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The Holy Cross Hospital School Of Radiologic Technology 2012-2013 STUDENT HANDBOOK Vol. XVII Table of Contents Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii Philosophy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Mission Statement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Program Objectives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Program Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ADA Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 VA Approved School . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 School Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Closing Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Code of Ethics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Description of the Profession . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Facility Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 School Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 School Classroom Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Faculty. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Prerequisite Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Application Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Admission Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Advance Placement Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Fee Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Refund Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Community Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Graduation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Education Curriculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Course Descriptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Grading Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Make-Up Test Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Clinical Education Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Evening and Weekend Rotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Student Supervision Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 Competency Based Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Evaluation Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Personalized Marker Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Student Conduct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 Dress Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Drug Free Workplace . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Demerit System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Probationary/Disciplinary Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Merit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Due Process Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 i Table of Contents, continued Holiday Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 Attendance Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Jury Duty Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Locker Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Withdrawal Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42 Leave of Absence Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Smoking Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Pregnancy Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 Compensatory Time Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Tardiness Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 Funeral Leave Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Student Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Jack Tolbert Memorial Grant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Definitions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 ii The Holy Cross Hospital School Of Radiologic Technology 2012-2013 STUDENT HANDBOOK _______________ The Holy Cross Hospital School of Radiologic Technology is a nonprofit school accredited by the Joint Review Committee on Education in Radiologic Technology and approved by the Maryland Higher Education Commission. The school is owned and operated by Holy Cross Hospital of Silver Spring, Maryland. The student handbook is a general source of information about the courses offered requirements for admission, graduation, expenses, rules, and policies. In order to reach the goals and fulfill the stated mission of the program, the courses, requirements, and regulations contained herein are subject to continuing review and change. The program therefore, reserves the right to change, delete, or otherwise alter the information contained herein without prior notice. Any significant changes are subject to prior review by the Maryland Higher Education Commission. Any student or prospective student may obtain information regarding the performance of the Holy Cross Hospital School of Radiologic Technology with regards to enrollment, completion rate, placement rate and pass rates of graduates from the following agencies: Maryland Higher Education Commission 839 Bestgate Rd., Suite 400 Annapolis, MD 21401-3013 1-800-974-0203 Joint Review Committee on Education in Radiologic Technology 20 N. Wacker Dr., Suite 2850 Chicago, IL 60606-3182 (312) 704-5300 iii Philosophy The philosophy of the Holy Cross Hospital School of Radiologic Technology is to provide an educational atmosphere that instills in students a desire for learning, excellence in clinical performance and intellectual curiosity. The program is maintained with the highest of standards of excellence. The faculty is committed to providing the student with basic and advanced knowledge in the art and science of radiologic technology as well as developing in them, a spirit of understanding and compassion for the patient. The program provides the learning resources that enable students to attain both the problem solving knowledge and the technical ability necessary to be competent radiologic technologists. Our program is a patient oriented program. The students immediately feel that they are important members of the health care team. Students associate the importance of patient care with regards to procedures from the onset of day one. We recognize our professional obligation to contribute to the development of tomorrow’s radiographers. The School of Radiologic Technology is accredited by the Joint Review Committee on Education in Radiologic Technology. To maintain high academic standards for its students, the program places an emphasis on admissions prerequisites, consistent grading practices, student evaluations of courses, and comparison of our program to other programs by use of national exam scores, and follow up of students in work situations after graduation. Student evaluations of all portions of the program are utilized for improvements. It is the policy of Holy Cross Hospital to provide equal opportunities to prospective and current employees solely on the basis of individual qualifications, and merit, without regard to race, religion, age, sex, national origin, or handicap and in full compliance with all Federal and State Laws. The School of Radiologic Technology observes and complies with the institutions policy statement. Mission Statement To support the mission of Holy Cross Hospital, the Holy Cross Hospital School of Radiologic Technology dedicates itself to the education and development of professionals skilled in the art and science of radiography. To ensure quality healthcare services are provided to our community in a friendly, caring spirit, we will demonstrate high standards of professional conduct, patient care, and consistently strive to meet our goals through continuous improvement methods. 1 Overview Holy Cross Hospital offers an accredited program in Radiologic Technology for individuals who are interested in pursuing training in radiological sciences. The program is designed to prepare individuals for professional practice in the health care specialty of Radiologic Technology. The purpose of the School of Radiologic Technology is to provide a social and professional atmosphere in which the student can obtain the skills and attitudes necessary for an eventual position in the allied health field of Radiologic Technology. Radiographers provide patient care essential to radiologic procedures. The radiographer adheres to the principles of radiation protection for the patient, self, and others. Radiographers accurately demonstrate anatomical structures on a radiograph by applying knowledge of anatomy, positioning, and radiographic technique. Radiographers must also be able to recognize emergency patient conditions and initiate lifesaving first aid and basic life support procedures. Radiographers may be required to perform some of these duties at the patient’s bedside or in the operating room. The American Society of Radiologic Technologists recommends the curriculum guide for the Radiologic Technology program. Purpose- Objectives to be met by students upon completion of the program The purpose of the School of Radiologic Technology is to provide a social and professional atmosphere in which the student can obtain the skills and attitudes necessary for an eventual position in the field of Radiologic Technology. Upon successful completion of the program, the radiographer shall be able to: 1. Apply the knowledge of anatomy, physiology, and positioning and radiographic techniques to accurately demonstrate anatomical structures on a radiograph or other imaging receptor. 2. Determine exposure factors to achieve optimum radiographic techniques with minimum radiation exposure to the patient. 3. Evaluate radiographic images for appropriate positioning and imaging quality. 4. Apply the principles of radiation protection for the patient, self, and others. 5. Provide patient care and comfort, with high regard for patient rights and dignity. 6. Recognize emergency patient conditions and initiate life saving first aid and basic life support procedures. 7. Evaluate the performance of radiologic systems, know the safe limits of equipment operation, and report malfunctions to the proper authorities. 8. Exercise independent judgment and discretion in the technical performance of medical imaging procedures. 9. Actively participate in radiologic quality assurance programs and continuing education programs. 10. Educate the patient as to the ordered procedure, instruct the patient in any needed precautions or preparation for the schedule procedure, and provide other health information so that the patient understands and follows instructions to obtain optimum results. 2 Program Objectives 1. To provide the student with an overview of radiography and its role in health care delivery. To orient the student to academic and administrative structure, key departments and personnel, and to the profession as a whole. To relate to the student the responsibility of the hospital to the community. 2. To present the ethical and legal responsibilities of the professional relative to health care delivery. To provide the student with the definition of ethical and legal practice. To express to the student the responsibilities, duties and conduct toward others, expected of him while administering his duties as a radiographer. To provide an understanding of the basic needs of the patient and empathy for the patient. 3. To provide the student with the elements of medical terminology. To introduce a word building system. To address abbreviations and symbols. To provide a basic understanding of radiographic orders and diagnostic reports thus enabling the student to relate well to the patient and other allied health professionals. 4. To provide the student with the concepts of patient care including considerations of physical and psychological conditions. To describe routine and emergency patient care procedures. To identify the role of the radiographer in patient education. To place an emphasis on the care of the patient during radiographic procedures. 5. To present the student with the knowledge of the structure and function of the human body. To describe cells, tissues and bones. To discuss organs as components of their respective systems. 6. To provide the student with the knowledge to perform radiographic procedures and produce quality radiographs. To stress routine procedures performed in the department of radiology at Holy Cross Hospital and to include other procedures common to diagnostic radiology. 7. To provide the student with the knowledge of factors that governs and influences the production of the radiographic image on the radiographic film. To demonstrate clinical applications of the theoretical principles and concepts. 8. To provide the student with knowledge of equipment routinely utilized to produce diagnostic images. To discuss various recording media, techniques and imaging equipment. 9. To provide the student with the knowledge to process radiographic film. To identify requirements for the processing area. To discuss film, film holders and intensifying screens. To describe processing procedures and artifacts. To stress the role of the darkroom in patient radiation protection. 10. To provide the student with the knowledge to evaluate radiographic examinations, to identify and recognize diagnostic quality. To correlate knowledge and skill from multiple didactic units, laboratory assignments and clinical education. To present the various components of the curriculum that influence evaluation of a radiograph. 3 11. To provide the student with the knowledge of basic physics. To discuss the fundamentals of radiation production. To provide information on x-ray production beam characteristics and units of measurement. 12. To provide the student with the principles of radiation protection. To present the radiation protection responsibility by the radiographer to patients, personnel, and the public. To discuss maximum permissible dose and regulatory involvement. 13. To provide the student with the principles of cell radiation interaction. To present radiation effects on cells and factors affecting cell response. To discuss acute and chronic effects of radiation. 14. To provide the student with an introduction to the concepts of disease. To discuss pathology and disease as it relates to various radiographic procedures. 15. To provide the student with an introduction to the evaluation of radiographic systems to assure consistency in the production of quality images. To identify the components involved in the radiography system. To discuss tests and procedures utilized to evaluate these components. To describe state and federal impacts. 16. To introduce to the student fundamental principles of computer technology. Discussing computer concepts and terminology. To identify computer applications in radiology. 17. To provide the student with the knowledge of highly specialized procedures in radiography. To discuss the equipment and the general indications of these procedures. 18. To provide the student with a thorough knowledge of basic diagnostic principles. To reinforce fundamental concepts and assess competency in practical applications of basic knowledge in a variety of areas. 19. To provide an educational experience to qualified students so that they enter the profession of radiologic technology as competent individuals. 20. To engender a professional attitude, emotional maturity, and pride in themselves as well as in their work. 21. To provide the finest quality of instruction in both theory and practice of radiologic technology. 22. To continually meet and exceed the standards of training for Radiologic Technologists set by the American Registry Radiologic Technologist and the Joint Review Committee on Education in Radiologic Sciences 23. To provide factual information and experiences that will help in the development of intellectual as well as the professional growth of the student. 24. To provide on-going evaluation of the instructional program and its personnel, and correct any deficiencies or weaknesses which may exist. 4 Program Goals (2011-2014) Data is collected, assessed, and analyzed on the program goals listed below • Student will demonstrate communication skills. • Students will be clinically competent. • Students will demonstrate professionalism. • Students will demonstrate critical thinking skills. ADA Criteria for Essential Job Function Must have visual acuity and manual dexterity to work with a computer keyboard and monitor, to perform essential job functions. Must be able to hear and verbally communicate with the telephone, for essential duties involving receiving and giving information. Must be able to lift, push, or pull a weight to a maximum of 25 pounds in order to perform essential job functions. Proper ergonomic positioning and ergonomic tools will be used as available. 5 VA Benefits Statement of Approval: “The school is approved by the Maryland State Approving Agency to offer training to veterans and other eligible dependants under the VA educational benefit programs.” Holy Cross Hospital School of Radiologic Technology will require all students eligible to receive VA benefits to provide documentation of all VA beneficiaries’ previous education and experience. The program will complete an evaluation, grant credit where appropriate, and advise the VA claimant and the Department of Veterans Affairs accordingly. Credits earned by the beneficiary in a previous educational setting will not be granted credit eligibility for the VA benefit. Students will be required to sign a statement, verifying that all transcripts have been delivered to Holy Cross Hospital School of Radiologic Technology. Holy Cross Hospital School of Radiologic Technology Program is the only operating program under Radiologic Technology at Holy Cross Hospital School of Radiologic Technology that is a VA approved school. Holy Cross Hospital School of Radiologic Technology will notify the VA of any change in the enrollment status of the students certified to receive veteran’s educational benefits. This includes if a student is place on academic/clinical or attendance probation, changes in training schedules, or termination of training. Holy Cross Hospital School of Radiologic Technology maintains grade records for all students. The program is twenty-two months in length training year one: July-June, training year to: June-May, eight quarters are broken down to approximately eleven weeks each (see page 18&19). Grade reports are furnished to the students within one week of the completed quarter. Final records are kept indefinitely. Students eligible to receive VA benefits will have to be certified for each year of training. Holy Cross Hospital School of Radiologic Technology is Nationally Accredited by Joint Review Committee on Education in Radiologic Technology, (see page 1). The all refunds to students will follow the refund policy, (see page 16). No additional fees will collected from students eligible for VA benefits. 6 Holy Cross Hospital Radiology Program School Calendar 2012-2013 July 9, 2012 Program Begins (Hospital Orientation) September 3, 2012 Labor Day August 24, 2012 1st Quarter Ends-Seniors September 28, 2012 1st Quarter Ends- Juniors November 22 & 23, 2012 Thanksgiving Holiday November 9, 2012 2nd Quarter Ends- Seniors December 14, 2012 2nd Quarter Ends - Juniors December 24, 2012-January 1,2013 Winter class break (Clinic only) December 25, 2012 Christmas Holiday observed January 1, 2013 New Years Day observed February 1, 2013 3rd Quarter Ends- Seniors February 18, 2013 Presidents Day March 8, 2013 3rd Quarter Ends- Juniors April 1, - April 5, 2013 Spring Class Break (Clinic only) May 3, 2013 4th Quarter Ends- Seniors May 2, 2013 Senior Graduation (Tentative) May 27, 2013 Memorial Day Holiday May 31, 2013 4th Quarter Ends- Juniors July 1, 2013-July 5, 2013 Summer Class Break (Clinic only) July 4, 2013 Independence Day Observance Closing Policy Due to Inclement Weather In accordance with the medical profession and its mission, The School of Radiologic Technology does not close during inclement weather. The program will follow Montgomery county public schools inclement weather announcements. In the case of school closings, students have the option of not attending for the day. However, the time missed shall be deducted from the students PTO. In the case of delayed openings, students are required to punch in at Holy Cross in accordance with the delay of Montgomery county schools. This time is also deducted from the students PTO. Any student failing to punch in by the delayed time will be considered tardy and receive one demerit. Students must call as stated in the “Tardiness Policy” 30 minutes prior to the start of day if they are going to be late or absent. This will prevent students from receiving demerits. 7 Code of Ethics Principle One Radiologic Technologists shall conduct themselves in a manner compatible with the dignity of their profession. Principle Two Radiologic Technologists shall provide services with consideration of human dignity and the uniqueness of the patient, unrestricted by considerations of age, sex, race, creed, social or economic status, handicap, personal attributes or the nature of their illness. Principle Three Radiologic Technologists shall make every effort to protect all patients from unnecessary radiation. Principle Four Radiologic Technologists should exercise and accept responsibility for independent discretion and judgment in the performance of their professional services. Principle Five Radiologic Technologists shall judiciously protect patients right to privacy and shall maintain all patient information in the strictest of confidence. Principle Six Radiologic Technologists shall only apply methods of technology founded upon a scientific basis and not accept those methods that violate this principle Principle Seven Radiologic Technologists shall not diagnose, but in recognition of their responsibility to the patient, they shall provide the physician with all information they have relative to radiologic diagnosis or patient management. Principle Eight Radiologic Technologists shall be responsible for reporting unethical conduct and illegal professional activities to the appropriate authorities. Principle Nine Radiologic Technologists should continually strive to improve their knowledge and skills by participating in educational and professional activities and sharing the benefits of their attainments with their colleagues. Principle Ten Radiologic Technologists should protect the public from misinformation and misrepresentation. 8 Description of the Profession Imaging examinations performed by, and accompanying responsibilities assigned to, a radiographer shall be at the direction of the physicians qualified to request and/or perform radiologic procedures. Upon completion of the program the radiographer shall be able to: 1. Apply knowledge of anatomy, physiology, and positioning and radiologic techniques to accurately demonstrate anatomical structures on a radiograph or other imaging receptor. 2. Determine exposure factors to achieve optimum radiographic techniques with minimum exposure to the patient. 3. Evaluate radiographic images for appropriate positioning and image quality. 4. Apply the principles of radiation protection for the patient, self, and others. 5. Provide patient care and comfort. 6. Recognize emergency patient conditions and initiate life saving first aid and basic life support procedures. 7. Evaluate the performance of radiologic systems, know the safe limits of equipment operation, and report malfunctions to proper authorities. 8. Exercise independent judgment and discretion in the technical performance of imaging systems. 9. Participate in Radiologic quality assurance programs. Description of Facility The School of Radiologic Technology is located in the east wing of the first floor of Holy Cross Hospital. It is comprised of a dedicated classroom and offices of the Director and Clinical Coordinator. The Laboratory/Clinical Facilities are located in the east wing of the first floor of Holy Cross Hospital. The wing is comprised of all medical imaging equipment, which will be utilized by the student technologist. The total of both areas equals approximately 24,888 square feet. School Equipment The schools equipment involves the Radiology department of Holy Cross Hospital and includes: 2- Mammography Units 7- C-Arms 1- Mini C-Arm 1- Cath Lab 1- Stereotactic Unit 3- Nuclear Medicine Units 3- Fluoroscopy Units 2- Angiography Suites 4-Routine Units 3- CT Units 6-Portable Units 1- MR Unit 3- Ultrasound Units 1- Picture Archival System (PACS) 9 The School’s Classroom Contains: Dry Erase Board Cassette Player Illuminators Body Phantom Skull Phantom Knee Phantom Projector Overhead Projector Skeleton PC w/c instructional software Elbow Phantom Teaching Film Files Faculty Program Director Staci M. Smith, RT (R), MHA The American Registry of Radiologic Technologists certified Ms. Smith in 1999. She obtained a Bachelors of Science degree in Organizational Management in 2002. Ms. Smith has been involved with the school since 2000. She currently devoted full time to the educational program of both didactic and clinical instruction. She teaches the following classes: • • • • • • • • • Evaluation of Radiographs Radiographic Procedures Introduction to Radiology Introduction to Radiation Protection Medical Ethics and Law Radiographic Imaging w/ exposure, processing & digital imaging Basic Principals of CT Patient Care Clinic/ Equipment class Clinical Coordinator Nisha Beal, B.A. R.T. (R) Ms. Beal graduated from Prince Georges Community College with a degree in Radiography and was certified by the ARRT in 2000. Ms. Beal has worked as a staff technologist at Holy Cross Hospital since 2001 and has been cross-trained in mammography and CT scan. Additionally, working with students as a clinical instructor since 2004. Ms. Beal earned her Bachelors degrees from UMBC in 2008. She teaches the following classes: • • • • • • Radiographic Anatomy & Physiology Medical Terminology Patient Care w/Pharmacology (part 1& 2) Special Procedures Radiographic Pathology Radiographic Film Critique 10 Didactic Instructors Joyce Murphy, RN Radiology Nurse She teaches: • • BLS (renewal) Oxygen & Vital signs Lloyd Campbell, RT (R) Mr. Campbell is a previous clinical instructor to Holy Cross Hospital School of Radiology. Currently Mr. Campbell works as a Dosemitrist at George Washington University Hospital. Mr. Campbell also works as diagnostic staff technologist at Holy Cross Hospital. He teaches the following classes: • • • Radiation Physics w/ CT principals Radiation Protection Radiation Biology Monica Vansickle, RT (R) The American Registry of Radiologic Technologists certified Ms. Vansickle in 2001. She has worked as diagnostic Staff technologist and is currently the Quality Assurance Safety Coordinator for the Medical Imaging Department at Holy Cross Hospital. She teaches the following class: • Quality Assurance Peter Gordon Mr. Gordon is a Biomedical Engineer at Holy Cross Hospital. He assists the student as needed in the hands on portion of Radiographic equipment. He teaches the following class: • Introduction, Intermediate & Review Equipment Class Clinical Instructors (Holy Cross Hospital) Susie Thompson, RT (R) Kaitlyn Clark, R. T. (R) Tayech Temesgen R.T. (R) Norma Wright, R.T (R) (M) 11 Medical Advisor Stuart B. Karr, M.D. The American Board of Radiology certifies Dr. Karr. He works in consultation with the Program Director in developing goals and objectives of the program and implementing the standards for their achievement. Dr. Karr also works with students on a regular basis. Medical Imaging Staff Staff Technologist Fariba Girmafar Sara George Brandon Curtis Susie Thompson Fay Eslamipour Eric Horowitz Scott Homewood Devin Newsome Johan Chin Brenda Henry Roberto Guevara Greg Noll Pam Courtney Lori Pease Jenn Garnett CT Technologist Interventional Technologist US Technologist Maria Broussard Glenda Foster Melissa Siler Jonelle Henry Douglas Vines Zemta Khasay Mark Kurtz Radiology Nurse Joyce Murphy Bill Bowen Sean Maxwell Kristen Laue Nuclear Medicine Technologist Amy DePaul Marius Dymerski Derege Gizaw 12 Dare Lefevre Barbara Couch Thuy Nguyen Jin Lee MRI Technologist Clement Thomas Nicole Johnson David Ajose Prerequisite Course Descriptions (Course titles and numbers vary among different colleges) All students are required to have a completed minimum of an Associates Degree which includes the following prerequisites. General Biology w/ lab (minimum of 3 required credits) Usually a prerequisite for A&P With lab this class normally will be a 4 credit course Introduction to biology discusses cells and cell processes, tissues, microorganisms and genetics. Basic anatomy and physiology will be introduced. Anatomy & Physiology with lab (minimum of 3 required) depending on course description part 1 and part 2 may be required With lab this class normally will be a 4 credit course Usually requires a general biology prerequisite Structure and function of human body systems with emphasis on cells and tissues, transport mechanisms and skeletal, muscular, circulatory, respiratory, digestive, urinary, reproductive, endocrine and nervous systems. Basic Microsoft word or PC/Windows equivalent (minimum of 1 credit required) Introductory course that demonstrates proper procedures to create documents suitable for professional and personal purposes. Procedures include creating, entering, saving, printing and saving text. English Composition (minimum of 3 credits required) This course demonstrates the fundamentals of prose writing, including essays & research. Math-Finite/College (minimum of 3 credits required) General overview of college level math with emphasis on application of various fields. Use of function of probability, statistics, graphing, basic algebra and problem solving. English- Communication/Speech (minimum of 3 credits required) Oral communication theory and practice of focusing on interpersonal, small group and public speaking skills. *Note: HCHSRT has an articulation agreement with Montgomery Community College, students who take Montgomery College required course prerequisites are eligible to receive credit for the HCHSRT program, and ultimately be awarded an AAS degree. Please see program staff for more details. 13 Application Process Applications are accepted from October 1st to February 1st. Applications postmarked after February 1st will not be accepted. Applicants must be a High School Graduate or have successfully completed a standard equivalency test (GED). As well as complete college prerequisite requirements (information below). Applicants will be scheduled for an entrance examination. Entrance exams are conducted several times throughout the fall and spring with the final one in February. Applicants have the opportunity to take the exam, as many times as one likes, however each test after the first there is a $15 fee. Applicants must score in the 25 percentile or higher for Total Academic Aptitude to be considered for an interview. Those Applicants who do not score in the acceptable range will be notified in writing for failure to qualify. Those who pass will then be scheduled for an observation day that will include hands on review of the equipment. All documents and transcripts must be submitted by April 1st to continue acceptance process once the aptitude test is passed. Interview Process Those applicants who have scored in the 25 percentile or higher for Total Academic Aptitude will be scheduled for an interview with the Program Director, Clinical Instructor, and possible other member of the hospital. Applicants granted an interview must provide documentation of official high school and or college transcripts, if applicable to the Program Director at no later than March 15th. Three Character reference letters must also be provide at that time. Character references must be from individuals not related to the applicant. Send Correspondences to: Program Director Holy Cross Hospital School of Radiologic Technology 1500 Forest Glen Rd. Silver Spring, MD 20910 Admission Procedure Students will be selected based on the following criteria: 1. 25 Percentile for Total Academic Aptitude achieved on the PSB Testing 2. Overall interview with Faculty and Staff. 3. 3 Letters of Recommendation 4. 8 hour observation day/clinic test 5. High School/ college transcripts • AA degree with required prerequisite college credits 6. 500 word essay (“Why I want to be a Radiologic Technologist”) *All documentation must be submitted by March 15th. Unless enrolled in spring semester prerequisites, which are due upon completion of the course. 14 Applicants will be notified in writing of their acceptance in May/June. There will be an orientation in June at which time the prospective students will be directed to the student handbook (available on line), enrollment agreement, and all pertinent information pertaining to the School of Radiologic Technology. The prospective student will have the opportunity to ask questions and interact with present students and current staff while orientating. After the applicant has been given the policies and procedures they will have two weeks to consider the program and sign the enrollment agreement. The enrollment agreement must be returned by the deadline given at the orientation. Once the applicant agrees to participate in the Radiography Program they must: 1. 2. 3. Pass the physical examination provided by the student’s physician prior to the start date of the program. The student must also pass the drug-screening test provided by Holy Cross Hospital. Have clearance from the hospital obtained back round check Failure to pass either the physical exam or the drug-screening test or back round check will disqualify the student from the program. Once a student has been dismissed for unsatisfactory progress, he or she must reapply for the program according to the application, interview, and admission procedure as stated in the student handbook. Advanced placement policies are not recognized as part of the reapplication process. Advanced Placement/ Transfer of Credit Policy Policy Overview The Holy Cross Hospital School of Radiologic Technology does not offer an advanced placement classification for students applying to the program. The components of the didactic and clinical education are very structured and coordinated; therefore, advanced placement would be detrimental to the goals and objectives of the program. Fees Registration Fee A $150.00 registration fee is due on the initial orientation for all accepted students Book Fee Students are responsible for purchasing their own books, cost of which is approximately $750.00. Tuition Fee The total two-year program tuition is $2000.00. Made payable to Holy Cross Hospital in four installments of $500.00. Uniforms are approximately $200.00 Other Fees- Students must provide their own room, board while in the program. 15 Refund Policy Policy overview Holy Cross Hospital School of Radiologic Technologic Technology (HCHSRT) policy will help ensure student tuition refunds are completed accurately and timely to students in the event of withdrawal or termination. All tuition fees paid by the student will be refunded if the student chooses not to enroll in, chooses to withdraw, or is terminated from the program (see table below). Subsequent to the seven day cancellation period, refunds shall be based on the total contract price for the program of $2,000 Proportion of total course or program taught by date of withdrawal Within 7 days of signing agreement Less than 10% 10% up to but not including 20% 20% up to but not including 30% 30% up to but not including 40% 40% up to 50% more Less than 50% Tuition Refund 100% refund 90% refund 80% refund 60% refund 40% refund 20 % refund None Note: Calculations of amount of refund due shall be based upon the last date of attendance before termination or withdrawal and should be paid within 30 days of last date of attendance. Additional materials and supplies Additional fees and items (including, but not limited to: application fee, books, uniforms, school supplies) are non refundable and remain the property of the student. Community Service All students are required to complete 8 hours of community service each year. Community service can be completed by participating in hospital or non-hospital sponsored events. (Students must provide documentation). Students must complete service hours during non-school time. 16 Graduation Requirements The student must: 1. Complete all clinical competencies 2. Complete all performance objectives 3. Return all clinical rotations evaluations 4. Complete all academic courses 5. 16 hours of community service 6. Complete the required clock hours as published 7. Meet all financial obligations to Holy Cross Hospital of Silver Spring 8. Demonstrate a sound moral character 9. Use oral and written medical communication 10. Demonstrate knowledge of human structure, function and pathology 11. Anticipate and provide basic patient care and comfort 12. Apply principles of body mechanics 13. Perform basic mathematical functions 14. Operate radiographic imaging equipment and accessory devices 15. Position the patient and imaging system to perform radiographic examination and procedures 16. Modify standard procedures to accommodate for patient condition and other variables 17. Process radiographs 18. Determine exposure factors to obtain diagnostic quality radiographs with minimum radiation exposure 19. Adapt exposure factors to obtain diagnostic quality radiographs with minimum radiation exposure 20. Practice radiation protection for the patient, self and others 21. Recognize emergency patient conditions and initiate first aid and basic life support procedures 22. Evaluate radiographic images for appropriate positioning and image quality 23. Evaluate the performance of radiographic systems, know the safe limits of equipment operation, and report malfunctions to the proper authorities 24. Demonstrates knowledge and skills relating to quality assurance 25. Exercise independent judgment and discretion in the technical performance of medical imaging procedures The above requirements are measured according to the curriculum on page 18 & 19. The students are expected to complete the requirements through their assignments of various kinds in many of their classes. Lab hours are specified in which all students participate in simulation assignments using phantoms, testing equipment, etc. Clinical hours are specified hours in which all students participate in clinical assignments supervised by a registered technologist involving direct patient contact. 17 Class Year One Hours Instructor First Quarter July-October Clinic Class (equipment & clinical practices) Introduction To Radiology (Fundamentals, ethics & radiation protection) Patient Care w/ pharmacology I Radiographic Anatomy Medical Terminology Clinic Lab Clinical Experience Total class hours 22 Smith 33 Beal 11 Beal 11 Beal 11 Smith/Beal 341 88 Second Quarter October- January Radiographic Procedures I Patient Care II (with pharmacology) Radiographic Anatomy Medical Terminology Clinic Lab Clinical Experience Total class hours 33 Smith 33 Beal 11 Beal 11 Beal 11 Smith/Beal 341 88 Third Quarter January- March Radiographic Procedures II Image Production I (exposure) Radiographic Anatomy Medical Terminology Clinic Lab Clinical Experience Total class hours 33 Smith 33 Smith 11 Beal 11 Beal 11 Smith/Beal 341 88 Fourth Quarter March- May Radiographic Procedures III Image Production II (film processing) Radiographic Anatomy Medical Terminology Clinic Lab Clinical Experience Total class hours 33 Smith 33 Smith 11 Beal 11 Beal 11 Smith/Beal 381 88 Year 1 class hours Year 1 clinical experience hours Year 1 clinical lab hours 11 Smith 352 1364 44 18 Class Year Two Hours Instructor First Quarter May- August Radiographic Procedures IV Image Production III (Digital Processing) Radiographic Anatomy Medical Terminology Radiographic Physics I Clinic Lab Clinical Experience Total class hours 22 Smith 11 Smith 11 Beal 11 Beal 22 Campbell 11 Smith/Beal 352 77 Second Quarter August- October Radiographic Procedures V Quality Assurance Basic Principals of Computed Tomography Radiographic Anatomy Medical Terminology Radiographic Physics II (Biology) Clinic Lab Clinical Experience Total class hours 22 Smith 6 Smith 11 Smith 11 Beal 11 Beal 22 Campbell 11 Smith/Beal 346 83 Third Quarter October- January Radiographic Special Procedures VI Northwestern Testing Film Critique/ Analysis Radiographic Pathology Radiographic Physics III (Radiation Protection) Clinic Lab Clinical Experience Total class hours 22 Smith 9 Smith 11 Beal 33 Beal 22 Campbell 11 Smith/Beal 332 97 Fourth Quarter February- May Northwestern Testing Film Critique/ Analysis Radiographic Pathology Radiographic Physics IV ARRT Review Class Clinic Lab Clinical Experience Total class hours 12 Smith 22 Beal 11 Beal 11 Campbell 22 Smith/Beal 11 Smith/Beal 351 78 Year 2 class hours 335 Year 2 clinical experience hours 1381 Year 2 clinical lab hours 44 **Note: Each year of Training will also include three 40-hour weeks of clinic only as a class break period. This total adds an additional 240 clinic hours to the above curriculum, the actual total clock hours for the program is 3,760 The didactic student/instructor ratio is 9 to 1 The clinical student/instructor ratio is 1 to 1 19 Weekday Schedule (subject to change) Junior Student Senior Student Monday 7:00-3:30 Clinic Lunch assigned with assigned technologist Monday 7:00-3:30 Clinic Lunch assigned with assigned technologist Tuesday 7:00-9:00 9:00-11:30 11:30-12:00 12:00-3:30 Tuesday 7:00-8:00 8:00-12:30 12:30-1:00 1:00-3:30 Class Clinic Lunch Class Wednesday 9:00-11:30 Class 11:30-12:00 Lunch 12:00-3:30 Clinic Wednesday 7:00-8:00 8:30-12:30 12:30-1:00 1:00-3:30 Class Clinic Lunch Class Thursday 7:00-8:30 9:00-11:30 11:30-12:00 12:00-3:30 Thursday 7:00-8:30 8:30-12:30 12:30-1:00 1:00-3:30 Lab Clinic Lunch Class Clinic Class Lunch Clinic Lab Class Lunch Clinic Friday 7:00-3:30 Clinic Lunch assigned with assigned technologist Friday 7:00- 3:30 Clinic Lunch with assigned technologist Weekend Schedule Weekend Schedule Saturday 7:00-3:30 Clinic Lunch assigned by supervisor Saturday 7:00-3:30 Clinic Lunch assigned by supervisor Students are scheduled for clinical education at various times during the two-year training period. These times will include some weekend and evening hours. The times are varied and are composed of eight hours. Some of these periods are as follows: 7:00 am - 3:30 pm (these hours are subject to change). No one will be in attendance more than forty hours per week. The schedule is determined alphabetically, on a rotating basis. Students are responsible for transportation when scheduled in off site clinical rotations. 20 Course Descriptions Clinic Class This class has been developed to orientate students into the clinical setting. This class lasts approximately eight weeks. During this class students are taken into each Diagnostic and Fluoroscopy room in the Medical Imaging Department. Students have the opportunity to become familiar with all equipment in the rooms. Each student is required to perform simulations and testing experiment exercises during this class. Introduction to Radiography This unit provides the student with an overview of radiography and its role in health care delivery. Program philosophies, goals, and objectives will be discussed. Student responsibilities will be outlined. Students will be oriented to academic and administrative structure, key departments, and personnel, and to the profession as a whole. An appreciation of Radiologic Technology will be established through an understanding of medical history, the evolution of Radiologic Technology, and the professional organizations. Basic principles of radiation protection will be introduced. The general intent is to set the pace for the students’ professional growth in Radiologic Technology. Medical Ethics & Law This unit will provide the student with a definition of ethical and legal practice. The ethical and legal responsibilities of the professional relative to health care delivery are presented. The radiographer’s moral and ethical responsibilities to increase effective communication and empathy for the patient are stressed. The medico-legal considerations will assist the student regarding ethical principles and legal responsibilities. Communication Holy Cross Hospital offers developmental communication classes for all staff. Each student is required to attend three communication classes. Classes are designed to help improve in communication skills. Medical Terminology For radiographers to function intelligently and interact effectively with health professionals in the clinical environment, they must be able to read, write, and speak the medical language. Thus, effective communication will enhance the radiographer’s ability to select technical factors and supplement various positions to fit appropriate needs of the patient. This unit will provide the student with the elements of medical terminology. The origins of medical terminology are set forth. A word building system is introduced and specific terminology for the body is related. Abbreviations and symbols are addressed. Understanding radiographic orders and diagnostic reports are discussed. 21 Methods of Patient Care with Pharmacology The primary aim of this entire curriculum is to prepare for employment an individual, educated in the professional, medical, technical, and patient care components of radiography. Patient care should be the practitioner’s foremost concern. This unit will provide the student with concepts of patient care including considerations of physical and psychological conditions. Routine and emergency patient care procedures will be described. The role of the radiographer in patient education will be identified. Aspects of death and dying will be discussed. Radiographic Anatomy & Physiology A Radiographer cannot be expected to perform radiographic examinations without detailed knowledge and understanding of the human body, its structure and function. Students are expected to have completed college level anatomy courses and be familiar with the human body’s structure and function. This class will focus primarily on human body anatomy and its relationship to radiographic images. Radiographic Procedures The emphasis of the radiographer’s time is spent in performance of radiographic and fluoroscopic examinations. In order that this is accomplished in an effective manner, the student must be thoroughly familiar with radiographic procedures. This includes not only routine examination methods, but also an overview of supplementary techniques. This unit will provide the knowledge to perform these techniques. Consideration related to the production of quality radiographs will be discussed. Laboratory materials will be utilized to demonstrate clinical applications and theoretical principles and concepts. Image Production (3 parts) Radiographic Film Processing This unit includes discussion of radiographic film characteristics, film artifacts, film storage, film handling, film holders, processing room design and function methods, principles and chemistry of contemporary processing systems, silver recovery and laboratory experiments to investigate and demonstrate the phenomena explained during class sessions. The specific instructional intent for the unit is to provide the student the necessary knowledge to maintain or troubleshoot malfunctions found in processing systems, evaluate radiographic films to determine diagnostic inadequacies resulting from film artifacts and to correct or compensate for the cause. Radiation Exposure This unit will provide the student with the knowledge of factors that govern and influence the production of the radiographic image on radiographic film. Laboratory materials are utilized to demonstrate clinical applications of the theoretical principles and concepts. It is also imperative the student understand the importance of utilizing effective radiation protection methods such as; beam restricting devices and shielding in an attempt to not only limit radiation exposure, but to also improve image quality. 22 Digital Imaging Content is designed to impart an understanding of the components, principles and operation of digital imaging systems found in diagnostic radiology. Factors that impact image acquisition, display, archiving, and retrieval are discussed. Guidelines for selecting exposure factors and evaluating images within a digital system assist students to bridge between film-based and digital imaging systems. Principles of digital system quality assurance and maintenance are presented Introduction to Radiation Protection This unit will provide the student with the principles of radiation protection. Radiation protection responsibility by the radiographer to patients, personnel and the public is presented. Principles and concepts explaining basic interaction with matter, and the effect of measurement, maximum permissible dose, and exposure monitoring are included. The intent is to instill awareness and create positive behaviors exhibited by individual review and interpretation of dosimetry reports by participants and the proper application of radiation limiting devices and techniques. Evaluation of Radiographs This unit will provide the student with the knowledge to evaluate radiographic examinations, to identify and recognize diagnostic quality. Film evaluation brings together knowledge and skills from multiple didactic units, laboratory assignments, and clinical education. The diverse components of the curriculum that influence evaluation of radiographers will be presented. Radiographic Pathology This unit will provide the student with an introduction to the concepts of disease. The basic knowledge of the disease processes will enable the student to produce optimum diagnostic radiographs and insure effective patient care. Pathology and disease as it relates to various radiographic procedures will be discussed. Radiation Physics This unit will provide the student with knowledge of basic physics. Fundamentals of radiation production will be discussed. Information on beam characteristics and units of measurement are provided. X-radiation is the tool of radiography, and the radiographer must have constant awareness as to the potential hazards inherent with each exposure. An overview of CT physics is included. Principles of Radiation Biology/Protection In recognition of the professional obligation the radiographer has for practicing radiation safety measures, the specific intent of this unit is to provide each participant with awareness and knowledge relating to the effects of ionizing radiation on biological systems. Radiation effects cells and factors affecting cell response are presented. Acute and chronic effects are discussed. Special Radiographic Procedures This unit will provide the student with the basic fundamental concepts of some of the more commonly performed special procedures. Specialized equipment utilized during these procedures will be presented. 23 Basic Principals of Computed Tomography Content is designed to provide entry-level radiography students with principles related to computed tomography (CT) imaging. Imaging Equipment and Quality Assurance Imaging is the key primary responsibility of a radiographer. The student must comprehend the principles of the various imaging modalities available to the profession. The relationships of imaging systems are intertwined and overlap almost all systems. The student should be cognizant of the commonalities that exist in the production of a radiographic image regardless of the system used. This unit will provide the student with the knowledge of equipment routinely utilized to produce diagnostic images. Various recording media and techniques are discussed. Students are introduced to the evaluation of radiographic systems to assure consistency in the production of quality images. Tests and procedures to evaluate these components will be discussed. State and federal impacts will be described. Northwestern Development Testing This unit provides the student with a thorough knowledge of basic diagnostic principles. Fundamental concepts will be reinforced and competency in practical applications of basic knowledge in a variety of areas will be discussed. Registry Review All graduates of programs accredited by the Joint Review Committee on Education in Radiologic Science are required to pass a certification examination set by the American Registry of Radiologic Technologists. Since students are tested on knowledge gained throughout the two-year duration of their training, a series of lectures and discussion sessions have been incorporated into the eighth quarter of the course to guide students through an organized review of the didactic courses. Seminar During the second year of training, students are able to attend a 40-hour seminar organized by a professional group of radiologic technologists, such as the Maryland Society of Radiologic Technologists. These seminars are specifically for students and they provide an opportunity for our students to interact formally and informally with students and instructors from other institutions. Students are then able to compare knowledge and educational experiences with others in the field. Lab The junior and senior students will work together weekly practicing positioning. The seniors use this as a review and a test to their knowledge, and junior student begin to build their positioning skills in a simulation/laboratory environment. 24 Grading Policy Policy overview The Office of the Program Director maintains grade records on all students who have been accepted into the School of Radiologic Technology. A grade report is given to each student at the end of each quarter. (Quarter dates are stated on the school calendar.) At the same time, the Program Director and the Clinical Instructor conduct a verbal evaluation of student’s performance. The grading scale for the School of Radiologic Technology is as follows: 100-93……………………………A 92-85……………………………..B 84-77……………………………..C 76-70……………………………..D 69-0………………………………F Students must maintain a “C” academic grade point average in EACH course per quarter and a “B” clinical average per quarter to remain in the program. Once a student is dismissed for unsatisfactory progress, he or she must reapply to the program according to the application, interview and admissions procedures previously mentioned. Advanced placement policies are not recognized as part of the reapplication process. Over each quarter students must pass each unit test to move forward in the program. If a student fails a test, the failing grade stands but the student must take a repeat exam to assure that the material is retained. Only one repeat test is permitted per unit. If a student fails a retest, he/ she will be dismissed. Make-Up Test Policy Policy overview One make-up test per course is allowed. Any make-up test must be taken on the first day that the student reports back to school. In the event that a student misses more than one test per course, a score of zero will be assigned for each subsequent test missed. 25 Clinical Education Philosophy The role of the Radiographer has grown in complexity with the development of more sophisticated procedures and equipment in the field of Radiology. It is the philosophy of the Program faculty to provide the radiography students with the optimum clinical experience and to insure that the students have the opportunity to perform all types of radiographic procedures in the appropriate proportions. The philosophy of the Program Faculty is to provide demonstration, supervision, observation, counseling, and evaluation in the clinical setting whereby the student, upon successful completion of the program will effectively: 1. Apply knowledge of anatomy, physiology, positioning, and radiographic technique to accurately demonstrate anatomical structures on a radiograph or other imaging receptor. 2. Determine exposure factors to achieve optimum radiographic techniques with minimum exposure to the patient. 3. Evaluate radiographic images for appropriate positioning and image quality. 4. Apply principles of radiation protection for the patient, self, and others. 5. Provide patient care and comfort, with high regard for patient rights and dignity. 6. Recognize emergency patient conditions and initiate life saving first aid and basic life support authority. 7. Evaluate and maintain the performance of radiographic systems, know the safe limits of equipment operation, and report malfunctions to the proper authority. 8. Exercise independent judgment and discretion in the technical performance of medical imaging procedures. 9. Actively participate in radiologic quality assurance programs and continuing education programs. 10. Educate the patient as to the ordered procedure; instruct the patient in any needed precautions or preparations for the scheduled procedure, and provide other health information so that the patient understands and follows instructions to obtain optimum results. The clinical experience is systematic and correlates with didactic objectives of clinical education. During the class “Introduction to Radiography”, the students are presented with a notebook containing performance objectives for each clinical rotation along with the corresponding performance evaluation forms. Each radiographic room has posted individual clinical performance objectives, which correlate to the performance evaluation forms. This competency based performance evaluation form enables both the Program Faculty and the individual students to identify the student’s strengths and weaknesses. Performance evaluations also allow us to determine the progression rate of students during their clinical education as to whether they are able to meet specified predefined clinical performance objectives. Each radiographic room is equipped with technique charts. There are positioning manuals located in various locations in the radiology department. These student aids corresponds to didactic objectives in Radiographic Procedures and Exposure Courses. 26 The student’s psychomotor skills are evaluated not only by their clinical rotation experience but also through simulated laboratory conditions, clinical competency evaluation, and individual film critique sessions. The student’s cognitive skills are directly evaluated in the classroom and indirectly evaluated throughout their training in the clinical setting. It is of the utmost importance that all knowledge and skill be reinforced and evaluated in the clinical setting in order to allow the student to achieve maximum clinical effectiveness. In-services are given to the Staff Technologists on the needs of the student performance objectives and the need for the staff radiographer to adequately supervise, observe, and evaluate the student’s performance of those objectives. Staff radiographers play an integral role in the students’ clinical experience by directly supervising and giving initial and reinforced clinical instruction in the following areas: 1. 2. 3. 4. 5. 6. 7. 8. Patient care evaluation Professional adjustment Radiation protection Positioning skills Equipment manipulation and technique Remedial clinical instruction Critical thinking Problem solving The primary goal of the Holy Cross Hospital School of Radiologic Technology’s clinical phase of education is to design a program whereby the student will be able to correlate his clinical experience with the didactic portion of the program. The correlation is based on a solid foundation of fundamental principles and procedures developing into superior performance and knowledge as well as rounded proficient Radiographers. Evening and Weekend Rotations In keeping with the educational philosophy that one of the goals of the Radiography Program is to prepare the student Radiographer, upon graduation, to be able to assume the duties and responsibilities of a Staff Radiographer at the entry level competency, the Program Faculty, therefore, assigns the student to clinical education experience on weekend and evening rotations. This experience allows the student to gain additional radiographic experience and confidence in performance capabilities while also allowing the student to have valuable emergency room experience and a variety of clinical education. By allowing the students to experience the variety of radiographic cases, as encountered in this clinical situation, the students are directed into being able to adjust to constantly different techniques, patient care, radiation protection, and interpersonal adjustments. This type of scheduling causes students to become more adaptable and capable, while gaining an appreciation for the need and function of radiology personnel as will be encountered upon graduation, as an employed staff radiographer. 27 Students are provided with clinical performance objectives for this clinical education experience and the supervising staff radiographer evaluates the student’s performance based on those objectives. Students are assigned evening and Weekend clinical education hours as part of their planned curriculum. The assigned time will be compensated for by time off during the weekday clinical portion of the program. The compensating time off must be taken at the designated times and cannot be changed. *The Holy Cross Hospital School of Radiologic Technology reserves the right to alter Weekend clinical rotations in order to meet the objectives of the program. Any changes made to the above statements will made in writing 30 days prior to. Student Supervision Policy Policy overview Definitions Medical imaging will ensure that the radiologic technology students, from the School of Radiologic Technology, are directly supervised until they are competent to perform an exam under indirect supervision. Direct Supervision in relation to student supervision will concur under the following parameters: • • • • • • A qualified radiologic technologist reviews the procedures in relation to the student’s achievement A qualified radiologic technologist evaluates the condition of the patient in relation to the student’s knowledge A qualified radiologic technologist is present during the conduct of the procedure A qualified radiologic technologist reviews and approves the procedure A qualified radiologic technologist is present during student performance of any repeat of any unsatisfactory radiograph All portable exams must be done with a qualified radiologic technologist. Indirect Supervision - Supervision provided by a qualified radiologic technologist immediately available to assist students regardless of the level of student achievement. Immediately available is interpreted as the presence of a qualified radiologic technologist adjacent to the room or location where the student is performing a radiographic procedure. Note: This availability applies to all areas where ionizing radiation equipment is in use. Students will not take responsibility or the place of qualified staff. A ratio of no more than one student to a radiographer during all clinical assignments will be considered appropriate. 28 Competency Based Education: An Overview Competency Based Education (CBE) is directed toward preparing individuals to perform pre-specified tasks of an occupation or profession under “real world” conditions and to perform these tasks at a level of accuracy and speed commensurate with the standards of the profession. The goal of such education, therefore, is to allow students to achieve competence in the duties of an occupation before leaving their education program. The content of our competency-based curriculum is founded upon a set of tasks that are recommended by the American Registry of Radiologic Technologists (ARRT). We have designed the implementation of these tasks to ensure that there is no question as to the exact behavior to be performed. For each task performed there is a certain knowledge and attitude that a student must have and use to demonstrate that he/she is competent. Therefore, competency is not just a manipulative skill but includes cognitive and effective development. Evaluation Process The criteria used to assess competency is based upon actual demonstration of performance of each task identified. The performance evaluation process is divided into three levels. Level One- Lab and Simulation All the requirements for each task are performed up to, but not including, the energizing of the x-ray tube. Students who receive a “satisfactory” rating at this level proceed to level two. The student earning a minimum of 77% in the practical unit exam simulation determines Satisfactory. Students earning less than 77% must complete two practices comps before being permitted to achieve a passing competency exam. (Academic 5% of grade) Level Two- Competency Evaluation This phase is conducted by the Clinical Instructor, Program Director or by designated staff technologists. In this phase of the CBE program, the student is observed in performing each task on the patient. The student determines the timing of competency evaluation for each task after observing the assisting technologist in the performance on each task. The CBE program is based upon student learning rather than on teaching, therefore, it is reasonable to have the student make the determination of timing on his/her evaluation. Prior to comping the exam, the student must complete one documented practice, which is essentially a practice comp. The practice comp must score a minimum of 85% for the student to go on to the comping step. Students will then advance to level three (proficiency evaluation) upon successful completion of level two competency evaluations. The skills analysis form used at this level is the clinical education form. 29 Level Three- Proficiency Evaluation Proficiency by definition is an advancement of skill. One gains proficiency through repeated experience. Proficiency is only achievable after competency has been attained. In this phase of the CBE program, the Clinical Instructor or Program Director selects five exams at random to evaluate the students’ performance. These exams (3 of 5 must be completed) will include: • Spine • Chest/ Abdomen • Portable • Extremity (Lower or Upper) • Fluoroscopy Successful completion of level three certifies that the student can perform tasks at the level required of graduates from the program. For each unsuccessful level evaluation, the student must return to level two and repeats the relevant evaluations at that level. The proficiency evaluation form is used for skill analysis at this level. Clinical Competency Program Level One: Lab/Simulation Evaluation Level Two: Practice & Competency Evaluations Level Three: Proficiency Evaluations Program Director/Clinical coordinator reserve the right to deny or require duplicate competency exams to be performed if not satisfied with any exams performed. 30 Personalized Markers Policy Policy overview Students will be issued personalized lead markers upon entering the program. These markers are the only ones permitted to be used by the student when performing radiographic procedures at Holy Cross Hospital. Personalized markers are not to be loaned to other students or staff radiographers. If a student loses or misplaces their markers it must be reported to the program director immediately. Students are responsible for replacing their own lost markers. The student will order markers immediately upon the loss of the originals. Student Conduct Professional conduct Professional conduct is expected from students at all times around patients, visitors, classmates, staff, and administration. This includes, but is not limited to: • Students are expected to remain in their assigned Medical Imaging modality and not visit other departments/modalities except on business. • Students must always inform their immediate supervisor (Program Director, Clinical Coordinator, Clinical Instructor, or Staff Radiographer) prior to leaving the clinical or didactic area. • All students should remember that an atmosphere of quietness should prevail in and around the hospital at all times. Note: this includes all areas of the school (locker room, classroom, hallway) • No eating/drinking, in-patient care areas, or food in areas where patients are present (walking through holding area with lunch). • Students are not to congregate around the front desk area or holding area unless assigned there for clinical education. • All offices (including the Radiologists, Program Director, Clinical Coordinator, and Administrative) are private. Students are not permitted in these areas unless otherwise instructed. • Personal conversations with technologists and other department employees are not permitted while in the company of patients. 31 Professional conduct, cont. • • • • • • • Confidentiality Socializing with significant others is not permitted in the clinical setting. Students are given a clinical education schedule by the Program Director. Any changes to this schedule require permission from the Program Director or Clinical Coordinator. Students are not permitted to smoke. Students are not permitted to hold a patient during an x-ray exposure. When calling a patient to a radiography examination room, verify the patient’s full name and date of birth or medical record number before escorting the patient to the exam room. Students will follow the dress code policy at all times. The locker room and classroom must be kept clean and free of personal belongings at all times. All personal belongings must be kept in assigned lockers. The students follow the HCH policy on confidentiality which includes: • • • The students will limit the patient information to patient care issues and among staff who have a need to know. Those who have a need to know must discuss patient information only in private, confidential places. Every patient at Holy Cross Hospital has the right to the utmost privacy, which the students are expected to respect. 32 Dress Code for Radiology Students Policy overview Uniforms must be worn at all times except during surgery and specials rotations. Uniforms must conform to the exact navy blue scrub wear prescribed by the school. Hospital scrub wear must be worn during surgery and specials rotations. Lab coats- white full length lab coats bearing the schools name on the upper left chest must be worn at the following times: Whenever the student leaves the department At all times with hospital scrubs outside of the operating room or specials lab Solid white socks of cotton material only. All uniforms must be properly laundered. While in the operating room or during angiography rotations hospital scrubs will be worn by the student. When the student is not in these settings, they will be expected to change back into their uniform. Hospital scrubs are not permitted outside the hospital. Polished white clinic shoes should be worn at all times. White athletic shoes of leather with white rubber soles are permitted. The accent trim on the shoes must be approved. These shoes should be used exclusively in the clinical setting. Proper shoe care is mandatory. Hair should be kept neat. • Hair longer than collar length will be tied back. • Beards and mustaches should be well trimmed. Makeup should be worn conservatively. Excessive jewelry is not permitted. • Engagement rings and wedding bands may be worn. • Excluding the above ring combinations that may be worn together, only one small ring per hand is permitted. • No bracelets, ankle or wrist, are permitted. • No necklaces are permitted. • Only post type earrings are permitted and will not exceed the earlobe (no dangling or hoop earrings are permitted). Fingernails shall be trimmed and kept clean, fingernail polish is not permitted. Nametags and film badges will be worn on uniform when on duty (at collar level). If a student does not comply with the above criteria they will be sent home for the day, with the loss of PTO. 33 Drug Free Workplace Policy overview Holy Cross Hospital School of Radiologic Technology in conjunction with Holy Cross Hospital maintains a drug and alcohol-free workplace. The program/hospital prohibits the unlawful manufacture, distribution, possession, or use of controlled substances by employees in and on hospital owned or controlled property or offsite non-HCH clinical locations. Prohibited conduct Students are not allowed to use, possess, transport, sell, or distribute unauthorized drugs or drug accessories or alcohol while on hospital premises (this includes smelling of alcoholic substance while on duty). HCHSRT also prohibits use of alcohol unless authorized for special hospital-sponsored functions. Students may not be on HCH premises or report for school while under the influence of unauthorized drugs or alcohol. Unauthorized drugs or alcohol are considered to be in a students’ system if the results of drug or alcohol testing are positive. Over the counter medicine and prescribed drugs Students who take over-the-counter or prescribed medication must report possible adverse effects to Program Director and employee health services. Students may be reassigned, forbidden to perform certain tasks, or prohibited from attending school (with loss of PTO) if they are unable to perform job duties safely while taking medications. Note: It is a policy violation for students to use over-the-counter or prescribed medication improperly. Didactic & clinical performance Students are always responsible for behaving appropriately at school and performing their duties even if they acknowledge a substance abuse problem or participate in treatment programs. HCHSRT may take disciplinary action, up to and including termination, when a student’s performance or behavior is unacceptable or violates this policy. Drug and alcohol testing procedures The program has the right to require students to take drug or alcohol tests if it suspects students are under the influence of alcohol, an unauthorized drug, or have violated this policy or the law. The program has the right to randomly drug test students at anytime. Failure to submit to a drug or alcohol test may result in disciplinary action, up to and including termination. 34 Reasonable suspicion The following circumstances are presumed to give rise to a legitimate business reason or reasonable suspicion that an employee may be under the influence of drugs or alcohol: Direct observation of the use, possession, or sale of illegal drugs while at work, and will result in termination Inappropriate behavior observed by a manager or supervisor such as: slurred speech, poor coordination, irrational behavior, alcohol odor, red eyes, and unsteady gait A documented pattern of performance problems which might be the result of substance abuse Frequent, unauthorized absence from the work area during work hours Mood swings or abnormal behavior Suspected drug diversion from hospital or patient supplies Accidents caused by human error Violations of safety precautions Violations of traffic laws while conducting business or on hospital time Review of controlled substance audit reports Note: This list is not exhaustive. HCHSRT reserves the right to rely on other circumstances that give rise to a legitimate business reason or reasonable suspicion. Policy violations When student or receive positive test results, the program will give them: A copy of the laboratory record with the test results A copy of this policy Written notice of termination from the program 35 Demerit System Policy overview A system of demerits is employed to penalize behavior, which is inconsistent with professional student conduct. Any demerit received will result in one to five points being deducted from the student’s overall clinical grade. Demerits Failure to observe/practice any of the following responsibilities will result in students being given demerits. • Promptness to report to assigned areas. (3) • Clean pressed uniform. (1) • Clean well-groomed fingernails. (1) • Clean white shoes. (1) • Appropriate jewelry. (1) • Name tag/film badge in proper place. (1) • Hair above collar or pulled back. (1) • White hose, no runs. (1) • Remains in assigned area. (3) • Exchanged film badge. (1) • 10 minute breaks only. (1) • Informs supervisor when leaving assigned area. (3) • Tardiness (1) • Lab coat not worn outside of department. (1) • Failure to report the need to be absent. (5) • Failure/improper marking of films. (1) • Improper demographics sent to PACS in (excessive) (3) • Failure to go to lunch at scheduled time (1) • Takes breaks in the correct areas (1) • Smoking at anytime on campus (3) • Chewing gum in clinic (1) • Cell phone in clinic (1) • Neglect of policy & procedure as determined by staff (1) • Inappropriate behavior (1) 36 Probationary/Disciplinary Policy Probation A student appointment is conditional until 90 calendar days of program participation have been satisfactorily completed. Separation will be affected during this period by Holy Cross Hospital School of Radiologic Technology officials for demonstrated lack of qualifications, inability to absorb instructions or generally determined unsuitability for the position. Disciplinary action In order to assure fair and equitable treatment of all students, it may become necessary to impose Disciplinary Action. Disciplinary Action includes probation, suspension, and/or dismissal from the program. The Program Director has the right to discipline for just cause. Disciplinary Action includes probation, suspension, and/or dismissal from the program. The Program Director has the right to discipline for just cause. If a student has been placed on probation, suspended, or dismissed and the student believes that he/she has been treated unjustly, the student may follow the Due Process Policy. Separate degrees of disciplinary action may be applied when measure must be taken: 1. Probation: a. All new students automatically serve a 90 day probationary period, however, the Program Director may for just cause, extend the original probationary period, not to exceed 180 days. b. The Program Director for reasons of disciplinary action may elect to place a student, regardless of length of time in the program, on probation for a period not to exceed 90 days. 2. Suspension: a. A student may be suspended for a period of time up to ten days according to the gravity of the offense, and the previous record of the student. Such suspension may be applied in cases of first serious offense or repeated minor offenses when, in the judgment of the Program Director, proper conduct can be secured without resorting to dismissal. Any clinical or academic assignments missed due to the suspension will be completed prior to graduation from the programs. 37 3. Dismissal a. Dismissal shall be effected through the Program Director in all cases of flagrant or willful violation of program rules, policies, standards of accepted behavior, or performance and where a thorough investigation proves the student concerned to be in clear violation of policy. Prior Written Warnings Written warnings on conference forms will be given to the student when the Program Director feels the nature of the offense requires such action. Such warnings shall become a part of the student’s file unless review of the case by all parties involved, causes them to be removed. Dismissal may be imposed for offenses after two (2) written warnings have been given to the student. Merit Policy Policy overview Merit points will be awarded to the student when he/she exceeds the standard actions outlined in the student handbook. Merits will not exceed a total of 12 per quarter. Merits Merit points awarded 1. Unusual case study 2. No days missed per quarter 3. No tardies in a quarter 4. Written acknowledgment of thanks from a patient, physician, staff member, etc. 5. Exceeding the required competencies per quarter. 6. Others at the instructors’ discretion. Note: One Merit = One Hour Compensatory Time (not to exceed 12 per quarter) 38 Due Process Policy Policy overview Students in need of a resolution of a complaint shall use the “Steps for Due Process” appeals process outlined within this policy. Steps for Due Process Step one: In order to minimize the possibility of a misunderstanding, you are required to discuss your problems or complaints with the Program Director within five days of the occurrence of the problem creating the grievance. The Program Director will investigate and obtain all pertinent factual information and provide a solution or explanation within five working days accompanied with a decision and rationale. In most cases, grievances can be settled at this level with mutual satisfaction to all concerned. (If the grievance is with the Program Director, please go immediately to step two of the process). Step two: If student is not satisfied with the solution in step one, you may submit a grievance in writing to the Director of Medical Imaging within three working days of receiving decision from step one. The Director will request a meeting of the student, Program Director, and Medical Advisor within five working days after the grievance is received. These individuals will review all facts involved pertaining to the grievance and the Medical Imaging Director will respond in writing with a decision within five working days upon receiving the grievance. Step three: If the response in step two is unsatisfactory, the student may submit the grievance in writing to the Vice President of Clinical Support Services within three working days of receiving decision of step two. The Vice President will then review the grievance in detail and will write a response within ten working days. Step four: In the case the student has exhausted the school’s grievance procedure and still feels aggrieved, the student has the right to appeal to the Human Resources Department of Holy Cross Hospital within three working days of receiving decision of step three. The Vice President or designee of the Human resources department will review the grievance and report the findings of their investigation and decision to the student and the Program Director. This decision is final and will be resolved within ten days of receiving the complaint. Timeline The grievance process should not exceed thirty-nine days. Students remaining in the program are responsible for making up all class work, and clinical time to meet graduation requirements. 39 Contacting the JRCERT/ MHEC Holiday Policy Policy overview The student has the option to contact the JRCERT or MHEC with any concerns of due process including allegations of program non-compliance with JRCERT standards at the following address: 20 North Wacker Dr. Suite 2850, Chicago, IL 60606-3182 or phone at 312-704-5300 or e-mail www.JRCERT. org. MHEC at the following address: 839 Bestgate Rd suite 400, Annapolis MD 21401 or phone 410-260-4500 or email http:// www.mhec.state.md.us/ Students are entitled to the following seven holidays: • New Year’s Day • Washington’s Birthday • Memorial Day • Fourth of July • Labor Day • Thanksgiving Day • Christmas Day. Note: Students will not be scheduled for clinical education on holidays. 40 Attendance Policy –PTO Policy overview The total length of the program is 94 weeks. Each student is allowed 22.5 days (180 hrs.) or 10% of the total days, for personal time off. Use of this time will be at the students discretion, and may be used for as vacation, sick, or any other reason the student deems necessary to be absent from the program. Additionally, all time missed due to tardiness or early departure will be deducted from the PTO bank. Students must report the need to be absent by 6:30am the day of school by calling the school line 301.754.7367. Attendance in the clinical area must be for a minimum of 4 hours. If four hours are not completed, the student will not be permitted to the clinic that day. Attendance is mandatory for all classroom instruction. PTO must be approved for any class time missed 14 days prior to the leave time. All make-up work will be distributed upon student’s immediate return. It is the student’s responsibility to schedule time with the instructor for make up work within 1 school day. To facilitate students who may wish to schedule extended vacation times a certain period will be set aside each year when there will be no classroom instruction scheduled. See school calendar for more information. Punctual and regular attendance is essential and is expected of all students. Absences totaling in excess of the school’s standards (22.5 days) will be cause for dismissal. Exceptions to this rule will be based upon the nature and severity of the circumstances, and will be addressed in accordance with the leave of absence policy. Note: Students who are absent more than three school days due to illness, are not permitted back to Holy Cross Hospital or affiliate clinical site until health clearance has been given by the Employee Health Department. Jury duty policy Policy overview In the event a student is selected for jury duty the student will be excused from class and clinic. Students must submit proof of attendance to the courthouse to the Program Director within three days of their return. Students are responsible for making up the hours missed after graduation. PTO hours will be deducted if proof of attendance is not provided. Students may elect to use PTO hours for this time off. 41 Locker Policy Policy overview To outline the Holy Cross Hospital School of Radiologic Technologic Technology (HCHSRT/the program) policy for lockers assigned to radiology students. Each student is assigned one locker and one combination lock. Upkeep Students must: • Keep lockers and locker area clean and orderly • Not deface or damage lockers • Not store food in lockers, except for lunches, which must be removed daily Valuables Inspections Lockers are hospital/program property. The hospital/program has the right to inspect lockers at any time without notice to employees. Only designated hospital/program representative may conduct locker inspections (i.e. Program Director, Clinical Coordinator, Medical Imaging Director, Security, etc). Note: Students are responsible for any items present in their assigned locker during an inspection. Withdrawal from the Program Overview Students may withdraw at any time from the program. A withdrawal becomes official only after written notice has been received by the Program Director. At the time withdrawal the following items should be returned to the Program Director: 1. 2. 3. Student identification badge Parking permit Combination lock for student locker Students remain responsible for all outstanding financial obligations to Holy Cross Hospital School of Radiologic Technology even after withdrawal. 42 Leave of Absence Policy Policy overview The student must present all leave of absence requests in writing to the Program Director as far in advance as possible. Approval of the request will depend on the reason for the request. • Leaves of absence may be considered for the following reasons: 1. Military- for enlistment during national emergencies. 2. Health, including maternity- provides the student may be expected to return to the program at the end of the leave. 3. Extenuating personal circumstances. • All leaves of absence must be approved by the Program Director. • All leaves of absence must not exceed a total of 90 days. This in accordance with Section 13b.01.01 of the code of Maryland Regulations on the leaves of absence policy. • Unusual circumstances which merit extending the leave must be submitted in writing to the Program Director. Two weeks advance notice is required if possible. • Failure to return at the expiration of the leave will result in immediate dismissal from the program. • Students, who have taken a leave of absence, will have to make up their time in accordance with the requirements of graduation. Both didactic and clinical time must be made up. Note: The program is under no obligation to offer clinical or didactic education outside the normal hours of operation. Definitions A leave of absence is defined as an authorized absence from the program for an extended period of time as outlined below. Smoking Policy Smoking is not permitted under any circumstance 43 Pregnancy Policy Policy overview Student technologists who are pregnant may continue with their training in the Radiological Technology Program. The student should use the standard and approved procedures for protection of the patients and personnel from radiation. The following guidelines must be followed: • • • • • • • • • • • • • Declaration of pregnancy is voluntary and must be in writing. Student declaring pregnancy, are encouraged to notify the Program Director as early as possible, so that full radiation protection measures are employed The pregnant student technologist will be informed of the effects of radiation to the fetus and proper radiation safety during the gestation period. The student technologist will be required to sign consent acknowledging that she has received proper safety instructions. In accordance with the American Society of Radiologic Technologists position state, the following is available to the pregnant student: 1. NCRP report #39, section 240 2. The Pregnancy Disability Law (PL95-555) 3. EEOC “Guidelines on Sex Discrimination, Questions and Answers”, April 20 1979. The pregnant student will wear a fetal monitoring device on the abdomen along with a monitoring device at the collar level. The student must wear these badges at all times while in clinical education areas. These badges will be processed monthly. During the entire gestation period the maximum permissible dose equivalent to the embryo-fetus from occupational exposure to the student technologist will not exceed 0.5 rem(500 mrem), (report #52 NCRP, March 1, 1977). The student technologist may at any time have full access to The student technologist may at any time have full access to their radiation monitor badge records. The pregnant student will be required to complete all didactic assignments and clinical rotations missed during pregnancy to meet graduation requirements. The pregnant student technologist will continue all phases of her training, as expected of any student. All students will be given a copy of the Radiation Exposure Report upon initial orientation into the program at which a test will be given to make sure the student is knowledgeable on the dangers of Radiation. This will be documented and keep in the student’s permanent record. Students have the option to submit written withdrawal of declaration at anytime. 44 Compensatory Time Policy Policy overview In the event a student elects to remain in a didactic or clinical area to complete an assignment, to witness a rare procedure being performed, etc., the student will be issued compensatory time. This is designed to compensate for experiencing instruction beyond the designated eight-hour education period. This policy is utilized to maintain a forty-hour school week as directed by the Standard Guidelines of an Accredited Educational Program for the Radiographer. The student will complete a comp slip; have it verified by the instructional staff whom they were assigned. The student will give the completed form to Program Director for placement in the students file. Compensatory time is accumulative only within the effective school year. Compensatory time is not transferable from one effective school year to another. Tardiness Policy Policy overview Excessive tardiness is not permitted and will result in disciplinary action. Acceptable Tardiness Students are allowed 5 scheduled tardies per quarter (for any given reason). The need to be tardy is to be scheduled no later than 30 minutes prior to the start of school day. When reporting scheduled tardiness, the student must state the expected arrival time. Students reporting the need to be tardy must use a full day of PTO if they will not be in the clinic for a minimum of 4 hours, however coming in for class time is permitted resulting in a loss of only clinic time PTO. Note: Demerits will be given for each tardy thereafter and points will be deducted from the student’s clinical averag. Arrival following tardiness Upon arrival in the radiology department, each student will report to their assigned area. Reporting tardiness A Student, who is going to be tardy, you must call the School at (301) 754-7367 to report tardiness. Note: Normal hours of operation are from 7:00am-3:30pm. The Clinical Coordinator, based on clinical instruction needs, will determine evening and weekend rotation schedules. Note: The Clinical Coordinator will verify student attendance everyday. s Deducted time/ PTO bank All time missed due to tardiness will be deducted from the student’s PTO bank. Disciplinary action Failure to report that you will be tardy or exceeding the allowable amount of occurrences per quarter will be reflected in the number of demerits received. 45 Funeral Leave Up to three days of absence will be granted in the event of a death in the immediate family as defined: 1. Student: Spouse, parent, brother or sister, son or daughter, grandparent. 2. Student’s Spouse: Parent, brother or sister, son or daughter. Additional time off for the death of a distant relative or close friend may be granted at the discretion of the Program Director. This time off will have to be made up to meet graduation requirements. Note: The student is responsible for all class assignments missed Student Services Policy overview The Holy Cross Hospital School of Radiologic Technologic Technology (HCHSRT/the program) students are eligible to utilize several services that are available to HCH employees. This policy will help ensure that each student is aware what is available. Parking Free parking is provided for all students on designated off-site locations. A hospital vehicle will transport students to and from the hospital. Failure to comply will result in disciplinary action. Students are able to pay for parking on campus by utilizing the paid visitor parking. Note: Students are not eligible to validate parking tickets for this lot. Employee Health Employee Health evaluates and makes treatment referrals for any hospital related injury or illness. Your private physician should provide follow-up care. If you are without a personal physician locally the Employee Health Staff will be happy to assist you in finding one. Control of contagious illness is an important function of Employee Health at Holy Cross Hospital. If you develop a fever, rash, cold sores, cough, persistent diarrhea, persistent sore throat, or any illness that might be contagious, contact Employee Health. Lost and Found The Safety and Security Department is responsible for safekeeping and disposing of lost and found items. Contact the Director of Safety and Security to report items lost or found. Gift Shop The Holy Cross Hospital’s auxiliary, a voluntary organization, operates the gift shop on the main floor of the hospital. Through the sale of a wide variety of toys and gifts the auxiliary raises money for the individual needs of Holy Cross Hospital. Employees Activities Committee (EAC) The Employees Activities Committee (EAC) is made up of employees, students, and volunteers throughout Holy Cross Hospital who plan social, recreational, and educational activities for the benefit of employees. Softball teams, the summer picnic, and the annual holiday party are just a few of the activities sponsored by this committee. The EAC welcomes your participation and encourages you to submit your ideas for consideration. You may contact the committee by calling the Human Resources Department. 46 Student Services, cont. Pastoral Care and Counseling The Department of Clinical Pastoral Care and Counseling helps patients, their families, and healthcare professionals use the resources in their lives to promote health and wholeness. This includes physical, mental, and emotional resources, as well as spiritual, in the belief that all are important to the healing process. The Chaplaincy staff provides pastoral care, counseling worship, and sacraments to patients, families, students, and staff. The department offers information, education, consultation, and programs for continuing education of clergy, laity, other ministers, and healthcare professionals. Jack F. Tolbert Memorial Grant Program The Jack F. Tolbert Memorial Student Grant Program is a Scholarship program of the State of Maryland, which exists to assist residents of Maryland who attend private career schools in Maryland. The scholarship honors the memory of Jack F. Tolbert who was a respected leader in the private career school industry and a school owner. The Maryland State Scholarship Administration works in partnership with private career schools to identify recipients and award this grant. Participating Schools have agreed to advertise the program to all eligible students to encourage as many as possible to participate. See program director for details. 47 Definitions ARRT- American Registry of Radiologic Technologists is the only national certifying agency for Radiologic Technologists. ASRT- American Society of Radiologic Technologists is the national professional organization responsible for the development of the curriculum guide for the Radiology programs. Buckley Amendment- The law-protecting student’s confidentiality. Cassette- An x-ray film holder. Clinical Education- Practical instruction conducted in the Radiology Department. Clock Hours- Actual number of hours that the student spends in the program. Code of Ethics- a set of principles governing professional conduct. Cognitive- pertaining to that operation of the mind, which includes all aspects of perceiving, thinking, and remembering. Demerit- each accounts as a negative offense, one percentage will be deducted from clinical grade for each demerit received Didactic- Classroom instructions. Employee Health- conducts some pre-admission health examinations, evaluates, or makes referrals for treatment of injuries sustained as a direct result of training procedures. Film Badge- Device used for recording radiation dose to the technologist and student. Markers- Symbols used on a radiograph to identify the left and right sides of a patient. Philosophy- Study of the principles pertaining to conduct. Psychomotor- pertaining to the performance of physical functions based on application of knowledge. Radiation- Pertaining to X-rays. Radiographer- Individual engaged in the use of x-ray imaging techniques to perform radiologic procedures. 48 Radiologic Procedures- X-ray examinations performed on patients to assist physicians with diagnoses. Registered Technologist Graduate of an accredited program who has passed the ARRT examination. Rotation- Scheduled period of time spent by students in a specific area. Sound Moral Character- Traits, status, and reputation consistent with the code of ethics for the profession. 49 Holy Cross Hospital 1500 Forest Glen Road Silver Spring, Maryland 20910 (301) 754-7367 REVISED / APRIL 2012