Foundations clinical test

Education team

Program director

clinical coordinator: didactic faculty

• clinical faculty and clinical staff

-Students

clinical education

provides an environment in which the student can transfer learning from the didactic and lab settings to real-world patient care experiences

requires prior learning in classroom and lab

permits one-on-one, direct patient contact

3 major categories of learning

Cognitive, Psychomotor, and Affective

Cognitive learning (written exams)

classroom lectures and demonstration of theories - facts and background information necessary to understand specific body of knowledge

Psychomotor (competencies)

The actual hands-on phase - application of previously learned material

didactic information being put to use in the clinical setting

Affective (direct supervision)

behaviors guided by feelings and emotions that are influenced by one’s interests, attitudes, values, and beliefs (interpersonal relationships)

3 phases of clinical learning

Observation, assistance, performance

observation

applies to entire program but is extensive during 1st semester.

Assistance

student will become more hands on with increase of confidence and exposure

Performance

eventually performing the entire procedure efficiently and accurately is the goal.

Direct supervision

is required for students who haven’t comped on an exam. The tech needs to be with the student at all times.

All OR, portable, and pediatric exams will be under direct supervision even after competency

if repeat exposure must be made, the student has to be under direct supervision even if you’ve comped it, or you will be removed from program

students need direct supervision by a qualified radiographer before demonstrating competency for a procedure

Indirect supervision

May be used once the student has completed a competency. The tech needs to be readily available.

Patient Identification policy

never start an exam without a licensed tech verifying the patient ID and order

prior to making any exposures have a tech verify your patient

student office phone number

794-5155

in baystate: 45155

Intro to clinical

semester 1

10, 3 hour clinical observations. All 10 must be completed, a maximum of one clinical observation can be made up.

Assignments: clinical orientation worksheet (time sign offs), weekly journals in blackboard, and clinical experience reflection

Spring tardiness and attendance

6:55 sign in at the office, to assigned area at 7

If not

personal days (spring)

1 personal day allowed (7.5hrs); if taking personal day, it must be scheduled prior or a phone call (794-5155) (45155) with message within 1 hour start time (7am)

if off-site, you must call baystate student office as well as the clinical site

no call no show = removal from program

If not to clinical within 2 hrs (9am) must take the entire day

calling out the day before or after a vacation or break = double time

lose personal day after three tardies in one semester

3 absences in one semester you will be removed from the program

make up days

Must be scheduled prior with instructor

can be done on off days or till 8pm

3 tardies in one semester = verbal warning

Snow days

If STCC cancels school due to snow, you do not come to clinical

if STCC delays school due to snow, you follow the delay (ex. STCC starts at 10am, clinical starts at 10am)

Early dismissal

If STCC closes early due to snow, and you are clinical, you can either:

-leave clincal when stcc closes '

-stay at clinical until normal time for extra hours

Dress code (clothes)

STCC scrubs (black pants, grey top) undershirt and shoes can either be black, grey, or white.

must be/smell clean

No perfumes, wear deodorant. No smoking, no gum, mints are in office if needed

watch is mandatory

dress code (hair and nails)

hair (if longer than shoulder) needs to be tied back and away from face, prior to signing in for the day.

no unnatural hair colors. Facial hair trimmed close to face

No acrylic nails; nail polish must be kept basic nails and must be kept short.

Dress code (jewelry)

No hoop or dangle earrings.

Bracelets and rings other than wedding bands are to be removed.

facial jewelry must be removed

two earrings allowed for each ear

Cell phones and social media

Cell phones are never to be used during clinical hours or in patient areas; if you want to take pic of an equipment set up for educational purposes, communicate that to your technologist.

keep phone on silent if it is with you

NEVER take a photo of an x-ray OR post one on social media

Competencies

A “comp” is a measurable, observable, successful achievement of performance objectives

ARRT has established a minimum number of clinical competencies in various exam categories. (36 mandatory, 15 electives = 51 total)

Mandatory assigned comps per semester (lose 10pts if you fail to accomplish a required semester comp)

Spring 1 comps

4 mandatory comps, 6 recommended.

req: chest, 1 upper and 1 lower extremity

MISC, ER, 3300, Fluoroscopy equipment

Clinical 2 (summer)

20 mandatory comps, 22 recommended

req: PCXR, UGI, and spinal exam (C, T, or L)

portable equipment and OR equipment checklist

Clinical 3 (fall)

10 comps to pass, 12 recommended

Req: Ribs, NICU, C-arm case

Clinical 4 (spring)

All outstanding comps

equipment comps

for each rotation there will be an equipment competency sign off

locate equipment comp form in your rotation:

• main hospital (outside student office)

• off sites (student folder)

• blackboard clinical site

equipment must be signed off first prior to attempting an anatomy comp (Trauma portables and OR equipment is required summer semester)

Comping order

• Equipment comp must be completed before attempting comps in that area. (ex. MISC equip comp must be complete before attempting CXR comp in MISC)

• non-trauma comp must be complete before trauma comp attempt

• Non-portable comp must be complete before portable comp attempt (ex. CXR first before portable CXR)

Failed Competency policy

Any student that fails the same comp 3 times will be removed from the program

• 1st attempt failure = review exam with clinical instructor. They will sign off allowing student to try again

• 2nd attempt failure = clinical instructor will review comp with student, next attempt can be with clinical instructor ONLY

• 3rd attempt failure = removal from program

each failed comp results in 2 points taken off final grade

any student that does not turn in a failed comp form will be removed from program

Evaluations

Tech evals are every two weeks, and every week in the summer. It is up to student to decide who to give it to.

count for 25% of final grade

try not to leave eval on counter or mailbox. Keep list for each rotation to remind tech and yourself what was done that week.

Relationship with instructors

Try to form own opinion about each instructor

treat entire clinical experience as an interview

Accept criticism

Don’t talk about techs to other techs. try to avoid complaining about clinical instructor and techs in hospital and shuttle bus.

Materials

Notebook and pen

Bontrager pocket guide optional