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: http://www.bakersfieldcollege.edu Program Website: http://www.bakersfieldcollege.edu/allied-health/radtech Bakersfield College Radiologic Technology Program Summer 2018 Revised May 2018
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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: http://www.bakersfieldcollege.edu
Program Website: http://www.bakersfieldcollege.edu/allied-health/radtech
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), 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.
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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 4.5 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 instructors/students 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.
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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 Limits/Area 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 & feet
a. 15 cSv or rem
b. 50 cSv or rem
3. Embryo-Fetus Exposure*
a. Equivalent dose limit
1. Monthly
2. Entire gestation
1. 0.05 cSv or rem
2. 0.5 cSv or rem
4. Education and Training
Exposures
(minor under the age of 18 years)
a. Effective dose limit
b. Equivalent dose limit for
tissues and organs
1. Lens of eye
2. Skin, hands, feet
1. 0.1 cSv or rem
2a. 1.5 cSv or rem
2b. 5.0 cSv or rem
5. Negligible Individual Dose 0.001 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 3.0 cSv or rem/year (60% of 5 cSv or rem/year) then the
dose will be reported on the “Radiation Monitoring Device Incident Report”.
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, and/or 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 work/school will occur until limits are lowered
to within acceptable levels.
3. Presence of Individuals in Radiographic/Fluoroscopic Room during Energized Exposures
Except for three specific situations, a student may not remain at any time in an
x-ray room in which radiation is produced. The exceptions to this policy are for surgery, mobile
radiography and fluoroscopy.
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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 B.1.b.
3. When consistent with the conduct of the examination, maximum distance must be
maintained between the student/instructor 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 (1.8 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 and/or 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 beam/field 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 provided/posted 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 department's
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
a. On-Campus Laboratory
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Radiation exposures may be made only under direct supervision by the qualified
licensed/certified (ARRT & 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 during the first year of the program, students will
function under the "direct" supervision of a licensed/certified (CRT or ARRT/CRT)
radiographer. The supervising qualified radiographer reviews the procedure in relation to the
student’s achievement, evaluates the condition of the patient in relation to the student’s
knowledge, is physically present during the exam, and reviews and approves the procedure
and/or image.
c. Second Year Clinical
When performing radiographic procedures during the second year of the program, students may
function under “direct” or "indirect" supervision. Indirect supervision will be by a
licensed/certified (CRT or ARRT/CRT) radiographer once the student has achieved competency
for a particular procedure. Until competency is achieved, students must be directly supervised.
"Indirect" supervision indicates that the supervising qualified radiographer will be immediately
available to assist students regardless of 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 being performed. This availability 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
licensed/certified (CRT or ARRT/CRT) radiographer. The supervising qualified radiographer
reviews the procedure in relation to the student’s achievement, evaluates the condition of the
patient in relation to the student’s knowledge, is physically present during the conduct of the
repeat image and must approve the student’s procedure prior to re-exposure.
e. Licensed/certified (ARRT/CRT) 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 program's Master Plan of Education.
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D. REFERENCES
1. California Code of Regulations, Title 17: Public Health, Subchapter 4 (Radiation) and 4.5 (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 Laboratory (MS 21-22) and in
the radiologic technology program office (MS-178). NCRP reports are on file in the program office. They are
also accessed on-line at: www.ncrp.org.
Radiation safety guidelines faculty and students.doc (rtshare/radiation safety)
Rev: 7/2016
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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 semester/term 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 procedures/views for procedures
b. Patient transportation procedures for the department
c. Operation of equipment
1. Radiographic equipment
2. Fluoroscopic equipment
3. Mobile Radiographic/Portable Units
4. Mobile Fluoroscopy/C-Arm Units
5. Digital processing and/or darkroom equipment
6. Special Equipment (monitors, I.V.’s, Oxygen, etc.)
7. Mobility Devices (transfer/sliding boards)
d. Expectations of Student Performance
1. Participation in Daily Work of Department
2. Patient Orders/Referrals/Requisitions
3. Conduct and Professionalism
4. Study and Free Time in Clinic
e. Student Supervision
1. Direct Supervision
i. 1st year students
ii. 2nd year students prior to competency
iii. Repeat exams
2. Indirect Supervision
i. 2nd year students
3. Clinical Competencies
f. Department telephone procedures for students
2. Supplies and Cleaning
Location of Supplies
Cassettes and grids
Contrast media and I.V. accessories
Immobilization aides
Lead markers
Emesis basins, bedpans, I.V. 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
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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
5. Student Assignments:
a. Schedule and Room Assignments
b. Specific objectives
c. Procedures for Record Keeping and Signatures on Forms
6. Notification of Absence or Tardy
a. Contact Information for Personnel & Department
7. Introduction to Department Personnel
a. Supervisors
b. Radiologists
c. Staff technologists
d. Clinical support staff
8. Personal Communication during Clinical Assignment
a. Department telephone use
b. Personal Cell Phone Use: Regular and Smart Phones
i. .No camera phones/cameras permitted in patient care areas (must maintain
confidentiality)
c. Emergency Contact
9. 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 (1/2 hour) and 2 breaks (15 min)
g. Food Policies inside Department
h. Restroom Facilities
i. Storage Facilities for Student Materials and Personal Items
10. Learning Resource Materials Available in Imaging Department
a. Case Study/Film Critique Preparation and Procedures for Image Utilization
Rtshare/clinical handbook/section II orientation 5-2012
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III. ATTENDANCE, GRADE COMPUTATION, PROGRAM
PROGRESSION
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 and/or Lecture/Lab Class
A student will be dropped from class when absences exceed the following equivalencies:
Two weeks in a sixteen week course, one and one-quarter weeks in a ten week course and two days in a six week
course. Example: If a class meets three 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 currently occur at hospitals and imaging centers in Bakersfield, CA and Delano,
Ca. Hours are specified by the college according to each clinical education center’s 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 Medical Group
Mercy Hospitals of Bakersfield-Southwest and Downtown (Dignity Health)
Southern California Orthopedic Institute
Truxtun Radiology Medical Group- Riverwalk/Stockdale
Day Shift P.M. Shift
6:00 a.m. – 2:30 p.m. 2:30 p.m. – 11:00 p.m.
7:00 a.m. – 3:30 p.m.
7:30 a.m. – 4:00 p.m.
8:00 a.m. – 4:30 p.m.
8:30 a.m. – 5:00 p.m.
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.
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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 are missed. Hour assignments
are made according to the “Verification of Addition Clinic Hours” 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 “make-up”
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 semester/term as approved
by the Clinical Coordinator. These hours are in addition to, not in lieu of current semester/term requirements. In
addition to clinical hours, the Clinical Instructor/Coordinator 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 “Minimum Standards for Diagnostic Radiologic Technology
Programs”. 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 semester/term of the absence. The personal leave
day/hours 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 “Request for Leave from the Program.” 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.
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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:
Sundays
College Closure Days
Holidays: New Year’s Day, Martin Luther King Holiday, Presidents Day, Spring Recess
Weekend (Friday-Sunday), Memorial Day, Fourth of July, Labor Day, Veteran’s Day,
Thanksgiving, Christmas Recess, Any Holiday Weekend
Absences/Make-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 student’s responsibility for work missed. The student must notify the instructor
of any absence prior to the scheduled class time. It is the student’s responsibility to contact the instructor for
missed assignments. Make-up assignments are at the instructor’s discretion.
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
conference/probation procedures.
Tardiness is included 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 will be graded as an “A- Assisted”. [Example: Two
(2) clinical days for first year Fall/Spring; and three (3) clinical days for second year Summer/Fall/Spring.] If a
student is tardy the equivalent of two weeks of clinical education days, the clinical objective of tardiness will be
graded as a “U-Unsatisfactory”. [Example: Four (4) clinical days for first year Fall/Spring; five (5) clinical days
for second year Summer; and six (6) clinical days for second year Fall/Spring.]
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 “make-up” needs with instructor(s).
Holidays/Vacation
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
college’s regular 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 In/Out – 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 student’s smartphone; use phone browser to go to
Trajecsys.com, log in, then select Clock In/Out menu item. Phone screen will ask to share location with
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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 – Students will file a time exception if they did not clock in or out for some reason;
typically students use the clock in/out 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
student must file two time exceptions – 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 “Absent” is selected as the reason.
Change in Health Status/Extended Illness
If a student has a condition that changes their ability to meet the “Essential Technical Standards for Radiologic
Technology Students”, a physician’s letter indicating their current abilities and/or limitations must be provided to
the instructor. The physician’s 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 while in the program. (Refer to Appendices for the “Essential Technical Standards.”) 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 disability/illness of three (3) consecutive days or more requires a doctor’s release to return to the clinical
area. This is submitted to your BC Clinical Coordinator/faculty member. A physician’s 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 and/or Clinical Coordinator.
GRADE COMPUTATION
A minimum of a “C” grade must be maintained in each radiologic technology and required courses. The
percentage value of the alphabetical grading in all radiologic technology courses will be assigned as follows:
100-90% = A 89-82% = B 81-75% = C*
74-65% = D 64- 0% = F
*Minimum level for pass/no pass courses
A grade of “D” 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 “D” or lower at midterm in any radiologic
technology program course. The probation status will 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 and/or
program director. A copy of the report will remain in the student’s file. The probationary status will be removed
if the grade has been raised to a “C” or higher and all terms of the probation have been met at the close of the
semester/term.
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 pass/no pass basis. The evaluation process consists of the following: clinical competency
examinations, written clinical performance evaluation(s), and/or radiographic case studies (film critique). The
exact evaluation process is described in each individual course description.
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Documentation as to performance will be placed in the student’s file. If a student receives documentation of
unsatisfactory/unsafe 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 and/or
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
analysis, a student’s 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 “Performance Evaluation” that student will receive an automatic 75% grade for the written
performance evaluation. This unsatisfactory performance results in 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 semester/session. 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 “C” 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 and/or 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 college/clinical 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 his/her 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.
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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 “W” received by a student,
for a program course, will result in the student being dropped from the program.
An exit interview with the program director is advised for a student leaving the program for any reason.
Re-entry Into Program
Any student who withdraws or who is dropped from the Radiologic Technology Program must reapply during
the regular enrollment filing dates and/or in accordance with program direction instructions. RE-
ENROLLMENT IS ON SPACE AVAILABLE BASIS. Re-entry will be based on current criteria used for
entry into the forthcoming program. Students dropped due to documented, unsafe clinical practices will 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,
immunizations/lab tests, drug and alcohol and background screening, current healthcare provider BLS/CPR
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.
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Rev: 6/2012
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
one/two 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
BC's 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 instructor/coordinator.
This form must be completed and turned in prior to the date of additional hours.
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 student’s 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 should read about operating room radiography in the Trauma,
Mobile, and Surgical Radiography chapter of Bontrager’s Textbook of Radiographic Positioning and Related
Anatomy, current edition, chapter on Trauma, Mobile and Surgical Radiography (section on surgical
radiography)
31
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)sectioniv.doc revised 4/16
32
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 moving/pulsatile 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 films/images.
(clinhndbk)sectionvi.doc revised 4/16
33
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 technologist’s 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)sectionvi.doc revised 4/16
34
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)sectionvi.doc revised 04/12
35
BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
MRI SAFETY INFORMATION
A major concern of Magnetic Resonance Imaging (MRI) is the ability of the “fringe field” to attract ferromagnetic objects
and subsequently draw them into the scanner with significant force (approximately 40 mph or greater). This so-called
“missile effect” 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 student’s personal file kept in the Radiologic
Technology/Allied 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 TLD’s (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 Earrings/body 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 Hearing aid Aneurysm clip(s) Metallic foreign body, shrapnel, or bullet Implanted cardiac defibrillator Heart valve prosthesis Neurostimulator Ear implant Biostimulator Penile prosthesis Any type of internal electrode(s) including: Orbital/eye prosthesis Pacing wires Any type of implant held in place by a magnet Cochlear implant Any type of surgical clip or staple(s) Implanted insulin pump Vascular access port Swan-Ganz catheter Intraventricular shunt Halo vest or metallic cervical fixation device Artificial limb or joint Implant: electronic, mechanical or magnetic Dentures Diaphragm Tattooed makeup (eyeliner, lips, etc.) IUD Body piercing(s) Pessary (intra-vaginal device) Internal Pacing wires Wire mesh implants Any metallic or foreign body
36
Any implanted orthopedic item: pins, rods, screws, nails, clips, plates, wire, joint replacement. 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 his/her Clinical Coordinator before signing the MRI Safety Form. The safety form will be provided in the first summer of the program. Revised: June 2016
37
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)sectioniv.doc revised 04/12)
38
BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
CLINICAL EDUCATION 2-5
RADT B7, 10, and 13
Spring, Summer, Fall, and Spring Terms
COMPUTED TOMOGRAPHY ***Does this need update due to new CT Objective?
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 technologist’s assistance.
3. Participate in patient preparation and information.
4. Route patients from C.T. 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
C.T. technologist.
7. Gain knowledge in basics of C.T. relative to concepts of slice thickness, slice spacing,
table increments, technique selection and scan routines.
8. Complete the CT objective mandatory form each semester/term the CT rotation occurs.
(clinhndbk)sectionvi.doc revised 04/12
39
RADIOGRAPHIC CASE STUDIES (FILM CRITIQUE)
Clinical Education 2 – 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 semester/term (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 part/patient, 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 film/screen
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 density/brightness, contrast, detail and distortion must be
analyzed. Discuss how image brightness and contrast (digital/gray scale or film-screen/scale 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.
40
B. PATHOLOGY RADIOGRAPHIC CASE STUDIES (RADT B7 & B10)
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, Merck’s Manual,
Allied Health encyclopedias or dictionaries, professional
journals and 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
41
Note: Exams may be presented only once during the Program unless the exam is repeated under the pathology
category or presents something new/different [example: a portable examination]. It is expected that students
will present examinations commensurate with their current level in the program.
VII. Record of Clinical Procedures
BAKERSFIELD COLLEGE
RADIOLOGIC TECHNOLOGY PROGRAM
RECORD OF CLINICAL PROCEDURES
Instructions to Students:
Daily Logsheets – 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 & 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 www.trajecsys.com
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 will pay Trajecsys Corporation directly via a link on the Trajecsys. Payments page
(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 can also be sent directly to Trajecsys Corporation
- a billing office address is available on the Payments page. Trajecsys permits students to begin
using the system even if they haven’t paid by the stated registration date provided by the
program.
o Graduating Class of 2020 (2018-2020 Rad Tech Student); $150 for access from June 2018-May
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:
o Trajecsys Corporation
6342 West Lake Drive
Alexander, AR 72002
o Select “Go to Registration Page”
o Register for Trajecsys
o Institution Name: Bakersfield College
o Include your full name
43
o Select Current Student (Class of 2016-2018)
o Select New Student (Class of 2017-2018)
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.
44
VII. Performance Evaluation in the Clinical Education Center
VII. Clinical Competencies, Final Competencies, Performance Evaluation, Self-Evaluation
45
46
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)clincompproc.00 Revised 4/2016
47
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
Semester/Term
Number of
Required
Competency
Exams per
Semester/Term
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 26/30 points possible). Each competency procedure must follow the department’s routine for a
complete exam. (clinhndbook)clincompproc.2016
48
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 “Signature” from the drop down menu
6. Choose the from the drop down menu to add/type a comment if you choose
Note: Please document the specific Comp Exam performed for “Specify” 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.
49
RADT B4B, 6, 7, 10, 13
Clinical Competency Evaluation Form Instructions: The student will notify the clinical instructor/radiographer evaluator when ready to perform a competency. The radiographer
evaluator will monitor the exam/procedure 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 & Thorax Fluoro Geriatric
Head Lower Extremity Mobile Pediatric Spine & Pelvis Trauma Upper Extremity
Exam/Procedure 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 exam/patient
C. * Verified operation of equipment & suitability for exam
A._____
B._____
C._____ *
A._____
B._____
C._____ *
3. Patient Care: A. Gowned patient properly and maintained privacy/comfort
B. Introduced him/herself and explained procedure
C. Assessed patient and assisted/transported patient correctly
D. Programmed control panel according to exam
E. *Applied universal precautions
A._____
B._____
C._____
D._____
E._____ *
A._____
B._____
C._____
D._____
E._____ *
4. Equipment Operation:
A. Manipulated equipment controls/locks properly
B. *Selected correct imaging device & grid combinations
C. Selected appropriate exposure factors
D. Programmed control panel according to exam
A._____
B._____ *
C._____
D._____
A._____
B._____ *
C._____
D._____
5. Positioning Skills:
A. *Positioned patient properly
B. *Aligned central ray to part/image receptor/detector
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 & patients
D. *Requested information on pregnancy, as appropriate
A._____ *
B._____
C._____
D._____ *
A._____ *
B._____
C._____
D._____ *
7. Repeats/Exam 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 & contrast
C. Identified anatomical structures shown
D. Image & patient identification properly demonstrated
E. *Image correctly marked (annotation of right or left not accepted)
A._____ *
B._____
C._____
D._____
E._____ *
A._____ *
B._____
C._____
D._____
E._____ * SCORE: 30 POINTS POSSIBLE (minimum passing score is 26 or 85%) points
EVALUATOR'S SIGNATURE
CLINICAL INSTRUCTOR'S SIGNATURE
Comments: M:Clinical/Trajecsys Comp Form_
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RADT B 4b, 6, 7, 10 and 13
CLINICAL COMPETENCY EVALUATION INSTRUCTIONS
The Student will:
Notify the Clinical Instructor/Radiographer 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 (i.e.,
technologist intervenes in exam). Write a brief explanation of why “no “was 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 and/or 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)competent.doc
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RADT B 4b, 6, 7, 10 and 13
CLINICAL COMPETENCY EVALUATION CRITERIA
PERFORMANCE EVALUATION AREA
1. Evaluation of Requisition
The student will:
Identify patient’s 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 receptors/detector ready for use.
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 (N/A) 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.
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
*Grades are computed for individual evaluations using the point scale below.
67
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 B.C. 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.
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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.