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BSc (Hons) Medical Imaging (Diagnostic Radiography) PAM3005: Clinical Assessment (Half-Day Room Management Session) Student: Assessor: 2nd Assessor (if applicable): Clinical Tutor: Placement Site: Date: Time commenced: Time completed: Description of session managed: The aim of this assessment is to enable the student to demonstrate organisational skills that require reflection-in-action in order to respond effectively to changing priorities. The student should, therefore, be asked to take responsibility for an area where the work-load can vary within the time-frame of the session and where effective management is required to ensure high quality patient care and efficient use of resources. The student must also engage in the imaging of patients during the session. The current clinical assessment marking criteria published at http://newton.ex.ac.uk/handbook/RadCAC.html must be used when completing this document. Page 1 of 9 The student is expected to provide a verbal commentary throughout the assessment to demonstrate understanding of, and compliance with, safe and proficient practice. Section 1. Session Preparation Undertaken? Tasks No Prompt Yes AREA PREPARATION Tidy & clean the room / area in line with departmental protocols Stop Equipment & accessories checked and prepared (e.g. pads, gowns, filters, grids) Stop Safety Checks (room warning lights, DAP meters etc) Stop Ensure adequate clean linen for session (sheets, gowns, blankets etc) Stop Oxygen and suction checked, state location of nearest crash trolley, fire alarm and exit Stop Infection control equipment checked (gloves, gowns, cleaning products etc) Stop SESSION / WORKLOAD PREVIEW Review staff availability and skill mix Review anticipated patient schedule / workload Check relevant information / paperwork is available and correct Review examinations for duplicate requests Describe possible / anticipated problems and solutions Mark for Section 1: Maximum mark = 10 Page 2 of 9 Section 2: Session Management Undertaken? Tasks No Prompt Yes ORGANISATION Delegate tasks appropriately to team members Deal effectively with situations as they arise during the session Continue to manage the session whilst undertaking clinical radiography Demonstrate time management skills (efficiency / workflow etc) Organise staff breaks PATIENT CARE (for examinations undertaken by the student) Correct patient preparation i.e. confirm ID, pregnancy check, justification, confirm area of interest etc Stop Correct patient care during examination i.e. assuring comfort, dignity, safety, radiation protection etc Stop Correct infection control measures throughout the entire procedure Stop Correct patient aftercare i.e. during checking of images, information about results etc Stop INTERPROFESSIONAL COMMUNICATION SKILLS THROUGHOUT THE SESSION Communicate effectively with radiographers Communicate effectively with clerical and support staff Communicate effectively with patients Communicate effectively with carers and relatives AS APPLICABLE Communicate effectively with people outside the radiology team (e.g. ward staff, medical staff etc) AS APPLICABLE Mark for Section 2: Maximum mark = 10 Page 3 of 9 Section 3. Summary of Session Tasks Undertaken? No Prompt Yes DURING IMAGING EXAMINATIONS Radiation safety for patient (justification, confirmation of ID, pregnancy checks etc) Radiation protection of self and other staff Appropriate infection control measures applied when required Appropriate manual handling techniques applied when required Appropriate personal radiographic standards maintained throughout SESSION COMPLETION Equipment cleaned and tidied in line with departmental infection control protocols Laundry and associated equipment restocked (sheets, gowns, paper rolls etc) Cubicles and waiting areas cleaned and tidied in line with departmental infection control protocols All radiology records (including DAP) / archiving / paper work completed Mark for Section 3: Maximum mark = 10 Page 4 of 9 Section 4. Radiographic Awareness Undertaken? The student must verbalise their evaluation of the images obtained for a single examination that they have undertaken or participated in during the session. Tasks No Check for correct identification information (patient name, date) Prompt Yes Stop Ensure that correct anatomical marker(s) are clearly visible on final image (either primary or added) before archiving Stop Correct identification of all bones Correct identification of bony landmarks / features on bones Correct identification of all visible joints Correct identification of all visible soft tissue anatomy/associated structures Correctly evaluate whether or not the required anatomical features are included on the image Correctly evaluate the patient position, including suggestions for how positioning could be improved (if appropriate) Correctly evaluate the exposure Correct assessment of image sharpness (including all three causes of image unsharpness) Correct assessment of collimation including impact upon image quality & patient dose Correct assessment of artefacts (including identification of avoidable & unavoidable artefacts) Description of any abnormalities seen using appropriate medical terminology Correct assessment of overall diagnostic quality including identification of the need to repeat or undertake further projections Mark for Section 4: Maximum mark = 10 Page 5 of 9 Section 5. Assessor Evaluation of Conduct Undertaken? Required prompting Tasks Intermittently throughout the assessment Consistently throughout the assessment PATIENT CARE AND PROFESSIONAL CONDUCT Did the student act in the patients’ best interests throughout the examination? Did the student respect the confidentiality and dignity of the patients at all times? Did the student maintain proper and effective communication with the patients throughout the examination? Did the student keep accurate patient records? Did the student deal fairly and safely with the risks of infection? Did the student carry out their duties in a professional and ethical way? Was the student’s conduct throughout the entire examination such that they gained the confidence of the patients and the interdisciplinary team? Mark for Section 5: Maximum mark = 10 Page 6 of 9 Please comment upon two or more aspects where you have indicated on the assessment form that the student could improve for future practice: 1. 2. Please comment upon two or more aspects where you have indicated on the assessment form that the student has demonstrated a strength or strengths during the assessment: 1. 2. Page 7 of 9 Marking Summary Marks according to criteria Section 1: Session Preparation Maximum 10 marks Section 2: Session Management Maximum 10 marks Section 3: Summary of Session Maximum 10 marks Section 4: Radiographic Awareness Maximum 10 marks Section 5: Assessor Evaluation of Conduct Maximum 10 marks Total Marks Overall Total Marks (maximum 50 marks) (Pass mark = 20 marks) Percentage: Clinical Assessor’s Signature: Date Clinical Assessor discussed feedback with Student: Page 8 of 9 Student’s Reflective Comments: Did any of the assessor’s comments surprise you? Where you expecting any of these comments? How will you use these comments to develop your practical radiographic ability? What did you gain from this experience? What did you do well? What could you have done better? How will your future practice change as a result of this assessment? Student’s signature: Date: Page 9 of 9