrives a t the angiography
department also the student must complete a writing assignment after the studentrsquos a ngiography
rotation A careful record of assisted exams must be recorded and submitted by the student
F Specialized Imaging ModalitiesRotations
Beginning with RADT B7 (Second Summer Semester) the students wi ll be given the option of
experiencing a diagnostic imaging modality other that CT and Angiography The specialized
Imaging Modality rotation is a pproximately 32 hours and the students m ay choose to spend their
rotation in MRI Ultrasound Radiation Therapy or Nuclear Medicine A careful record of assisted
exams must be recorded and submitted by the students dur ing and after their rotation Also the
students m ust complete a writing assignment and reading assignment pertaining to the Modality
The Specialized Imaging Modality rotation is o ptional and students m ust choose or decline their
rotation during the first spring semester in the program
G Radiographic Case Studies (Film Critique)
Another California requirement for radiography programs is F ilm Critique Consequently
beginning with RADT B6 (First Spring Semester) and concluding at the end of RADT B10 (Second
Fall Semester) the students wi ll individually present radiographic exams t o the studentsrsquo clinical
classmates a nd coordinator There are approximately 6-9 case study assignments e ach semester
Sample forms o f the case study assignment are included in the Handbook immediately following this
introduction
23
Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10
Patient-Centered Care for Diverse Populations (ASRT Series)
After completing the ASRT modules you will be able to explain the concept of patient-centered care Several factors have driven the evolution toward patient-centered care Most notably the general populace has become more knowledgeable
about diseases and conditions and about available examinations and treatments As this knowledge has improved patients
and their families have become more involved in health care decision making As a result health care is moving toward a model that is more patient centered than physician centered To fully participate in decisions about their care patients
must have information and they must be able to understand and act on that information However people from some
populations face additional barriers to receiving and understanding health care information To meet the needs of these individuals health care organizations must develop culturally and linguistically appropriate ways of communicating with
them Patient-centered care also places a high priority on safety quality and transparency
To assist students with achieving competency in patient-centered care concepts students will complete the following 10 modules during the first five clinical education courses (RADT B4a B4b B6 B7 and B10
Course and Topic Due Date in SemesterTerm
RADT B4a- Introduction to Clinical Education
Module 1- Fundamentals
Module 2-Elderly Patients
First Summer of Program
Week 2 of term
Week 4 of term
RADT B4b- Clinical Education 1
Module 3- Pediatric Patients
Module 4- Patients with Physical Disabilities
First Fall of Program
Week 6 of term
Week 12 of term
RADT B6- Clinical Education 2
Module 5- Patients with Intellectual Disabilities Module 6- Cultural Competence
First Spring of Program
Week 6 of term Week 12 of term
RADT B7- Clinical Education 3
Module 7- Health Literacy
Module 8- Diverse Body Habitus
Second Summer of Program
Week 4 of term
Week 8 of term
RADT B10- Clinical Education 4
Module 9- Chronically Ill Patients Module 10- Equitable Patient Care
Second Fall of Program
Week 6 of term Week 12 of term
After completing the 10 modules a certificate of
completion will be issued
End of Second Fall of Program
Assignment The ASRT modules are available in the Allied Health Computer Lab MS-165 under Radiologic
Technology Each module has a video and a written transcript The student must review these materials and then
complete the quiz for the module The quiz will be distributed by the instructor(s) for the course Each quiz is worth 10
points Completion of each module is mandatory for each respective clinical education course 80 mastery must be achieved to earn the certificate of completion for all modules
RtshareClinical HandbookASRT Patient-Centered Care for Diverse Populations
24
RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER
CLINICAL ROTATIONS
To meet the objectives for Clinical Education 1 and 2 in the areas of transportation image processing and
archiving and front officepatient registration skills the student will be rotated through the following areas
during their clinical assignment If a student is unable to meet the objectives for any area due to unavailability
at their clinical site of these rotations then the requirements will carry forward to a subsequent semester
Each rotation will be one week (2 days) in length
CLINICAL EDUCATION CENTER ROTATION AVAILABLE
Bakersfield Memorial Hospital Image Processing
Transportation
Patient RegistrationArchiving
Delano Regional Medical Center Image Processing
Patient RegistrationArchiving
Transportation
Kern Medical Image Processing
Patient RegistrationArchiving
Transportation
Kern Radiology Medical Group
(Bahamas amp Old River)
Image Processing
Patient RegistrationArchiving
Mercy Southwest Hospital
Mercy Hospital Downtown
Image Processing
Transportation
Patient RegistrationArchiving
Adventist Health Bakersfield
Quest Imaging (Chester amp Stockdale)
Image Processing
Patient RegistrationArchiving
Adventist Health Bakersfield
(San Joaquin Community Hospital)
Image Processing
Patient RegistrationArchiving
Transportation
Southern California Orthopedic Institute Image Processing
Patient RegistrationArchiving
Truxtun Radiology Medical Group Downtown Image Processing
(clinhndbk)sectionvidoc Rev 220
25
Bakersfield College
Radiologic Technology Program CLINICAL EDUCATION 1 - 5
Image Processing Procedure Objectives
The student will be able to demonstrate knowledge and practice in
1 Locate the Computerized or Digital image monitor
2 Locate the Cassette holding bin and describe cassette storage procedure
3 Locate the Cassette Reading Processor and correctly loadunload cassettes into the reader
4 Demonstrate proper screen handling and cleaningerasing
5 Identify the tethered versus non-tethered Digital Imaging Plate
6 Describe the correct daily care for Digital Imaging Plates cords andor batteries
Patient Registration amp Image Archiving
The student will be able to demonstrate knowledge and practice in
1 Method of patient registration
2 Level of confidentiality required for patients
3 Use of the computer system to locate and retrieve patient records
4 How to revise and update image data with appropriate patient and exam information
5 Release or mail patient image data
(clinhndbk)sectionvidoc revised 0520
Transportation Procedures
The student will be able to demonstrate knowledge and practice in
1 Overall floor plan of the clinical education center with special emphasis on the location of nursing and
other patient care areas
2 Overall floor plan of the imaging department including the location of all examination rooms work areas and equipment related to patient transportation
3 Clinical education center fire evacuation plan and procedure
4 Proper body mechanics in the transfer of patients to and from beds wheelchairs gurneys or x-ray tables
5 Patient identification confirmation
6 Responsibility of patient transporter for transmission of information to and from nursing units to imaging department as it relates to specific patient care general patient welfare or as it relates to the examination ordered or performed
7 Proper use of oxygen and other equipment related to patient care
8 Location of linen supplies wheelchairs gurneys and other materials utilized for patient care
9 Proper procedure for the care and storage of transporting equipment Operation of the department work
schedule as it relates to the control of patient flow equipment utilization and patient transportation
10 Responsibility of patient transporters for the safe care of patients during their prompt transportation to and from the imaging department
(clinhndbk)sectionvidoc revised 0520)
26
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 - 5
RADT B7 10 and 13 Summer Fall and Spring Terms
INTRODUCTION
The evening or PM shift will introduce students to the work and protocols of exams and procedures that occur
after 200 PM Often these exams are trauma and mobile radiography as they are performed on trauma victims
and in the operating room
READING ASSIGNMENT
Before beginning the evening rotations students should read about trauma and mobile radiography in the
appropriate chapter of Textbook of Radiographic Positioning and Related Anatomy current edition Also
students should review the current standards on universal precautions and patient care skills in handling patients
with injuries
CLINICAL OBJECTIVES
After completion of the assigned reading and near the end of a rotation a student will
1 Identify and analyze the specific differences in the operation of an imaging department during the PM
hours as compared to regular day operations This would include duties responsibilities and exams
performed and the interpersonal relationships with the entire health care team including the emergency
room and intensive care personnel
2 Perform routine radiographic procedures
3 Adapt routine procedures to trauma and emergency room patients requiring special care
4 Operate and manipulate radiographic equipment specific to trauma radiography
5 Understand and apply ALARA concepts in mobile and trauma radiography for the patient staff and
yourself
6 Write answers to the questions in Section B Journal of the Evening Rotation Objective form
(clinhndbk)sectionvidoc
27
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
INTRODUCTION
Surgical or operating room rotations o ffer the student an opportunity to learn procedures in a sterile
environment Timely and accurate procedures a re expected due to the patientrsquos ge neral anesthesia Knowledge
and accuracy are learned through repetitive rotations a nd exams Each student in the radiography program must
complete the operating room objectives dur ing the Clinical Education courses in the second year of the
program
OPERATING ROOM POLICY
In the course of providing clinical education any person connected with the Bakersfield College Allied Health
programs a grees to keep all patient information in strict confidence and to ensure the protection of patient
privacy In addition to observing the confidentiality of patient information it is a lso the expectation that
students wi ll not participate in the care of a friend of acquaintance without the consent of the patient This
practice is s pecific to the studentrsquos c arepresence in the operating room
To ensure adherence to the care practice as s tated above the following process w ill be utilized as r equired by
the agency Prior to assuming care of the patient in the Operating Room the student will
Check the patient name
If the patient is k nown to the student the student will inform the charge nurse or department manager
AND the instructor
The student will be required to accept an alternate assignment
STUDENT OBJECTIVES RADT B7 10 and 13- CLINICAL EDUCATION 3-5
Summer Fall and Spring Terms
Under direct technologist supervision the student will
1 Identify routine procedures used in surgical radiography examinations
2 Perform routine operating room radiographic procedures
3 Operate and manipulate mobile and c-arm radiographic equipment
4 Differentiate between sterile and non-sterile fields in the surgery department
5 Explain the preparation cleaning and safe use of radiographic equipment in surgery
6 Demonstrate the use of surgical clothes that must be worn by the technologist in the surgery suite and
recovery room
7 Adapt routine procedures to accommodate for a sterile environment
8 Explain the features operating procedures and uses of mobile fluoroscopy units
9 Assumed responsibility for assigned work in the surgical suite based upon the studentrsquos current level in the program
10 Set-up C-arm for proper anatomical orientation for the surgical procedure being performed
11 Complete answers to assigned questions on the Operating Room Objective Form
READING ASSIGNMENT
Before beginning the surgery rotation students s hould read about operating room radiography in the Trauma
Mobile and Surgical Radiography chapter of Bontragerrsquos Textbook of Radiographic Positioning and Related
Anatomy current edition chapter on Trauma Mobile and Surgical Radiography (section on surgical
radiography)
28
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 3-5 RADT B7 10 and 13
Summer Fall and Spring Terms
RADIATION ONCOLOGY
INTRODUCTION
The rotation through this modality of radiology will serve to orient the student with the history theory clinical applications terminology and patient care in radiation oncology Each student will observe and participate in under direct supervision the radiation treatment of patients In addition each student will observe and assist with the taking and processing of port films setting up for treatments and assisting in care of the patient during their course of treatment Students selecting this optional rotation will spend approximately for thirty-two (32) hours in this specialty Rotations will be offered during the second year of the program
READING ASSIGNMENT
Prior to reporting for your rotation through radiation oncology each student must read the
following materials as an introduction to this clinical field In addition other reading materials
will be assigned at the clinical site
Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on
Additional Diagnostic and Therapeutic (section on oncology)
STUDENT OBJECTIVES
After reading the introduction and reference materials by the end of the rotation a student will
be able to
1 Define terminology specific to radiation therapy
2 State the possible causes of cancer and identify common classifications of cancer
3 Apply radiation safety procedures for patients undergoing irradiation and for technologists
4 Understand the early and late effects of radiation treatment
5 Identify the types of equipment and discuss the levels of energy utilized for treatment
6 Describe and assist with patient preparation and positioning for conditions primarily treated with
radiation
7 Assist with taking port films processing them and reloading cassettes
8 Discuss the overall care of patients undergoing irradiation for treatment of disease
(clinhndbk)sectionivdoc revised 416
29
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 3-5 RADT B7 10 and 13
Summer Fall and Spring Terms
DIAGNOSTIC ULTRASOUND
INTRODUCTION
The rotation through this modality will serve to familiarize each student with the basic principles and theory of
ultrasound (sonography) Under direct supervision each student will observe and participate in the scanning of
patients for specific areas of the body In addition each student will observe and participate in computer
operations the processing of films and patient care Student selecting this optional rotation will spend
approximately thirty-two (32) hours in this specialty Rotations will be offered during the second year of the
program
Ultrasound is an imaging modality which utilizes pulsed sound waves far above human hearing ability It is
useful in the diagnosis of vascular obstetrical gynecological and abdominal regions of the body as well as part
such as the thyroid and prostate glands The clinical potential of ultrasound is extensive The technique has the
capability to locate and measure tissue interfaces visualize movingpulsatile structures and produce images of
organs or selected anatomical areas
READING ASSIGNMENT
Prior to reporting for your rotation through Diagnostic Ultrasound each student must read the following
materials as an introduction to this imaging field In addition other reading materials will be assigned at the
clinical site
Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on
Additional Diagnostic and Therapeutic Modalities chapter (section on ultrasound)
STUDENT OBJECTIVES
After completion of assigned reading materials and thirty-two (32) hour rotation a student will be
able to
1 Locate major anatomical structures on a routine ultrasound examination discuss important aspects
of the exam
2 Discuss the operation of the transducer and display monitor and operate the equipment under direct
supervision Review quality control procedures for operation of equipment
3 Assist the sonographer in preparing patients for ultrasound examination
4 Process filmsimages
(clinhndbk)sectionvidoc revised 416
30
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 3-5 RADT B7 10 and 13
Summer Fall and Spring Terms
NUCLEAR MEDICINE
INTRODUCTION
This rotation will serve to orient the student with the basic principles of nuclear medicine imaging radiation
protection technique basic computer skills instrumentation and a variety of clinical procedures Under direct
supervision each student will observe and participate in the various nuclear medicine procedures the
processing of films and patient care Students selecting this optional rotation will spend approximately thirty-
two (32) hours in this specialty
READING ASSIGNMENT
Prior to reporting for your rotation each student must read the following materials as an introduction to Nuclear
medicine In addition other reading materials will be assigned at the clinical site
Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on
Additional Diagnostic and Therapeutic Modalities (section on nuclear medicine)
STUDENT OBJECTIVES
After completion of assigned reading and near the end of the rotation a student will
1 Be able to assist in the completion of scans on each of the most common body parts
2 Format and film studies with the technologistrsquos assistance 3 Participate in patient preparation and obtaining the patient history
4 Route patients from the Nuclear Medicine Department to other departments for complementary studies
5 Recognize basic and sectional anatomy as seen on most commonly performed scans
6 Perform basic keystrokes on the acquisition and processing computers
7 Assist in positioning patients for scans under direct supervision of the nuclear medicine technologist
8 Gain basic knowledge of nuclear pharmacology relative to standard isotopes used kit preparation and
dosages for exam protocols
9 Be able to discuss and explain the basic concepts of instrumentation used in nuclear medicine imaging
10 Relate the differences between scintillation detectors and radiography equipment
(clinhdnbk)sectionvidoc revised 416
31
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 3-5 RADT B7 10 and 13
Summer Fall and Spring Terms
MAGNETIC RESONANCE IMAGING
INTRODUCTION
Magnetic Resonance Imaging (MRI) is a computer based cross-sectional imaging modality
which examines the interactions of magnetism and radio waves with tissue to obtain images
This technique provides both anatomic and physiologic information non-invasively No
ionizing radiation of any kind is used The rotation through this imaging modality will serve
to familiarize the student with the history and basic physic principles and theories of magnetic
resonance Additionally the student will learn basic scanning computer applications patient
preparations contrast media agents and positioning techniques used in imaging the patient Students
selecting this optional rotation will spend approximately thirty-two (32) hours in this specialty
READING ASSIGNMENT
Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on
Additional Diagnostic and Therapeutic Modalities (Section on MRI)
STUDENT OBJECTIVES
After completion of assigned reading and near the end of the rotation a student will
1 Demonstrate understanding of the clinical applications and protocols of MRI and assist with the
completion of scans performed
2 Briefly define signal radiofrequency tesla proton density parameters coil gating and how these
words relate to MRI
3 Explain routine procedures elicit pertinent personal history and discuss consent forms with the
patient
4 Demonstrate a good working knowledge of MRI safety
5 Recognize basic cross-sectional anatomy as seen on the most commonly performed scans
6 Perform basic functions at the computer console for routine patient exams
7 Position the patient for routine scans under direct supervision of the MRI technologist
8 List and explain what types contrast media agents are currently used in routine procedures
9 Compare and contrast MR images with conventional radiographers
(clinhndbk)sectionvidoc revised 0419
32
BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
MRI SAFETY INFORMATION
A major concern of Magnetic Resonance Imaging (MRI) is the ability of the ldquofringe fieldrdquo to attract ferromagnetic objects
and subsequently draw them into the scanner with significant force (approximately 40 mph or greater) This so-called
ldquomissile effectrdquo poses potential risks to the patient everyone near the MRI scanner and damage to the scanner Prolonged periods of MRI machine down time results if damage to the machine occurs
Students may have access to MRI environments whenever they are performing clinical rotations in both general radiology
and specialty rotations Students are not permitted to assist with patient transfers or any other capacity within the MRI suite of any clinical facility until the student has completed the MRI Screening form and they are cleared by BC faculty to enter
the MRI environment
This safety screening must be completed before starting clinical training in the Bakersfield College Radiology Technology
program This safety training must be completed yearly prior to the first day of clinical education center attendance
Documentation of MRI Safety training will be maintained in the studentrsquos personal file kept in the Radiologic TechnologyAllied Health office
Any changes in the status of a student regarding internal metallic objects will require documentation as to the safety of the
device and completion of a new MRI Screening form
Students are required to remove the metallic items below prior to arriving at a facility for an MRI Specialty Rotation or
assist in MRI Hair clips Necklaces
TLDrsquos (alligator clips) Wallets (credit cards erase)
Name tags Coins
Scissors Pocket knife (not permitted) Pens All metallic objects in lab coat pockets (keys etc)
Watches Clothing with metal in the material
Earringsbody rings
Students may not be allowed to participate in an MRI rotation if they have internal metallic objects These internal metallic
objects could include but are not limited to
Cardiac pacemaker
Aneurysm clip(s)
Implanted cardiac defibrillator Neurostimulator
Biostimulator
Any type of internal electrode(s) includingPacing wires
Cochlear implant
Implanted insulin pump Swan-Ganz catheter
Halo vest or metallic cervical fixation device
Implant electronic mechanical or magnetic
Diaphragm IUD
Pessary (intra-vaginal device)
Wire mesh implants
Hearing aid
Metallic foreign body shrapnel or bullet
Heart valve prosthesis Ear implant
Penile prosthesis
Orbitaleye prosthesis Any type of implant held in place by a magnet
Any type of surgical clip or staple(s)
Vascular access port Intraventricular shunt
Artificial limb or joint
Dentures
Tattooed makeup (eyeliner lips etc) Body piercing(s)
Internal Pacing wires
Any metallic or foreign body
Any implanted orthopedic item pins rods screws nails clips plates wire joint replacement
33
MRI has not been studied extensively as to possible effects upon the mother or the fetus during pregnancy At this time the definitive risks or complications of working around or having an MRI exam during pregnancy is unknown
If the student has any questions concerning MRI safety the student should consult hisher Clinical Coordinator before
signing the MRI Safety Form The safety form will be provided in the first summer of the program
Revised June 2016
34
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 3-5 RADT B7 10 and 13
Summer Fall and Spring Terms
CARDIOVASCULAR - INTERVENTIONAL IMAGING
INTRODUCTION
The rotation through this modality will serve to orientate the student with the basic principles of angiographic
equipment sterile technique and examination procedures Under direct supervision each student will observe
and participate in the angiographic procedures performed computer operations patient and examination
preparation to include sterile technique and processing of images Rotations will be offered during the second
year of the Radiography Program Students will spend approximately sixty-four (64) hours in this specialty
READING ASSIGNMENT
Prior to rotating through this modality each student must read the following materials as an introduction to this
imaging field In addition other reading materials will be assigned at the clinical site
Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on
Angiography and Interventional Procedures
STUDENT OBJECTIVES
After completion of assigned reading and near the end of the rotation a student will
1 Explain procedure to the patient and acquire a pertinent patient history
2 Demonstrate proper use of sterile o aseptic technique before during and post procedure
3 Use proper universal precautions with blood or other body fluids
4 Position and patient for routinely performed procedures
5 Select appropriate equipment for examinations performed
6 Practice appropriate and safe radiation protection measures for patient self and other departmental
personnel
7 Provide appropriate post-procedural care for the patient
8 Properly dispose of used or contaminated supplies
9 Identify film anatomy for positioning and filming
(clinhndbk)sectionivdoc revised 0412)
35
BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 2-5 RADT B7 10 and 13
Spring Summer Fall and Spring Terms
Computed Tomography
I INTRODUCTION
The rotation through this imaging modality will serve to familiarize each student with the
history basic principles and theory of computed tomography Under direct supervision each student
will observe and participate in the scanning of patients for specific areas of the body In addition each
student will participate in computer operations patient preparation and positioning
Rotations through this modality will begin in Clinical Education 2 and continue throughout the
remainder of the program
II READING ASSIGNMENT
Prior to rotating through this modality each student must read the following materials as an introduction to this imaging field In addition other reading materials will be assigned at the clinical site
Bontrager Kenneth Textbook of Radiographic Positioning and Related Anatomy current edition chapter on Computed Tomography Bushong Stewart Radiologic Science for Technologists current edition Multislice Spiral Computed Tomography chapter
III STUDENT OBJECTIVES
After completion of assigned reading and near the end of the rotation a student will
1 Be able to assist in the completion of scans on each of the most common body parts
2 Film studies with technologistrsquos assistance
3 Participate in patient preparation and information
4 Route patients from CT to other departments for complementary studies
5 Recognize basic cross-sectional anatomy as seen on most commonly performed scans
6 Perform basic keystrokes position patients for scans under direct supervision of the
CT technologist
7 Gain knowledge in basics of CT relative to concepts of slice thickness slice spacing
table increments technique selection and scan routines
8 Complete the CT objective mandatory form each semesterterm the CT rotation occurs
(clinhndbk)sectionvidoc revised 0420
36
RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
As part of the clinical education experience students require skills in assessing radiographs for correct
exposure positioning and radiographic quality To facilitate this process students are required to present
radiographic case studies during scheduled film critique sessions
Each student is required to present a specific number of case studies during the semesterterm (refer to list under
Item C) Each individual case study must be presented at a different session during the semester except as
approved by the instructor Make-up sessions are not encouraged Each student must be prepared to present the
case study at the beginning of the session as scheduled
Copies of radiographs are to be utilized for the presentation and discussion All patient identification must be
removed prior to leaving a clinical education center and transporting films for the presentation Patient
confidentiality must be maintained at all times Duplicate images used for student discussions must be recycled
A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
The radiographic case study format must include the following
1 Correct pronunciation and use of English and medical terminology in both oral and written forms
2 Describe the exam routine image sequence position of partpatient collimation
breathing instructions and immobilization used Discuss the quality of positioning used
3 Identify anatomical and pathological structures and anatomical parts best demonstrated on each projection
4 Discuss alignment of tube CR patient and image receptor and SID
5 Identify technical factors used for exposure including kVp mA and time of exposure
use of automatic exposure control and amount of mAs used Discuss the sensitivity number or
exposure index parameters and discuss whether these values are within the correct range of
exposures for the body part For all exposure factors and digital imaging values discuss how
these factors should be modified to improve image quality and ensure optimization for radiation
protection
6 Identify and discuss the use of accessory equipment including part identification
methods (lead markers and digital annotation) blockers and system speed for filmscreen
imaging digital imaging plate or detector speed image receptor size and grid use
7 Assess image quality for anatomical structures and pathological conditions
demonstrated The impact of image densitybrightness contrast detail and distortion must be
analyzed Discuss how image brightness and contrast (digitalgray scale or film-screenscale of
contrast) may be adjusted
8 Identify use of equipment and radiation protection measures
9 Summarize and evaluate all technical positioning and equipment factors and their impact on achieving an optimum product for radiologic interpretation If the image is less than optimum alternatives that would improve and maximize radiographic quality must be provided and explained
B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
37
Pathology pediatric geriatric and trauma case studies follow the same criteria as the regular case study with
additional information required Research is necessary to complete the pathology case study Research maybe
conducted at the Bakersfield College Library Radiologic Technology Program library individual Clinical
Education Center libraries or reference sources located within the individual radiology departments or on-line
sources
Additional information necessary for this type of case study includes
1 Definition of all medical terms related to the pathology
2 Etiology and predisposing causes
3 Prevalence mortality morbidity and statistics
4 Symptoms signs and manifestations
5 Methods of Diagnosis
6 Methods of Treatment
7 Reference sources [must include more than one source]
a Suggested references may include but are not limited to
radiology nursing surgical or medical texts Merckrsquos M anual
Allied Health encyclopedias o r dictionaries professional
journals a nd online resources
C RADIOGRAPHIC CASE STUDY REQUIREMENTS
RADT B6 (Spring) 6 case studies
Suggested exams may include
Chest KUB upper and lower extremities
Cervical thoracic or lumbar spine pediatric geriatric and
trauma
RADT B7 (Summer) 5 case studies
1 pathology case study and 1 pediatric 1 geriatric
and trauma case study
Suggested regular exams may include
Cervical thoracic or lumbar spine
GI system GU system Angiography
Special Imaging Modality
Suggested pathology exams may include
Any exam listed from RADT B6
or RADT B7
RADT B10 (Fall) 6 case studies
2 pathology case studies 1 pediatric geriatric or
trauma
Suggested regular Exams may include
GI System GU system Skull
Special Imaging Modality Angiography
Suggested pathology exams may include
Any exam listed from RADT B6
RADT B7 or RADT B10
Note Exams may be presented only once during the Program unless the exam is repeated under the pathology
category or presents something newdifferent [example a portable examination] It is expected that students
will present examinations commensurate with their current level in the program
38
VII Record of Clinical Procedures
BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
Instructions to Students
Daily Logsheets ndash Students will complete the items on the daily logsheets page select the date clinical
site supervising employee (if not in list click New and add full first and last names then click Add)
Click Add Logsheet to select major study procedure and other requested items If Key Field is listed
ask program leader what to use for the key field
List of Categories Extremity Upper and Lower Chest and Thorax Spine amp Pelvis Head Abdomen and Fluoroscopy Studies Mobile Surgical Pediatric Geriatric
Trajecsys - On-Line Radiologic Technology Clinical Reporting System
How to Enroll and Pay
Logon on to wwwtrajecsyscom Select Payments (Students)
o Go to Registration Page
o You will need to register as a student Once you register in the system BC will receive an email
that you registered and we will assign you to a clinical site Once this occurs you may then
access the system
Cost
o Students wi ll pay Trajecsys C orporation directly via a link on the Trajecsys Payments pa ge
(available from the top of the Trajecsys home page) to PayPal where a credit card or PayPal
payment can be made (money orders or checks c an also be sent directly to Trajecsys C orporation
- a billing office address is a vailable on the Payments pa ge Trajecsys pe rmits s tudents to begin
using the system even if they havenrsquot paid by the stated registration date provided by the
program
o Graduating Class of 2021 (2019-2021 Rad Tech Student) $150 for access from June 2019-May
2021) payment is due by June 30 2019
Full refunds will be available for 30 days after the due specified Nor refunds will be
made thereafter Check or Money Orders are accepted at
39
o Trajecsys Corporation
6342 West Lake Drive
Alexander AR 72002
o Select ldquoGo to Registration Pagerdquo
o Register for Trajecsys
o Institution Name Bakersfield College
o Include your full name
o Select Current Student (Class of 2019-2021)
o Select New Student (Class of 2019-2021)
40
o Select a user name that will identify you as a student It is preferred that you use your first and last name
If you want to use a shortened version of your name such as Steve instead of Steven that is fine Select
your own password
o Select Area California
o Use your assigned college email address for Trajecsys Do not use your personal email information
41
VII Performance Evaluation in the Clinical Education Center
VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
42
43
Radiologic Technology Program Clinical Education 1-5
RADT B 4b 6 7 10 13
Clinical Competency Requirements
1 Flow Chart of Student Activity and Experience
2 Clinical Competency Requirements
3 Clinical Competency Evaluation Instructions
4 Clinical Competency Evaluation Form
5 Clinical Competency Evaluation Criteria
6 Radiologic Procedure Categories
Completed during Clinical Education 1-5
a Extremity- Upper and Lower
b Chest and Thorax
c Pediatric
d Geriatric
e Head
f Spine and Pelvis
g Mobile Studies
h Abdomen
i Fluoroscopy Studies
j Electives
7 Student Record of Clinical Competency
8 Terminal Competency Requirements
9 Terminal Clinical Competency Evaluation Form
10 Terminal Clinical Competency Categories
Completed after individual radiologic procedure categories (6 above)
Completed during Clinical Education 3-5
a Extremity
b Chest and Thorax
c Head
d Spine and Pelvis
e Abdomen and Fluoroscopy (clinhndbook)clincompproc00 Revised 42016
44
Radiologic Technology Program
Clinical Education 1-5
RADT B 4b 6 7 10 13
Clinical Competency Requirements
Introduction
During the course of the twenty-four month radiography program the system of Clinical Competency testing is
implemented During each clinical education course a minimum number of competency exams must be
completed A student must perform these exams after demonstrating competency within the laboratory setting
and sufficiently practicing the exam in the clinical setting
The competency exams are selected from the Radiologic Procedure Category listing (see attached)
Number of Radiologic Procedures Required for Clinical Competency
A total of 52 clinical competency procedures must be completed to meet program completion requirements
These consist of mandatory and elective procedures Six (6) of the 52 exams may be completed as simulations
Mandatory Procedures Forty-two (42) mandatory exams required for clinical competency
Elective Procedures Ten (10) of the twenty-seven (27) elective procedures identified must be completed
The following table identifies the minimum number of exams per clinical education course
Course SemesterTerm
Number of
Required
Competency
Exams per
SemesterTerm
OR a Total
Number of
Competency
Exams
RADT B4b Fall Semester 3 6
RADT B6 Spring Semester 9 12
RADT B7 Summer Term 13 25
RADT B10 Fall Semester 13 38
RADT B13 Spring Semester 14 52
Note A student may exceed the minimum number of competency exams in Clinical
Education Courses 2-5 if laboratory competency has been demonstrated and sufficient
practice achieved
In RADT B4b Clinical Education 1 the maximum number is six (6) competencies
Category Completion
All clinical competency procedures both mandatory and elective must be passed with an 85 or higher (a
score of 2630 points po ssible) Each competency procedure must follow the departmentrsquos r outine for a
complete exam (clinhndbook)clincompproc2016
45
COMPETENCIES
Competencies are documented on Trajecsys by the Clinical Instructor (CI) Students will follow the BC and
clinical site protocols for all attempted competency exams Exams will be documented by the CI on Trajecsys
It is strongly recommended students maintain paper records of all attempted competencies in addition to the
electronic records found in Trajecsys Students must electronically sign all Competencies documented into
Trajecsys
View and Sign
Students must view and sign all Competency Exams by
1 From Left Menu Click Reports
2 Select Skill Summary
3 Note the Category Comps select the Comp Corresponding to the date and exam to be signed
4 After viewing the Competency Form scroll to the bottom of the form and click (+) Add Comment
5 To sign the Competency form choose ldquoSignaturerdquo from the drop down menu
6 Choose the from the drop down menu to addtype a comment if you choose Note Please document the specific Comp Exam performed for ldquoSpecifyrdquo Exams EXAMPLE Trauma Upper Extremity Please note the specific exam performed
7 You may opt to print from this screen also
Clinical Instructors will document Competency Exams on Trajecsys by
1 From Left Menu Click Comp Evals
2 Follow the pull-down menu to log all Competency Exams attempted
3 Add comments by selecting the (+) icon please note none specific exams Example Trauma Lower Extremity (note ankle on the form)
4 Click Submit (Be sure to wait until form is Submitted before exiting the page)
If a clinical instructor is not immediately available to review and enter the completed clinical competency into
the Trajecsys System the student may request a paper Competency Evaluation Form be completed by the
supervising technologist The Clinical Instructor may view the form and enter the competency at a later time
It is the responsibility of the student to have paper Competency Evaluation Forms available for use
46
RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
Instructions The student will notify the clinical instructorradiographer evaluator when ready to perform a competency The radiographer
evaluator will monitor the examprocedure with a final review made by the clinical instructor if they are not the evaluator Starred ()
tasks are critical to successful completion of competency If the student fails to perform a starred task the evaluation process is
terminated and the student receives an unsuccessful competency evaluation The evaluator will answer each item yes or no
Student Name Date
Circle Major Study Abdomen C-ARM Chest amp Thorax Fluoro Geriatric
Head Lower Extremity Mobile Pediatric Spine amp Pelvis Trauma Upper Extremity
ExamProcedure Name Performance Evaluation Areas YES NO
1 Evaluation of Requisition A Selected Correct Patient
B Identified Correct Procedure
A
B
_____
_____
A
B
_____
2 Physical Facilities Readiness
A Provided clean room and equipment B Obtained appropriate supplies for exampatient
C Verified operation of equipment amp suitability for exam
AB
C
_____ AB
C
_____
3 Patient Care A Gowned patient properly and maintained privacycomfort
B Introduced himherself and explained procedure
C Assessed patient and assistedtransported patient correctly
D Programmed control panel according to exam E Applied universal precautions
A
B
C
DE
_____ A
B
C
DE
_____
4 Equipment Operation
A Manipulated equipment controlslocks properly B Selected correct imaging device amp grid combinations
C Selected appropriate exposure factors
D Programmed control panel according to exam
AB
C
D
_____ AB
C
D
_____
5 Positioning Skills A Positioned patient properly
B Aligned central ray to partimage receptordetector
C Selected correct tube angle
D Selected correct SID E Used immobilization devices as needed
A
B
C
D E
_____ A
B
C
D E
_____
6 Radiation Protection
A Collimated to Part B Used appropriate shielding devices as needed
C Maintained ALARA for personnel amp patients
D Requested information on pregnancy as appropriate
A B
C
D
_____ A B
C_
D
_____
7 RepeatsExam Completion Time A Student had no repeats
B Exam completed in reasonable time limit Begin____ End______
A
B
_____ A
B
_____
8 Image Evaluation (Completed by Clinical Instructor)
A Anatomical part demonstrated in proper position B Optimal image density amp contrast
C Identified anatomical structures shown
D Image amp patient identification properly demonstrated E Image correctly marked (annotation of right or left not accepted)
A B
C
DE
_____ A B
C
DE
_____
SCORE 30 POINTS POSSIBLE (minimum passing score is 26 or 85) points
EVALUATORS SIGNATURE
CLINICAL INSTRUCTORS SIGNATURE
Comments MClinicalTrajecsys Comp Form_
47
_____
_____
_____
_____
_____
_____
_____
_____ _____
_____
_____
_____ _____
_____
_____
_____
_____
_____
_____
_____
_____
_____ _____
_____
_____
_____ _____
_____
_____
_____
_____
____
_____
_____ _____
_____
_____
_____ _____
_____
_____
_____ _____
_
RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
The Student will
Notify the Clinical InstructorRadiographer Evaluator that they plan to complete a competency exam Attach one evaluation form to the exam requisition and give both to the evaluator prior to the exam Perform the competency exam under appropriate supervision Review the competency exam with the Clinical Instructor
The Evaluator will
Monitor the competency exam Complete Sections 1-7 on the evaluation form Record a response for each area even if the competency is only partially completed by the student (ie technologist intervenes in exam) Write a brief explanation of why ldquono ldquowas checked on the evaluation form Record the beginning and ending times of exam Sign the evaluation form and give it to the Clinical Instructor upon completion of Sections 1-7
The Clinical Instructor will
Complete Section 8 Image Evaluation on the evaluation form Score the competency exam Review the competency exam form and score with the student Document remediation for incomplete andor failed exams Upon completion of the review with the students give the competency evaluation forms to the Clinical Coordinator
The Clinical Coordinator will
Record competency exams that are attempted passed or failed on the Record of Clinical competencies form
Review competency exam progress with the student
(clinical)competentdoc
48
RADT B 4b 6 7 10 and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
PERFORMANCE EVALUATION AREA
1 Evaluation of Requisition
The student will
Identify patientrsquos name and date of birth and verbally verify with patient or with ID band
Inform evaluator of exam and positions to be performed
Inform evaluator if clinical history requires adaptations
2 Physical Facilities Readiness
The student will Select proper room and equipment for exam Demonstrate room and equipment readiness prior to patient and physician entering exam room Inspect all radiographic equipment and accessories to ensure they are clean and ready for use Manipulate equipment in positions necessary for exam Supply clean linens Locate and prepare necessary materials for routine exams Have appropriate immobilization and shielding devices available Have appropriate number and size of image receptorsdetector ready for use Locate emergency equipment and supplies
3 Patient Care
The student will Introduce self to patient Address patient utilizing effective communication Determine the mode of transportation and manipulate equipment accordingly Transport patient to appropriate imaging area Determine need and provide for patientrsquos comfort and safetyMaintain patientrsquos dignity by providing the patient with proper size and type of gownRemove all unnecessary articles from patient prior to exam Provide appropriate assistance to radiographic table based on patientrsquos conditionExplain procedure to patient in understandable terms Answer any questions the patient may have concerning procedure Give proper instructions for moving and breathing Maintain confidentiality Demonstrate kindness compassion and empathy towards patient Use personal protective equipment correctly Properly dispose of contaminated materials
4 Equipment Operation
The student will Maneuver the x-ray tube and Bucky utilizing appropriate controls and locks Determine image detector screen and grid combinations appropriate for procedure and patient Determine proper image receptordetector orientation Refer to technique chart Select exposure factors following assessment of patients size measurement and condition
49
Select control panel parameters (ie AEC Table Bucky upright chest photocells
focal spot sec mA and kVp)
5 Positioning Skills
The student will Position patient according to established protocol Adapt positions according to patient limitations Use correct baseline or landmark Align central ray to part and image receptordetector Set correct tube angle Set correct SID Use patient appropriate devices to immobilize
6 Radiation Protection
The student will Manipulate collimator to limit x-ray field size Demonstrate evidence of collimation on the part and image Demonstrate appropriate use of lead apron gloves thyroid shields and lead blockers Select proper exposure factors to minimize dose Adjust exposure factors for procedure and patient Question female patient of child bearing age about possible pregnancy document and follow-up as necessary
7 RepeatsExam Completion Time
The procedure required no repeats due to studentrsquos actionThe student will complete the exam within reasonable time limits with regard to patient and equipment variables
8 Image Evaluation
The radiograph demonstrates Part shown in proper position Proper tube part and image receptor alignment Adequate detail Pertinent anatomy student identifies structures best demonstrated Proper image density and appropriate scale of contrast Right left and other markers displayed correctly and out of the area of interest Correct patient information and date
(clinical)competentdoc
50
Radiologic Technology Program Clinical Competency Requirements
Imaging Procedures
Required Exams
CATEGORY
EXTREMITY- UPPER AND
LOWER
REQUIRED VIEWS
Thumb or Finger PA or AP Oblique Lateral
Hand PA Oblique Lateral
Wrist PA Oblique Lateral
Forearm AP Lateral
Elbow AP Oblique Lateral
Humerus AP Lateral
Shoulder AP Internal and External
Clavicle AP AP Axial
Trauma Shoulder or Trauma
Humerus (Trauma is considered a serious injury
or shock)
Scapular Y Transthoracic or Axillary
Trauma Upper Extremity Trauma is considered a serious injury or shock Modifications may
include variations in positioning movement of body parts etc non-
shoulder
Foot Dorsoplanter Oblique Lateral
Ankle AP Oblique Lateral
Tibia and Fibula AP Lateral
Knee AP Oblique Lateral
Femur AP Lateral
Trauma Lower Extremity Trauma is considered a serious injury or shock Modifications may
include variations in positioning minimal movement of body parts etc
CATEGORY
CHEST and THORAX REQUIRED VIEWS
Chest routine PA Lateral
Chest wheelchair or stretcher AP
Ribs AP or PA Obliques
CATEGORY
PEDIATRIC REQUIRED VIEWS
Chest age 2 years or younger PAAP Lateral
Chest age 6 years or younger PAAP Lateral
Extremity age 6 years or
younger
Specify complete exam either upper or lower extremity
51
Required Exams Clinical Competency
CATEGORY
GERIATRIC Geriatric Patient (At Least 65 Years
Old and Physically or Cognitively
Impaired as a Result of Aging)
REQUIRED VIEWS
Chest PA and lateral
Upper extremity Specify Exam
Lower extremity Specify exam
CATEGORY
HEAD REQUIRED VIEWS
Paranasal Sinuses 3 view Minimum 5 view Preferred Parietoacanthial
(Waters) Lateral PA PA Axial (Caldwell)
CATEGORY
MOBILE STUDIES REQUIRED VIEWS
Portable Chest AP
Portable Abdomen KUB (to include symphysis pubis)
Portable Orthopedic Specify Exam
CATEGORY
MOBILE C-ARM REQUIRED VIEWS
Surgical C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production
and manipulation around a sterile field
C-Arm Procedure Specify Exam Includes C-Arm preparation set-up and image production
Requires manipulation to obtain more than one projection
CATEGORY
SPINE and PELVIS REQUIRED VIEWS
Cervical Spine 5 view minimum AP Axial Lateral AP Axial Obliques AP Open
Mouth
Trauma Cervical Spine Cross Table Lateral- horizontal beam (Trauma is considered a serious injury or shock Modifications may include variations in positioning minimal movement of body parts etc)
Thoracic Spine AP Lateral
Lumbosacral Spine 5 View Minimum AP or PA Obliques Lateral L-5S-1 Lateral
preferred
Pelvis AP
Hip AP Lateral
Cross-Table Hip Lateral- horizontal beam
CATEGORY
ABDOMEN REQUIRED VIEWS
Abdomen (KUB) Supine
Abdomen Upright
52
Required Exams Clinical Competency
CATEGORY
FLUOROSCOPY STUDIES REQUIRED VIEWS
Upper GI Series Single Double
contrast
OR
Barium Enema Single Double
Contrast
Per site protocol
Small Bowel Series Per site protocol
Clinical Competency Requirements Imaging Procedures Continued
ELECTIVE EXAMS
Minimum of 10 Exams Required for Clinical Competency
CATEGORY
EXTREMITY Upper and
Lower
REQUIRED VIEWS
Scapula AP Lateral
Acromioclavicular Joints Bilateral AP withwithout weights
Toe AP Oblique Lateral
Calcaneus Lateral Axial
Patella Sunrise or complete knee to include Sunrise
CATEGORY
CHEST and THORAX REQUIRED VIEWS
Chest Lateral Decubitus
Sternum Oblique Lateral
Upper Airway Soft-Tissue Neck
CATEGORY
PEDIATRIC
(6 years and younger)
REQUIRED VIEWS
Mobile study Specify Exam
Abdomen Specify Exam
CATEGORY
HEAD REQUIRED VIEWS
Skull APPA Laterals AP Axial (Towne)
Facial Bones Parietoacanthial (Waters) Lateral PA Axial (Fueger)
53
ELECTIVE EXAMS
Minimum of 10 Exams Required for Clinical Competency
Nasal Bones Laterals Parietoacanthial (Waters)
Mandible PAAP Axiolateral Oblique Lateral AP Axial
Zygomatic Arches Submentovertex
Orbits ParietoacanthialOrbitoparietal Oblique or Parietorbital Obliqe
TMJ Per site protocol
CATEGORY
SPINE and PELVIS REQUIRED VIEWS
Scoliosis Series Complete Series
Sacroiliac Joints ObliquesAP Axial
Sacrum andor Coccyx AP or PA Axial Lateral
CATEGORY
ABDOMEN REQUIRED VIEWS
Abdomen Decubitus
Intravenous Urography Per site protocol
CATEGORY
FLUOROSCOPY STUDIES REQUIRED VIEWS
Esophagus Per site protocol
ERCP Per site protocol
Cystography or
Cystourethrogram
Per site protocol
Arthrography Per site protocol
Hysterosalpingography Per site protocol
Myelography Complete exam includes material and equipment prep
54
STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
Name ________________________________________ Class of 2020-2022
REQUIRED COMPETENCIES
All of these exams must be completed
DATE LOCATION SCORE SIMPT
EXTREMITY- Upper and Lower
Finger
Hand
Wrist
Forearm
Elbow
Humerus
Clavicle
Shoulder
Trauma Shoulder or Humerus
Trauma Upper Extremity non-shoulder
Foot
Ankle
Tibia and Fibula
Knee
Femur
Trauma Lower Extremity (Specify)
CHEST and THORAX
Chest
AP Chest ndash stretcherwheelchair
Ribs
PEDIATRIC
Chest (2 years or younger ndash 2 view)
Chest (6 years or younger ndash 2 view)
Extremity age 6 years or younger
GERIATRIC (at least 65 years old and physically or
cognitively Impaired)
Chest routine
Upper Extremity (Specify)
Lower Extremity (Specify)
55
REQUIRED COMPETENCIES
All of these exams must be completed
DATE LOCATION SCORE SIMPT
HEAD
Paranasal Sinuses
SPINE AND PELVIS
C-Spine
Trauma Lateral C-Spine
T-Spine
Spine and Pelvis Continued
L-Spine
Pelvis
Hip
Hip ndash Cross table lateral
MOBILE STUDIES
Portable Chest
Portable Abdomen
Portable Orthopedic
SURGICAL STUDIES
C-Arm Procedure (multiple angulations of C-arm)
C-Arm Procedure (Requires sterile field)
ABDOMEN
Abdomen Supine
Abdomen Upright
FLUOROSCOPY STUDIES
UGI or BE
SBS
MClinical Competencies2020-2022 (revised 2018)
56
STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
ELECTIVE COMPETENCIES
10 of these 27 elective procedures must be completed
DATE LOCATION SCORE SIMPT
EXTREMITY- UPPER amp LOWER
Scapula
AC Joints
Toes
Calcaneus
Patella
CHEST and THORAX
Decubitus Chest
Sternum
Upper Airway Soft Tissue Neck
PEDIATRIC
Mobile Study
Abdomen
HEAD
Skull
Facial Bones
Orbits
Zygomatic Arches
Mandible (no Panorex)
Temporomandibular Joints
Nasal Bones
SPINE and PELVIS
Scoliosis Series
Sacroiliac Joints
Sacrum or Coccyx
ABDOMEN
Abdomen Decubitus
Intravenous Urography
FLUOROSCOPY STUDIES
Esophagus
CystographyCystourethrography
Myelography
ERCP
Arthrography
revision 2018
57
Radiologic Technology Program Clinical Education 4-5
RADT B10 amp B13
Terminal Competency Requirements
Introduction
During Clinical Education 4-5 RADT B10 amp 13 the terminal clinical competency system will be completed A student will perform the required terminal competencies after demonstrating competency for an individual radiologic procedure category The terminal competencies will be completed as a simulated exam at Bakersfield College
Each terminal competency category has a specified number of exam sections A student will complete one of the exam sections identified on the category listing The exam section is selected at random Refer to the attached category listing for the required exams
Terminal Competency Completion
Each radiographic position identified for a category must be successfully passed with an 85 or higher in
order to complete the Terminal Competency Evaluation for each category If any position score is below 85
the student will meet with the instructor for remediation purposes Following remediation the student will
perform a complete exam for the position not successfully passed Successful remediation will earn a student
85 for the position
58
Bakersfield College Radiologic Technology Program
TERMINAL CLINICAL COMPETENCIES
Completion of Terminal Competencies
A student will be required to complete each of the five (5) required exam sections listed below Each radiographic position must be successfully passed with an 85 or higher in order to complete the Terminal Competency Evaluation If any position score is below 85 the student will meet with the instructor for remediation purposes Following remediation the student will perform a complete exam for the position not successfully passed All 5 categories must be passed to successfully complete the Radiography Program
CATEGORY EXTREMITIES
REQUIRED EXAMS Lateral Forearm
Oblique Wrist
AP Humerus
AP Ankle
Oblique Foot
Lateral Knee
Axial Calcaneus
OR
Lateral Hand
AP Forearm
Lateral Elbow
Transthoracic Shoulder
AP Tibia-Fibula
Lateral Foot
Oblique Knee
OR
Oblique Hand
Lateral Wrist
Axial Clavicle
External Rotation Shoulder
AP Foot
Lateral Ankle
Sunrise View Patella
OR
PA Wrist
AP Elbow
Lateral Humerus
Y View Shoulder
Lateral Tibia-Fibula
Oblique Ankle
AP Femur
59
TERMINAL CLINICAL COMPETENCIES
CATEGORY HEAD
REQUIRED EXAMS PA Skull
Parietoacanthial (Waterrsquos) Sinuses
Lateral Facial Bones
AP Axial (Towne) Skull
Pa Axial (Caldwell) Sinuses
OR
AP Skull
Parietoacanthial (Waterrsquos) Facial Bones
Lateral Skull
AP Axial (Towne) Skull
PA Axial (Caldwell) Sinuses
CATEGORY ABDOMEN and FLUOROSCOPIC STUDIES
REQUIRED EXAMS RAO Stomach
Oblique Esophagus
Lateral Rectum- BE
AP Bladder- IVU
KUB ndash BE IVU SBS
OR
PA Stomach ndash UGI
Oblique Esophagus
Lateral Rectum ndash BE
AP or PA Axial - BE
Lateral Decubitus KUB ndash BE
CATEGORY CHEST AND THORAX
REQUIRED EXAMS Lateral Decubitus Chest
PA Chest
Lateral Chest
AP Right Unilateral Ribs Above Diaphragm
Oblique Right Unilateral Ribs
AP Below Diaphragm Ribs
60
TERMINAL CLINICAL COMPETENCIES
CATEGORY SPINE and PELVIS
REQUIRED EXAMS Lateral C- Spine
AP T-Spine
Oblique L-Spine
AP Axial Sacrum or Coccyx
Lateral Hip
OR
AP Axial C-Spine
Swimmerrsquos View T-Spine
Lateral L-Spine
AP Open Mouth C-Spine
AP Pelvis
OR
AP Axial Oblique C-Spine
Lateral T-Spine
AP L-Spine
Oblique L-Spine
Trauma Cross-Table Lateral Hip
OR
Oblique L-Spine
Lateral Sacrum and Coccyx
AP T-Spine
Trauma Cross-Table Lateral C-Spine
AP Pelvis
61
Example Form
TERMINAL CLINICAL COMPETENCY EVALUATION FORM
CATEGORY ABDOMEN amp GI TRACT
2
STUDENT DATE CARD NUMBER
INSTRUCTIONS Each area designated by a letter is worth one point The evaluator will mark each area according to the
following
1 Acceptable 0 Unacceptable
TIME LIMIT SPECIFICATIONS Student completed the competency within 30 minute time limit YesNo
Begin Time ____________________________ Conclusion Time ________________________
PERFORMANCE EVALUATION AREA YES NO
SECTION A
1 PATIENT CARE The Student
a Identified patientintroduced self
b Asked patient to remove unnecessary articles and to gown
c Requested information on pregnancy as appropriate
SECTION A REQUIREMENTS MUST BE SUCCESSFULLY COMPLETED PRIOR TO STARTING
SECTION B
PERFORMANCE EVALUATION AREA
SECTION B PA
Stomach
Oblique
Esophagus
Lateral
Rectum-BE
AP or PA
Axial -BE
Lateral
Decubitus
KUB-BE
1 POSITIONING SKILLS The Student
a Properly centered patient
b Gave clear positioning instructions
c Aligned central ray to part
d Aligned central ray to image receptor
e Utilized correct tube angle
f Gave proper breathing instruction
g Immobilized patient properly
h Used appropriate devices for comfort or
immobilization
i Maintained patient comfort and safety throughout exam
2 EQUIPMENT OPERATION The Student
a Manipulated equipment controlslocks properly
b Selected gridBuckychest boardtable top as appropriate
c Programmed control panel appropriately
kVp
mAs
62
PERFORMANCE EVALUATION AREA
SECTION B (CONTINUED) PA
Stomach
Oblique
Esophagus
Lateral
Rectum- BE
AP or PA
Axial- BE
Lateral
Decubitus
KUB- BE
2 EQUIPMENT OPERATION The Student
d Selected appropriate cassette size
e Oriented cassette correctly
f Correctly placed marker(s)
g Selected correct marker
h Placed blocker out of area of interest
i Used appropriate SID
3 RADIATION PROTECTION The Student
a Collimated to cassette size or within one inch of
area of interest
b Shielded patient when necessary
TOTAL EACH COLUMN 20 20 20 20 20
85 = 1720 1720 1720 1720 1720
OVERALL TOTAL SCORE 100
Achieved Competency in all positions with 85 or better YES NO
COMMENTSOR REMEDIATION TERMS
Signature of Clinical Coordinator Date
Rev 72012
(clinicalcomp)abdomen-gitract2 2012doc
63
________________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________________ ____
Performance Evaluations
Midterm and End of Term Performance Evaluations a re available for review through the Trajecsys
System Students wi ll be notified when Evaluations a re ready for review with their Clinical Instructor
and Clinical Coordinator Students wi ll review and print the Performance Evaluation and Self
Evaluation promptly and bring the printed Evaluation to their clinical site for review with their Clinical
Instructor and Clinical Coordinator
Students are advised to review the Performance Evaluations throughout the semester in order to be
familiar with the evaluation grading criteria
Sample Performance Evaluation
RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION PERFORMANCE EVALUATION
Course RADT B6 - Clinical Education 2
____________________________ _______________________ Student Date Clinic Location
Instructions In each category below circle the category that corresponds to the level of performance of the student Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation
A Attendance The student demonstrates competency in this category by meeting the following objectives
(I) Independent Performs consistently each time without support or direction (S) Supervised Performs consistently each time requires occasional support or direction
Occasionally absent (A) Assisted Performs adequately under supervision requires regular support or direction
occasionally absent inefficient use of time (U) Unsatisfactory Performs inconsistently requires constant support or direction inefficient use of
time regularly absent (NA) Not applicable Not observed or does not apply
Points 4 I
Points 3 S
Points 2 A
Points 1 U
N A
1 Arrives on time remains for entire shift and observes scheduled break and lunch times notifies appropriate clinical personnel as to absence and tardiness (c)
2 Prepared to work upon arrival
3 Pattern of attendance is conducive to learning
Attendance Comments
Evaluation continues with 4 more categories A Professional Conduct B Patient Care and Communication C Technical Skills D Productivity
Student Comments (Optional)
Grades are computed for individual evaluations using the point scale below
64
________________________
A = 156-140 B = 139- 128 C = 127- 117 D = 116-101 F = 100 or less
The course is graded on a pass no pass basis Course credit is based on earning a 75 or higher for the total points possible as referenced in the course syllabus Note Students receiving a (U) for Unsatisfactory in any category will be placed on probation for the evaluation cycle The probation status also includes an automatic 75 on the evaluation
Critical Tasks for Clinical Education Performance Evaluation Critical tasks essential for mastery of clinical education are identified by a parenthetical (c) at the end of the objective Students must earn a performance of a 4 (Independent) or 3 (Supervised) to successfully complete the course Students earning a 2 (Assisted) or 1 (Unsatisfactory) will receive probation in accordance with program policy
Clinical Instructor signature BC Clinical Coordinator signature Student signature
Date Date Date NOTE Each course syllabus will have the professional growth evaluation published in it for review at the beginning of each semester
65
Self-Evaluations
Students will complete a Self-Evaluation at Midterm and the End of Term before viewing their
Performance Evaluation The Self-Evaluation is available in the Trajecsys System online Please select
the correct course number for the appropriate clinical rotation Students will complete each portion of
the evaluation and must include written comments that are reflective of their clinical performance
Students will print the Self-Evaluation and bring it to their Mid-and-End of term meetings with their
Clinical Instructors and Clinical Coordinator for review
SAMPLE
BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
RADT B6___ __ Mid-term (due at time of evaluation) Student Name __ Final (due at time of evaluation) RADT B7___
Clinic Location
Instructions In each category below check the box that corresponds to your
level of performance
Below
Passing
Grade of
C
Grade of
B
Grade of A
A ATTENDANCE I demonstrate competency in this category by meeting
the following objectives
less than 75
At least 75 -81
At least 82 -89
At least 90-100
1 Arrive on time remain for entire shift and observe scheduled break and lunch times Notifies appropriate clinical personnel as to absence and tardiness
2 Arrive prepared to work
3 Have a pattern of attendance that is conducive to learning
Comments ________________________________________________________________________________
Below
Passing
Grade of
C
Grade of
B
Grade of A
B PROFESSIONAL CONDUCT I demonstrate competency in this
category by meeting the following objectives
less than
75
At least
75 -81
At least
82 -89
At least 90shy
100
1 Maintain patient confidentiality
2 Accept direction and guidance from supervisors and technologists
3 Adapt well to varying assignments
4 Participate in and demonstrate effective communication skills with
physicians and the health care team
5 Work efficiently without outside interferences (limits social conversations
phone use etc)
6 Report to the clinical education center in an appropriate uniform as designated
by the program
Comments ________________________________________________________________________________
Below
Passing
Grade of
C
Grade of
B
Grade of A
C PATIENT CARE AND COMMUNICATION
I demonstrate competency in this category by meeting the
following objectives
less than
75
At least
75 -81
At least
82 -89
At least 90shy
100
1 Determine patient identity and assess patient conditionmobility
2 Obtain patient history pertinent to examprocedure
3 Use verbal and non-verbal communication skills in explanation of procedure to
patient
4 Anticipate and respond to the patientsrsquo needs to ensure safety
66
5 Provide privacy and comfort for the patient
6 Observe standard precautions
Comments ________________________________________________________________________________
Below
Passing
Grade of
C
Grade of B Grade of A
D TECHNICAL SKILLS I demonstrate competency in this
category by meeting the following objectives
less than
75
At least
75 -81
At least
82 -89
At least
90-100
1 Assist patient in preparing for examination (gowning removal of nonshy
essential items for area being examined etc)
2 Prepare the room prior to beginning of examinations
3 Demonstrate proper use of radiographic equipment
4 Demonstrate proper use of fluoroscopic equipment
5 Demonstrate effective positioning skills according to course objectives and
determine the extent to which modifications may be necessary according to
patient condition
6 Select appropriate image receptor digital plate andor grid combinations
7 Utilize lead markers correctly to identify body position time etc
8 Restrict the beam to the area of interest
9 Use proper immobilization devices for positioning or to restrict patient
motion
10 Demonstrate ability to formulate technical factors (kVp mA time
photosensor etc) on control panel
11 Properly input patient data for image receptor device and process images
appropriately
12 Select appropriate number type and sequence of positions for examinations at
this clinical education center
13 Employ appropriate radiation protection practices for patient and myself while
maximizing ALARA
14 Can recognize suboptimal images and determine causative factors
15 Transport patients safely utilizing proper body mechanics within the
department andor clinical education center
16 Understand and follow emergency procedures for the department and
clinical education center
17 Demonstrate satisfactory knowledge of clerical and office procedures
(procedures for requisitions telephone protocols patient information retrieval etc)
Comments _______________________________________________________________________________
Below
Passing
Grade of
C
Grade of B Grade of
A
E PRODUCTIVITY I demonstrate competency in this category by
meeting the following objectives
less than
75
At least
75 -81
At least
82 -89
At least
90-100
1 Make myself available for additional learning experiences when free from
routine assignments
2 Maintain adequate amount and type of room supplies
3 Initiate work on my own
4 Assume responsibility for work completion
5 Work independently based on current course objectives
6 Minimize the number of repeat exposures
7 Perform examinations within acceptable time limit
Comments ________________________________________________________________________________
Student Signature Clinical Instructor
Date Date MclinicalStudent Self Assess FormsRevised B6ampB7 2018
67
IX Student Evaluation of Clinical Experience
STUDENT EVALUATION OF CLINICAL EXPERIENCE
Student are given the opportunity to give feedback on their clinical education process to the clinical
education centers This process happens at the end of each term for each clinical education center Students are
encouraged to give this anonymous and relevant feedback to the facility Students are asked a variety of
questions relating to their current clinical rotation Responses are in the form of a check in the appropriate
category from ldquostrongly agreerdquo to ldquostrongly disagreerdquo including a not applicable category All students are
encouraged to provide both positive and negative criticisms on this evaluation
Summaries are made of all evaluation forms found on Trajecsys for each specific education center
After review of the summaries by the Clinical Coordinators and the Program Director the summaries are
delivered to the respective clinical education centers Clinical Coordinators review the summaries with the
Clinical Instructors and the managers of the radiology departments Each of the evaluations as well as the
summaries are kept on file in the Program Office
SAMPLE FORM BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
STUDENT EVALUATION OF CLINICAL EXPERIENCE
Date ______________________________ Affiliate _________________________
INSTRUCTIONS In order to help improve clinical education you are asked to rate your
assigned clinical facility according to the following scale in the spaces
provided Since this rating is to be anonymous do not sign your name
QUESTION NUMBER OF RESPONSES
Strongly
Agree Agree Neutral Disagree
Strongly
Disagree
Not
Applicable
1 Your time was well spent in this clinical facility
2 The amount of time spent in this clinical affiliate was adequate time to
expose you to a variety of procedures
3 You were adequately rotated through the various rooms and department work areas to allow for optimum exposure to various procedures
4 You received adequate orientation in equipment operation and maintenance
5 You received an adequate orientation to office transportation and image processing procedures
6 The clinical routines and procedures were explained sufficiently to allow
68
for thorough understanding
7 You received adequate supervision
while performing your assigned duties
8 You were allowed ample opportunity to ldquowork on your ownrdquo
9 You received thorough feedback on your performances to enable you to
improve on your weaknesses
10 You received individualized instruction when necessary
QUESTION NUMBER OF RESPONSES
Strongly
Agree Agree Neutral Disagree Strongly
Disagree
Not
Applicable
11 The theories and principles learned in
didactic courses were adequately reinforced in the clinical setting
12 The clinical instructor(s) waswere available when you needed them
13 You were able to discuss problems
with the staff
14 The technologists were interested and willing to take time to give instructions and assistance
15 The radiologists andor physicians
were interested and willing to take time to give instructions and assistance
16 The overall impression of the working relationships among the radiologists physicians technologists students and ancillary personnel was one of
teamwork
COMMENTS
17 What do you like best about this clinical rotation
18 What do you like least about this clinical rotation
19 What suggestions do you have for improving student clinical experiences at this clinical facility
20 Specific comments for questions 1-16(indicate)
69
X CLINICAL EDUCATION CENTER INFORMATION
Clinical Affiliates
Clinical Education Setting Clinical Instructor
Adventist Health Bakersfield
(San Joaquin Community Hospital )
2615 Chester Avenue
Bakersfield CA 93301
(661) 869-6260
Director Radiology ndash
Spencer Orr RT(R)
Benjamin Barnard RT(R)
Kristen Myers RT(R)
Adventist Health Bakersfield
Quest Imaging-Stockdale
9602 Stockdale Highway
Bakersfield CA 93311
(661) 633-5000 (main)
(661) 617-4014 (direct line to x-ray)
(661) 633-2500 Fax
Manager Diagnostic Imaging ndash Chris Gr anillo RT(R)(MR)
Tammara Newby RT(R)
Adventist Health Bakersfield
Quest Imaging Chester
2700 Chester Avenue
Bakersfield CA 93301
(661) 637-8727
Manager Diagnostic Imaging ndash Danyell Deckard RT(R)
Lisa Barnett RT(R)
Bakersfield Memorial Hospital (Dignity Health)
420 - 34th Street
(661) 327-4647 Ext 3106
Bakersfield California 93301
Director of Imaging Services ndash Pete Ramirez
Kristi Ferdon RT(R)
Jorge Proano RT(R)
Patricia Sandoval RT (R)
Delano Regional Medical Center 1401 Garces H ighway
Delano CA 93215
(661) 322-4757
(661) 725-4800
Director of Imaging ndash Veronica Gray BSRT(R) (M) (CT) (QM)
Armando Ramirez RT(R) (CT)
70
Clinical Education Setting Clinical Instructor
Kern Medical 1700 Mount Vernon Avenue
Bakersfield CA 93306
(661) 326-2522 ext 6270
Radiology Manager ndash Suzanne Knight RT(R)
Cynthia Acosta RT(R)(M)
Karen Landers RT (R)
Mercedes V illarreal RT (R)
Kern Radiology - Bahamas
2301 Bahamas Dr ive
Bakersfield CA 93309
(661) 326-9600 ext 6270 or 6272
Site Manager Laura Herrera
LaTierra Rumph RT(R)
Kern Radiology ndash Old River
9900 Stockdale Highway Suite 100
Bakersfield CA 93311
(661) 325-6800 ext 20128
Chief Technologist ndash James Va nce RT(R) (MR) (CT)
Site Manager ndash Mari Romo
Marissa Diaz RT(R)
Mercy Hospitals of Bakersfield- Downtown (Dignity Health)
2215 Truxtun Avenue
Bakersfield CA 93301
(661) 632-5281 Director of Imaging Services ndash Allyson Neefus RT (R)
Joyce Horvath RT(R)
Mercy Hospitals of Bakersfield-Southwest (Dignity Health)
400 Old River Road
Bakersfield CA 93311
(661) 663-6281 Director of Imaging Services ndash Allyson Neefus RT (R)
Krystal Plank RT(R)
Southern California Orthopedic Institute
2400 Bahamas Dr ive
Bakersfield CA 93309
(661) 328-5565
Practice Administrator Bakersfield Operations ndash
Rashal Campos
Julie Unruh RT(R)
Truxtun Radiology Medical Group 1817 Truxtun
Bakersfield CA 93301
(661) 325-6800 ext 20177
Chief Technologist ndash James Va nce RT(R)(MR)(CT)
Site Manager ndash Carolina Sanchez Revised 520
71
Radiologic Technology Program Contact Information
College Address Bakersfield College
Radiologic Technology Program 1801 Panorama Drive
Bakersfield CA 93305-1299
Program Director
Jacy Hill MA Ed RT(R)
Instructor
(661) 395-4249
jacelynhillbakersfieldcollegeedu
MS-153
Program Messages (661) 395-4284 Main Office
Voice Mail
Contact each phone number
to leave messages on voicemail
Program Office Location
Math-Science ndash Room 178
Program X-Ray Laboratory
Math-Science ndash Room 21
Full-Time Program Faculty
Program Classroom Math-Science- Room 54
Allison Ament BA RT(R)
Instructor
(661) 395-4247
allisonamentbakersfieldcollegeedu
MS-159
Kellie Smith BA RT(R) (MR)
Instructor
(661) 395-4467 kelliesmith1bakersfieldcollegeedu
MS-161
Adjunct Program Faculty
Cynthia Randall RT(R)
(661) 395-4284
cynthiarandallbakersfieldcollegeedu
Program Assistant
RtshareFacultyProgram Contact List
Rev 52020
72
Clinical Education Site Locations and Parking
The Radiologic Technology Program website wwwbakersfieldcollegeeduallied-healthradtech has links to all clinical
education affiliated education centers Students are encouraged to review the website for information on the site as well as the location for each center
Parking Instructions Adventist Health-Quest Imaging Stockdale
Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot
Adventist Health-Quest Imaging Chester
Parking is adjacent north of building
Adventist Health- San Joaquin Community Hospital
VisitorEmployee Parking Garage is located on 28th Street Park on the top floors Do not park in visitorpatient
parking areas Bakersfield Memorial Hospital
Park in the 34th Street lot across from the main hospital Do not park in visitor parking
Delano Regional Medical Center
Park in the lot in front of hospital that faces Garces Highway furthest from the main entrance
Kern Medical
Park in the East visitor parking lot adjacent to Mt Vernon Avenue across from East High School Kern Radiology - Bahamas
Students should park in the lot adjacent to the front of the building in the rows furthest from the entrance
Kern Radiology ndash Old River
Parking is adjacent to the building in the front parking lot furthest from the building or in the rear parking lot
Mercy Hospital Downtown
Employeestudent parking is on 16th Street south of the main hospital Do not park in the patient parking areas which are closest to the hospital
Mercy Hospital Southwest
Parking is adjacent to the hospital in the front of the hospital Park furthest from the main entrance Parking is also
available in the rear lot behind the hospital
Southern California Orthopedic Institute
Parking is adjacent to the side of the building closest to Hwy 99 Truxtun Radiology Medical Group- Downtown
Parking is available in a gated lot south of the main building off of ldquoGrdquo Street
73
XI PROGRAM FACULTY AND STAFF
Radiologic Technology Program Contact Information
College Address Bakersfield College
Radiologic Technology Program 1801 Panorama Drive
Bakersfield CA 93305-1299
Program Director
Jacy Hill MA Ed RT(R)
Instructor
(661) 395-4249
jacelynhillbakersfieldcollegeedu
MS-153
Program Messages
(661) 395-4284 Main Office
Voice Mail
Contact each phone number
to leave messages on voicemail
Program Office Location
Math-Science ndash Room 178
Program X-Ray Laboratory
Math-Science ndash Room 21
Full-Time Program Faculty
Program Classroom Math-Science- Room 54
Allison Ament BA RT(R)
Instructor
(661) 395-4247
allisonamentbakersfieldcollegeedu
MS-159
Kellie Smith BA RT(R) (MR)
Instructor
(661) 395-4467 kelliesmith1bakersfieldcollegeedu
MS-161
Adjunct Program Faculty
Cynthia Randall RT(R)
(661) 395-4284
cynthiarandallbakersfieldcollegeedu
Program Assistant
Department Assistant Melissa Ramirez-DAIII
(661) 395-4284
melissaramirezbakersfieldcollegeedu
FA-43
RtshareFacultyProgram Contact List
Rev 52019
74
Section XII ndash Student Complaint Procedures
Student Complaint Policy
Students who contend they have been treated unfairly have the right without fear of reprisal to use a written
procedure in their attempt to right an alleged wrong The student complaint policy is identified in the Kern
Community College Districtrsquos (KCCD) Board Policy The board policy may be accessed on-line at
httpswwwkccdedu Review the Board of Trustees section of the website and then access the board policy
Section 4 StudentsInstructional Services
Student Treatment Statement
The Student Conduct section begins in section 4F8 Students will be treated with respect that is conducive to
learning All BC Faculty clinical instructors and students conduct must reflect the standards of good behavior
expected by society
Student Complaint Procedure
Student Complaint Procedures are established so that students can resolve difficulties problems they encounter
in College-related activities Student complaints are taken seriously therefore the complaint must be of a
compelling substantive and verifiable nature (KCCD Policy 4F10)
Informal Student Complaint Procedure
Since filing of complaints against any party is a serious undertaking prior to filing a written complaint and within
ten (10) instructional days of the incident leading to the complaint the student(s) should attempt to contact the
staff member involved in an attempt to resolve the issue If this attempt is not feasible or does not resolve the
problem the student may initial Level I action Complaints may not filed after ninety (90) instructional days from
the date of the incident leading the complaint
The progression of an Informal Student Complaint for a student in the Associate Degree Radiologic
Technology Program is as follows
Discuss the issue with Instructor and if not satisfied
Discuss the issue with the Program Director
Formal Student Complaint Procedure
In the event that a resolution cannot be achieved following the informal complaint procedure and a student
maintains they have been treated unfairly the student has the right without fear of reprisal to use a written
procedure in their attempt to right an alleged wrong This procedure applies to student complaints such as
Course content
Access to classes
Verbal or physical abuse by faculty staff or students
Faculty member refusal to confer with student(s)
Harassment
This procedure does not apply to student complaints which involve
Unlawful Discrimination (See KCCD Policy 7D4)
Sexual Harassment (See KCCD Policy 7D2) The Kern Community College District is committed to
maintain a working and educational environment free of sexual harassment
Assignment of grades (See KCCD Policy 4C4C for final grade changes)
STUDENT CONDUCT
Student conduct is addressed in the Bakersfield College catalog which can be accessed on-line at
wwwbakersfieldcollegeedu Review the Student Services section of the catalog under Student Conduct
75
_______________________________
________________________________ ________________________
XV HANDBOOK AGREEMENT
Bakersfield College Associate in Science Degree
Radiologic Technology Program
Clinical Handbook Agreement
I have read all the Bakersfield College Associate Degree Radiologic Technology Program Clinical Handbook
student policies I certify that I understand them and agree to abide by them while a student in the program
Failure to abide by the policies in this handbook willmay result in disciplinary action
Print Name
Student Signature Date
Notice to Student This agreement will become part of your student file in the Radiologic Technology Program
76
- Clinical Handbook
-
- PURPOSE OF CLINICAL HANDBOOK
- Radiologic Technology Program Clinical Education Handbook Table of Contents
-
- Supportive Services at Bakersfield College
-
- I Radiation Safety and Protection Guidelines
-
- BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY AND PROTECTION GUIDELINES for FACULTY and STUDENTS
-
- A GENERAL
- B SPECIFIC
- C DISTRIBUTION OF RADIATION SAFETY AND PROTECTION GUIDELINES
- D REFERENCES
-
- II Student Orientation to Clinical Education
-
- SECTION II STUDENT ORIENTATION TO CLINICAL EDUCATION CENTERS
-
- A Policy
- B Procedure The orientation will include
-
- III ATTENDANCE GRADE COMPUTATION PROGRAM PROGRESSION
-
- ATTENDANCE
-
- Lecture andor LectureLab Class
- Clinical Education
- Mandatory Clinic Hours
- AbsencesMake-up Assignments in the Program
- Tardiness
- Request for Leave from the Program
- HolidaysVacation
- Trajecys Time Reporting System
- Change in Health StatusExtended Illness
-
- GRADE COMPUTATION
-
- Lecture Course
- Clinical Education Course
-
- PROGRAM PROGRESSION
-
- Conferences
- Probation
- Withdrawal and Exit Interview
- Re-entry Into Program
-
- RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION VERIFICATION OF ADDITIONAL CLINICAL HOURS
-
- INSTRUCTIONS
- ADDITIONAL INSTRUCTIONS TO STUDENTS
-
- Bakersfield College Radiologic Technology Program Verification Time Sheet for Banked or Make-up Hours
-
- IV Guidelines for Professional Clinical Appearance
-
- Procedures
- Dress Code
-
- Uniforms
-
- Guidelines for Professional Clinical Appearance
-
- Grooming
- Jewelry and Adornment
- Photo ID
- Miscellaneous
-
- On-Campus Laboratory Attire
-
- V INSURANCE ACCIDENTSEXPOSURES AND INCIDENTS
-
- INSURANCE
-
- Malpractice Insurance
- Accident Insurance
-
- ACCIDENTSEXPOSURESINCIDENTS
-
- AccidentsExposures
- Incident Reports
-
- VI CLINICAL OBJECTIVES
-
- IV Introduction to Clinical Objectives and Examples
- Clinical Education ndash Introduction 1 2 3 and 4 RADT B4a B4b B6 B7 and B10 Patient-Centered Care for Diverse Populations (ASRT Series)
- RADT B4bRADT B6 ndash CLINICAL EDUCATION 1 amp 2 REQUIRED SECOND AND THIRD SEMESTER CLINICAL ROTATIONS
- Bakersfield College Radiologic Technology Program CLINICAL EDUCATION 1 -5
-
- Image Processing Procedure Objectives
- Patient Registration amp Image Archiving
- Transportation Procedures
-
- BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
-
- EVENING ROTATION OBJECTIVES CLINICAL EDUCATION 3 -5 RADT B7 10 and 13 Summer Fall and Spring Terms
-
- INTRODUCTION
- READING ASSIGNMENT
- CLINICAL OBJECTIVES
-
- BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION OPERATING ROOM OBJECTIVES
-
- INTRODUCTION
- OPERATING ROOM POLICY
- STUDENT OBJECTIVES RADT B7 10 and 13-CLINICAL EDUCATION 3-5
- READING ASSIGNMENT
-
- CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
-
- RADIATION ONCOLOGY
-
- INTRODUCTION
- READING ASSIGNMENT
- STUDENT OBJECTIVES
-
- DIAGNOSTIC ULTRASOUND
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- INTRODUCTION
- READING ASSIGNMENT
- STUDENT OBJECTIVES
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- NUCLEAR MEDICINE
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- INTRODUCTION
- READING ASSIGNMENT
- STUDENT OBJECTIVES
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- MAGNETIC RESONANCE IMAGING
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- INTRODUCTION
- READING ASSIGNMENT
- STUDENT OBJECTIVES
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- BAKERSFIELD COLLEGERADIOLOGIC TECHNOLOGY PROGRAM
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- MRI SAFETY INFORMATION
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- BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM CLINICAL EDUCATION 3-5 RADT B7 10 and 13 Summer Fall and Spring Terms
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- CARDIOVASCULAR -INTERVENTIONAL IMAGING
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- INTRODUCTION
- READING ASSIGNMENT
- STUDENT OBJECTIVES
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- CLINICAL EDUCATION 2-5 RADT B7 10 and 13 Spring Summer Fall and Spring Terms
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- Computed Tomography
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- I INTRODUCTION
- II READING ASSIGNMENT
- III STUDENT OBJECTIVES
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- RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE) Clinical Education 2 ndash 4 (RADT B6 B7 B10)
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- A REGULAR RADIOGRAPHIC CASE STUDIES (RADT B6 B7 B10)
- B PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 amp B10)
- C RADIOGRAPHIC CASE STUDY REQUIREMENTS
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- VII Record of Clinical Procedures
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- BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RECORD OF CLINICAL PROCEDURES
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- VII Performance Evaluation in the Clinical Education Center
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- VII Clinical Competencies Final Competencies Performance Evaluation Self-Evaluation
- Radiologic Technology Program Clinical Education 1-5 RADT B 4b 6 7 10 13
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- Clinical Competency Requirements
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- Introduction
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- COMPETENCIES
- RADT B4B 6 7 10 13 Clinical Competency Evaluation Form
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- Circle Major Study
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- RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
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- The Student will
- The Evaluator will
- The Clinical Instructor will
- The Clinical Coordinator will
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- RADT B 4b 6 7 10and 13 CLINICAL COMPETENCY EVALUATION CRITERIA
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- PERFORMANCE EVALUATION AREA
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- Radiologic Technology Program Clinical Competency Requirements Imaging Procedures
- STUDENTrsquoS RECORD OF CLINICAL COMPETENCIES
- STUDENTrsquoS RECORD OF ELECTIVE CLINICAL COMPETENCIES
- Radiologic Technology Program Clinical Education 4-5 RADT B10 amp B13
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- Terminal Competency Requirements
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- Introduction
- Terminal Competency Completion
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- Bakersfield College Radiologic Technology Program TERMINAL CLINICAL COMPETENCIES
- Example Form
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- TERMINAL CLINICAL COMPETENCY EVALUATION FORM CATEGORY ABDOMEN amp GI TRACT
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- Performance Evaluations
- SAMPLE BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM STUDENT SELF-ASSESSMENT FOR CLINICAL EDUCATION
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- IX Student Evaluation of Clinical Experience
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- SAMPLE FORM BAKERSFIELD COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM
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- STUDENT EVALUATION OF CLINICAL EXPERIENCE
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- X CLINICAL EDUCATION CENTER INFORMATION
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- Clinical Affiliates
- Radiologic Technology Program Contact Information
- Clinical Education Site Locations and Parking
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- Parking Instructions
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