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RADIOGRAPHY PROGRAM
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Welcome,

The Radiography Program Faculty welcomes you as a new or returning student.  Our goal is to provide you with a high quality radiography education that prepares each of you as a caring, safe and competent radiographer today’s high-tech health-care workplaces.  We want to work together with you to achieve this goal.  We wish you every success in your radiography education at Burlington County College.

The information in this handbook will assist you to proceed through the program.  Please become familiar with each part and keep it as a reference.

 Radiography Program Faculty

Buffy Stolte - Clinical Instructor – Virtua –MHBC

Michele Delgado – Clinical Instructor – Virtua – MHBC

Kathleen Adreano – Clinical Instructor – Virtua - MHBC

Patty Long– Clinical Instructor – Virtua – WJ –Voorhees

Kathleen Cave – Clinical Instructor – Virtua – WJ - Voorhees

Melissa Hart – Clinical Instructor – Virtua – WJ –Voorhees

Nancy Buehler – Clinical Instructor – Virtua – WJ – Berlin

Patricia Truitt – Clinical Instructor – Virtua – WJ – Berlin

Dana Poplawski – Clinical Instructor – SOCH

Barbara Augustine – Clinical Instructor – SOCH

Marsha Monfort – Clinical Instructor – SOCH

Suzanne Ross – Clinical Instructor – Lourdes

Virginia Emerson – Clinical Instructor – Lourdes

Marcia Botel – Clinical Instructor – Lourdes

Rose Johnson – Clinical Instructor - Traveling

Elizabeth W. Price - Director of Radiologic Sciences

Radiography Program Clinical Sites

            Virtua – Memorial Hospital of Burlington County  - (609) 267-0700 - 43735

            Virtua – West Jersey – Voorhees – (856) – 325-3788

            Virtua – West Jersey – Berlin – (856)- 322-3310

            Southern Ocean County Hospital  - (609) 978-8932

            Lourdes Hospital – (609) 835-2900 – 4237

 

Accredited by:   Joint Review Committee on Education in Radiologic Technology

20 N. Wacker Drive, Suite 900

Chicago, Illinois 60606-2901

(312) 704-5300

 

Radiologic Technology Board of Examiners

Department of Environmental Protection

Radiation Protection Programs

PO Box 415

Trenton, NJ 08625

(609) 984-5890

 

Rev. 10/97, Rev. 4/98, Rev. 4/99, Rev. 4/00, Rev. 4/01, Rev. 12/01, Rev. 4/02, Rev. 4/03, Rev. 4/04, Rev. 4/05, Rev. 4/06


Radiography Program History

In the late 1950’s, the radiologists of Burlington County Memorial Hospital recognized the need for appropriately trained radiographers to produce the high quality x-ray images required for accurate patient diagnosis.  As a result, an on-the-job informal training process was begun.  In 1962, under the direction of Loretta Urbanik, the American Medical Association awarded the program accreditation.

 

As the science of radiology became more complex, so did the training needs.  In 1985, Memorial Hospital Program Director Mary Alice Statkiewicz Sherer and Connie Churchill of the Math/Science Department at Burlington County College developed a cooperative program jointly offered by the hospital and college.  This program cumulated in a certificate of completion granted by the hospital and an AAS degree conferred by the college.  Upon completion, program graduates were eligible to sit for the American Registry of Radiologic Technologists certification examination and apply for state licensure.  To date, 97% of program graduates have passed the ARRT examination on the first attempt with mean scores higher than the state and national averages.

 

The Radiography Program, under the sponsorship of Memorial Hospital of Burlington County has been accredited by the Joint Review Committee on Education in Radiologic Technology (JRC ERT) and it predecessors since 1962).  The State of New Jersey Department of Environmental Protection Bureau of Radiological Health (NJ DEP) also accredited the program.

 

Recognizing that a college setting could provide program students with a wider variety of educational opportunities program offices and didactic classes were moved to the college campus in 1997.  Under the guidance of Sharon Grovatt, the hospital faculty redesigned the existing curriculum to develop a program, which is compatible with other college offerings.  In October 1998, Burlington County College received accreditation with JRC ERT and in December of that year, accreditation with the NJ-DEP.  In May of 2000, the program expanded to include two additional clinical sites.  The program was revisited by JRCERT in April of 2001 and 8-year accreditation granted.  The program has an exceptional reputation for educating entry-level radiographers.  In May of 2002, the program further expanded to include two more additional clinical sites and under the JRCERT 2002 Standards was able to increase student capacity to 14 entering students.

 

The Profession

The practice of radiography is performed by a segment of health care professionals responsible for the administration of ionizing radiation to humans and animals for diagnostic, therapeutic or research purposes.  This objective is accomplished by:

arranging devices to lessen discomfort and prevent patient motion

positioning the patient for imaging of the desired area

adjusting equipment/factors to obtain a clear undistorted view of the area of interest

determining proper current, voltage and exposure time for each procedure

preparing and administering contrast media

evaluating radiographic quality of obtained images

ensuring radiation protection for personnel, patients and the general public

keeping records/ files and preparing reports of procedures.

Integral to radiography are:

direct patient care, communication skills and technical/scientific activities.

 

Mission

The mission of the Radiography Program is to provide educational activities related to rendering care to the sick and injured and providing quality radiography education, which meets intellectual, employment and cultural goals.  Serving as a link in partnership with the health care community, the program seeks to improve the technological skill of the Burlington County workforce.  The radiography program is responsive to students’ needs by using creative methods of education to meet cognitive, affective and psychomotor objectives.  The program provides an educational environment structured to develop a competent health care professional who possesses the qualifications necessary to fulfill the responsibilities associated with the profession; maintains respect for ethical standards; possesses personal maturity and attains the maximum realization of his/her potential.

To achieve program mission, the student must achieve the following educational goals.

1.         Understand the potential of man for growth and development.
2.         Understand the basic principles and concepts of the profession.
3.         Possess skills of an entry-level diagnostic radiographer.

4.         Demonstrate a well-rounded educational background to function as a qualified   health care professional.
5.         Appreciate the value of quality radiological services and the impact the profession          has on the health care delivery system.

6.         Establish interpersonal communication and empathize with the patient and healthcare professionals.

 

            The mission statement and goals of the program have evolved from the Cooperative Radiography Program operated jointly by Memorial Hospital of Burlington County and BCC.  The statistics gathered from that program were used to set the benchmark standards for the program sponsored by Burlington County College.  In the past, these goals have produced high quality radiography program graduates.  These benchmarks are evaluated on a yearly basis.

 

The Radiography Program sponsored by BCC has a goal to achieve the following benchmarks:

1.              Eighty-five percent of the student matriculated into the program will graduate.

2.              Eighty-five percent of the students graduating from the program will have completed all program requirements within 150% of the published program length once matriculated into the program.

3.              Eighty-five percent of the returned employer surveys will have a positive response to the graduate’s clinical performance and clinical competence.

4.              Eighty-five percent of the returned employer surveys will have a positive response to the graduate’s problem solving and critical thinking skills.

5.              Eighty-five percent of the returned employer surveys will have a positive response to the graduate’s communication skills.

6.              Fifty percent of the returned alumni surveys will indicate that they have or will continue their education in radiology or take advance registries.

7.              Fifty percent of the returned alumni surveys will indicate that they have membership in a professional organization.

8.              Eighty percent of the returned alumni surveys will have a positive response to the education they received.

9.              Eighty percent of the returned employer surveys will have a positive response to the education they received.

10.          The mean score on the ARRT examination for program graduates is not less than 83%, over the past 5 years.  The class registry pass rate is not less than 90% on the first attempt.

11.          The job placement for program graduates is not less than 80% within six month of graduation.

 

The Individual

The faculty believes that each individual is a unique being possessing worth and dignity, who is constantly interacting with the internal and external environment to meet human needs.  These needs must be fulfilled to maintain individual homeostasis.  Adaptation, as associated with homeostasis, is the mechanism used by the individual to compensate for unmet or partially met needs.  The fulfillment of safety, energy and sensory needs is required to help meet the individual’s needs.  Security and esteem are important to the well-being of each person.

 

The Teaching/Learning Process

Teaching is imparting knowledge to facilitate the achievement of the academic goals of the learner.  Teaching methods address the individualized need of a diverse student population.

 

Learning, a process that is continuous throughout life, requires readiness of the learner to set and achieve goals.  The intent of this process is to acquire knowledge, skills and behavioral changes through study, experience, instruction and interactions with a teacher.

 

Major goals of the teaching/learning process are to develop:

self-awareness

self-direction

critical thinking

accountability.

These goals are achieved through pedagogical methodologies that facilitate exchange of ideas, address individual learning styles, and encourage mutual trust and respect.

 

Radiography Education is a cooperative process involving teachers and learners actively pursuing and sharing knowledge.  The faculty believes that radiography education is best achieved in an organized setting that encourages self-directed acquisition of knowledge progressing from simple to complex.  Instruction is accomplished by methods of precepting, example, and recounting experience.  State-of-the-art instructional strategies and technologies incorporated into the program enhance a quality radiography education.  By structuring a collegiate curriculum, the faculty confirms their beliefs that excellence in radiography is best developed in an atmosphere of higher education.  The faculty also believes that concurrent education in the arts and humanities, as well as in the basic sciences, represents an essential element in providing the radiography student with an integrated body of knowledge.

 

 

 

 

 

Purposes of the Radiography Program

This program provides the graduate with the necessary theoretical and clinical background to function as an associate degree radiographer in a variety of health care settings.  Academic mobility is facilitated by the design of the curriculum and transferability of credits into upper division healthcare education programs.

the purposes of the program are to:

·        provide opportunities for the study of radiography that are academically sound, practice oriented and financially feasible;

·        prepare clinically competent associate degree graduates for entry level positions;

·        prepare graduates who will be eligible to take the American Registry of Radiologic Technologist (ARRT) certification examination


ACADEMIC PROGRESSION

The Radiography Program requires 70 credits for graduation:

48 radiography credits and 22 credits in college general education courses.  The graduate receives an Associate in Applied Science (AAS) degree for Radiographers.

 

Transcripts

Students taking supporting courses at other institutions must keep their records at BCC current.  Please arrange for transcripts to be sent to the Registrar so your record will include the correct pre- and co-requisites and graduation requirements.  Transferred courses must have the same number of credits to be equivalent to BCC’s courses.

 

General education courses and supporting courses may be taken earlier than suggested and in any sequence.  However, it is important to plan that all supporting course indicated as pre- or co-requisites to specific radiography courses are taken in the appropriate order.

 

Example

RAD 122 is a co-requisite of RAD 114 so it must be taken no later than the same semester as RAD 114 and prior to Clinical Procedures 3 (RAD 123).

 

Co-requisite Courses:

Radiographic Exposures I (RAD 105) & Clinical Procedures I (RAD 121)

Radiographic Exposures II (RAD 114) & Clinical Procedures II (RAD 122) & Principles of Radiation Protection & Biology (RAD 107)

Equipment Operation and Maintenance (RAD 120) & Clinical Procedures V (RAD 225)

 

Any student failing pre-or co-requisites or radiography courses must withdraw from the radiography program until these courses are successfully completed.  RE-admission to the radiography program will be considered at that time on a space available basis only.

 

RADIOGRAPHY COURSES

Clinical Procedures I (RAD 121) This course provides basic information concerning ethical and legal behavior in a healthcare environment.  Emphasis is placed on patient care principles, radiation protection measures and sterile technique applicable to radiographic procedures.  The pharmacology of radiology is examined.  The student is taught to perform radiographic procedures of the upper extremity, shoulder girdle, chest and thorax.  Hands-on instruction in the proper use of fixed and mobile radiographic equipment and application of theoretical principles are demonstrated in a laboratory setting.  Subsequent hands-on experience is provided under the direct supervision of qualified radiographers.  Achieved competency is measured.

3/2/0/8

Corequisite :Radiographic Exposure I

 

Radiographic Exposure I (RAD 105) The factors that influence the production of the radiographic image are presented.  The student will learn processing requirements, components and procedures.  The construction of the elements of image production are identified.  Application of theoretical principles is demonstrated in the clinical setting.

3/0/0/0

Corequisite: Clinical Procedures I

 

Clinical Procedures 2 (RAD 122)  The student learns to perform radiographic procedures of the lower extremity, pelvic girdle and abdomen.  Hands-on instruction I the proper use of fixed and mobile radiographic equipment and application of theoretical principles are demonstrated in a laboratory setting.  Subsequent hands-on experience is provided under the supervision of qualified radiographers.  Achieved competency is measured and pertinent initial clinical competency testing is performed.

2/2/0/16

Prerequisite: Clinical Procedures I

Corequisite:  Principles of Radiation Protection, BIO 112

 

Radiographic Exposure 2 (RAD 114) This course is a continuation of RAD-105 and the prime factors of image production are reviewed.  Imaging standards an analysis techniques are presented.  The concepts of quality control and quality assurance are identified.  Various exposure systems are compared and radiologic science theories and techniques are applied in the clinical setting.

3/0/0/0

Prerequisite:  Radiographic Exposure I

Corequisite:   Clinical Procedures II, Prin. of Radiation Protection

 

Radiation Protection & Biology (RAD 107) Radiation effects on cells and living tissues are discussed.  The principles and responsibilities of radiation protection are presented.  Federal and state regulations are identified.

2/0/0/0

Prerequisites:  Radiographic Exposure I, Clinical Procedures I

Corequisites:   Clinical Procedures II,

 

Clinical Procedures 3 (RAD 123) The student learns to perform radiographic procedures of the spine and skull.  Hands-on instruction in the proper use of fixed and mobile radiographic equipment and application of theoretical principles are demonstrated in a laboratory setting.  Subsequent hands-on experience is provided under the supervision of qualified radiographers.  Achieved competency is measured and pertinent initial and continual clinical competency testing is performed.

2/2/0/24

Prerequisite:  Clinical Procedures II

Corequisite:   BIO 113

 

Clinical Procedures 4 (RAD 224) The student learns to perform radiographic procedures of the biliary, cardiovascular, central nervous, digestive, reproductive and urinary systems.  The concept of interventional radiography is addressed.  Hands-on instruction in the proper use of fixed and mobile radiographic and accessory equipment and application of theoretical principles are demonstrated in a laboratory setting.  Subsequent hands-on experience is provided under the supervision of qualified radiographers.  Achieved competency is measured and pertinent initial and continual clinical competency testing is performed.

2/2/0/24

Prerequisite:  Clinical Procedures III

 

Clinical Procedures 5 (RAD 225) The student learns to perform various computed tomographic procedures.  Previously mastered anatomy is presented in transverse, coronal and sagittal planes.  Pathology and disease as they relate to various radiographic procedures are instructed.  Emphasis is placed on the required variation in radiographic exposure techniques.  Hands-on instruction in the proper use of radiographic equipment and application of theoretical principles are demonstrated.  Subsequent hands-on experience is provided under the supervision of qualified radiographers.  Achieved competency is measured and pertinent initial and continual clinical competency testing is performed.

2/0/0/24

Prerequisite:  Clinical Procedures IV

Corequisite:   Equipment Operation & Maintenance

 

Equipment Operation and Maintenance (RAD 120) The construction, instrumentation and underlying physical principles of various types of imaging equipment are covered.  Fluoroscopic, image intensifying, mobile and various specialized systems are discussed.  Emphasis is placed on safe operating procedures and limits of radiographic equipment.

4/0/0/0

Prerequisite:  Principles of Radiation Protection

 

Clinical Procedures 6 (RAD 226) This course is designed to allow the student sufficient clinical practicum to achieve entry level clinical competence.  Hands-on experience is provided under the supervision of qualified radiographers.  Clinical rotations in advanced modalities may be made available during this semester with the permission of the clinical instructor.  Achieved competency and pertinent initial (CT) and final clinical competency testing is performed.

0/0/0/24

Prerequisite:  Clinical Procedures V

 

RADIOGRAPHY SUPPORT COURSES

Fundamentals of Anatomy and Physiology (BIO 110/111, BIO 114/115)   This course includes discussion of the skeletal system, muscular system, integument system, nervous system, and cell physiology studies.  Laboratory session stresses organ dissection.

prerequisite: high school science recommended

 

Medical Terminology (HIT 105)  The study of the language of medicine, focusing on prefixes, suffixes, word roots and their combining forms.  This course includes word construction, spelling, usage, comprehension and pronunciation.  Along with terminology, students are provided with information regarding anatomy, symptomology, pathology and diagnostic/surgical procedures.

 

General Psychology (PSY 101) This course is designed to provide a general understanding and application of the basic principles of psychology.  Topics will include history of psychology, scientific methods as employed y psychology, psychological basis of behavior, maturation, development, principles of learning, thinking and communication, language, perception, memory and creativity.

 

Principles of Sociology (SOC 101)  This course is an introduction to the concepts in the field of sociology.  Focuses on the social interaction of individuals with one another, of individuals with groups and of groups with one another.

 

English Composition I (ENG 101)  This course is designed to help students develop skills in expository writing.  Emphasis will be placed on pre-writing, organization, methods of development and diction.

prerequisite: Successful completion of ENG 075 or placement based on diagnostic testing.

Introduction to Philosophy (PHI 101)  This course introduces the students to some of the fundamental questions concerning knowledge, existence and value. Emphasis on examining the original works of important philosophers rather than secondary accounts of these philosophers’ theories.

 

Fundamentals of Computer Science (CIS 101) This is an overview of computer information systems.  This course introduces computer hardware, software, representation and processing of data, design of algorithms, systems and procedures, and computer languages.  An introduction to popular microcomputer application software such as WordPerfect, dBase, and Lotus is provided.  The fundamentals of problem solving and programming in a high-level computer language are discussed and applied.

 

Introduction to Statistics (MTH 107) A first course in basic statistical concepts.  Topics include frequency distributions of empirical data, calculations of descriptive statistics, probability distributions, confidence intervals, hypothesis testing, chi square, regression and correlation.

co-requisite: enrollment in or eligibility for ENG 101

 

All general education credits in the A.A.S. degree for radiographers at Burlington County College afford the graduate the foundation to easily pursue additional higher educational programs.

 

Please Note: There are no substitutes for radiography support/general education courses

 

Courses taken earlier than required may be retaken to improve the grade and progress in the radiography program will not be affected until the co-requisite course is reached.


GRADING POLICY

 

Maintaining GPA

Students must maintain a GPA of 2.5 or better to remain in the program.  If the GPA falls below 2.3, the student must withdraw from the program and apply to reenter on a space-available basis when the GPA is above 2.5.  Students should monitor their GPA at the end of each semester.

 

Radiography Course Grading Scale

A         93-100

B+       90-92

B          86-89

C+        83-85

C         79-82

F          < 79

S          Satisfactory

U         Unsatisfactory

 

A student who receives a grade < 79 in theory, U in clinical experience, or U in any of the lab components will fail the entire course.

 

A student must achieve a grade of “C” or better in any radiography course to advance to the next radiography course.  A grade below “C” in any radiography course requires the student to reapply and repeat that course before advancing to the next course or graduating.

 

If the student is readmitted to the Radiography Program, he/she must repeat the entire course (theory, clinical and lab components).

 

If a student fails to maintain a “C” in two radiography courses, there is no consideration for re-admission to the program.

 

Supporting Courses

For students to enter or remain in the radiography program, they must have attained a grade of “C” or better in all the radiography support courses, ENG 101, BIO 110/111, BIO 114/115, HIT 105, SOC 101, PSY 101, MTH 107, CIS 101 and PHI 101.

 

A student in the radiography program receiving less than a “C” grade in any of the above courses will not be given credit toward meeting radiography requirements.  If a students receives less than “C” in a co-requisite course, he/she will be required to drop out of the radiography program until a “C” grade or better has been attained.  At that time, the student may apply for re-admission.

 

Some radiography exams may be given in the classroom others may be scheduled in the Test Center at the college.  This is the prerogative of the individual instructor.  All final exams will be in the classroom.

 

Tests that are graded by the Test Center are listed on an Answer Pattern Report.  For the students’ privacy and security, Burlington County College prefers to post students’ test scores using only the last four digits of their social security number.

 

Radiography students who would like their grades posted must sign a permission to Post Grades form.  One form serves for all radiography semesters.

 

lambda nu

Lambda Nu is a national honor society for the radiologic and imaging sciences.  Its objectives are to:

·        Foster academic scholarship at the highest academic levels

·        Promote research and investigation in the radiologic and imaging sciences

·        Recognize exemplary scholarship

 

Individuals who have achieved academic honors are welcome to apply for acceptance into Lambda Nu.  The criteria are:

·        Posses a GPA of 3.4 or higher on a 4.0 scale after three semesters of a professional  program

·        Enrollment in a radiologic or imaging sciences program as a full time student for at least three terms

·        Evidence of professional commitment beyond minimal requirements of the program including , but not limited to:

·        Actively pursuing an independent research paper

  • Active membership in a professional organization, as evidenced by:

      Holding office or committee appointments

Preparing for presentation of a professional paper or poster

Preparing for competition in a Quiz-Bowl

DiRECTOR’S LIST

The Director’s List is for Nursing, Health Information Technology and Radiography students.  It is in recognition for outstanding academic achievement by students during the summer, fall and spring semesters for the Radiography students.  The student receiving the award will have achieved, for the semester, a grade of “B” or higher in their “program of study” courses and have a CUM GPA of 3.50 or higher.

 GRaduation Requirements

The Graduate of the associate degree radiography program is educated to function as a diagnostic radiographer in a variety of settings, such as hospitals, imaging centers and private offices.  The graduate integrates the component of Radiologic science to function as a member of the health care delivery team within the scope of associate degree radiography practice.  Ongoing professional development as a member of the discipline is an expected behavior of associate degree graduates.  Participation in continuing radiography education is required of all registered technologists.  Demonstration of accountability to peers and consumers of radiology services and contributions to improving the delivery of health care are also expected.

 To be eligible for graduation, the student must:

1.         meet all didactic education requirements;

2.         meet all clinical education requirements;

3.         achieve minimal terminal competencies by being able to:

a.         provide basic patient care and comfort

b.         apply principles of body mechanics

c.         recognize emergency patient conditions

d.         initiate first aid and basic life support

e.         practice radiation protection for the patient, self and others

f.          position the patient and imaging system to perform radiographic procedures

g.         modify standard procedures to accommodate for patient condition

h.         in accordance with the ALARA concept, determine proper exposure factors to  obtain diagnostic quality radiographs

i.          adapt exposure factors for various conditions/situations

j.          perform basic mathematical functions

k          apply knowledge of quality assurance

l.          objectively critique radiographers for various factors

m.        process radiographs

n.         operate radiographic imaging equipment and accessory devices

o.         evaluate radiographic system performance within safe limits and communicate results appropriately

p.         effectively use oral and written communication

q.         exercise independent judgment and discretion in the technical performance of medical imaging procedures

r.          demonstrate an acceptable standard of medical ethics in the performance of all duties

s.          recognize the need to keep skills and knowledge through continuing education

 It is the responsibility of the graduate to submit the appropriate application and fee to BCC for the obtainment of the AAS degree in radiography within time frames published in the college catalog.

GRADE APPEAL PROCESS

An appeal procedure is available should a student feel that a grade is unjustified.  Appeals must be taken seriously and should only be made where the student feels there is strong evidence of injustice.

            1. The student must discuss his/her concern with the instructor.

            2. If no agreement can be reached, then the student may appeal to the Director of  the Division

            3. Finally, the student may continue the grievance/appeal process by contacting  the Dean of the Division.

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RADIOGRAPHY PROGRAM OBJECTIVES

by Semester

  FIRST YEAR - SUMMER SEMESTER

 Upon completion of the first semester, the student radiographer will be able to:

  1.       discuss and apply elementary principles of radiation protection for self, patient    and other personnel.

  2.       apply principles of body mechanics.

  3.       discuss the history of medicine with emphasis upon Radiology.

  4.       discuss the structure of a radiography program in the State of New Jersey.

  5.       discuss the organizational structure of the program.

  6.       effectively communicate by using the language of medicine orally and in written form.

  7.       conduct oneself in a professional and ethical manner.

  8.       discuss various medico-legal considerations.

  9.       provide basic patient care and comfort.

10.       empathize with the patient.

11.       recognize emergency patient conditions and seek appropriate medical assistance.

12.       utilize the Radiology computer system.

13.       perform basic clerical procedures associated with the Department of Radiology.

14.       utilize skills developed in expository writing.

15.       identify the skeletal structure and topographic landmarks of the upper extremity, shoulder girdle and thorax.

16.       Explain the procedure for performing radiographic examinations of the upper extremity, shoulder girdle, chest and thorax.

17.       explain the procedure for and be able to process radiographs.

18.       discuss factors that govern and influence the production of the radiographic image on radiographic film.

19.       combine appropriate aspects of first semester radiography courses to perform radiographic examinations of the upper extremity, shoulder girdle, chest and thorax.

 The above objectives are covered as follows:

 Objectives:                               Course:

1-5                                           Introduction

6                                              HIT 105

7-13, 15, 16, 19                       RAD 121

14                                            ENG 101

17, 18                                      RAD 105


FIRST YEAR - FALL SEMESTER

 

Upon completion of the second semester, the student radiographer will be able to:

 

 1.        achieve all objectives from the previous semester.

 2.        identify and explain anatomical structures and physiology of the skeletal, muscular, integumentary, nervous, cell physiology studies.

3.         identify the skeletal structure and topographic landmarks of the abdomen, pelvic girdle and lower extremities.

 4.        explain the procedure for performing radiographic examinations of the abdomen, pelvic girdle and lower extremity.

 5.        discuss factors that govern and influence the production of the radiographic image on radiographic image on radiographic film.

 6.        select from a group of radiographs, those radiographs which are of diagnostic

quality.

 7.        identify anatomical parts of the upper extremity, shoulder girdle, thorax, abdomen

pelvic girdle and lower extremity which are visible on a given radiograph.

 8.        evaluate finished radiographs for technical errors and make recommendations for

correction.

 9.        explain the principles of radiation biology.

10.       discuss and apply all necessary principles of radiation protection for self, patient and other personnel.

11.       combine appropriate aspects of all current and preceding radiography courses to

perform radiographic examinations of the abdomen, pelvic girdle, lower extremity in addition to previous examinations.

 

The above objectives are covered as follows:

 

Objectives:                               Course:

1                                              Previous semester

2                                              BIO 110/111

3,4, 6-8, 11                              RAD 122

5                                              RAD 114

9-10                                         RAD 107

  FIRST YEAR - SPRING SEMESTER

 

Upon completion of the third semester, the student radiography will be able to:

 

 1.        achieve all objectives from the previous semesters.

 2.        identify the skeletal structure and topographic landmarks of the spine and skull.

 3.        discuss the concepts of mobile radiography and identify the various types of portable radiographic equipment.

4.         explain the procedure for performing radiographic examinations of the spine,  skull and mobile procedures.

5.         select from a group of radiographs those radiographs which are of diagnostic quality.

 6.        identify anatomical parts of the spine and skull which are visible on a finished radiograph.

 7.        evaluate finished radiographs for technical errors and make recommendations for correction.

 8.        discuss and perform the basic principles of CPR.

 9.        identify and explain anatomical structures and physiology of the circulatory, respiratory, urinary, digestive and reproductive systems.

10.       discuss the various aspects of social science.

11.       combine appropriate aspects of all current and preceding radiography courses to perform radiographic examinations of the spine, skull and mobile procedures in addition to previous examinations.

 

Objectives:                               Course:

1                                              Previous semester

2-7, 11                                     RAD 123

8                                              CPR renewal

9                                              BIO 114/115

10                                            SOC 101


SECOND YEAR - SUMMER SEMESTER

 

Upon completion of the fourth semester, the student radiography will be able to:

 

  1.       achieve all objectives from the previous semesters.

  2.       identify topographic landmarks associated with the digestive, biliary, reproductive and urinary systems.

  3.       identify the various types of fluoroscopic and tomographic equipment.

  4.       explain the use of contrast media for radiographic or fluoroscopic procedures of the biliary, digestive, reproductive and urinary systems.

  5.       explain the procedure for performing radiographic examinations of the biliary, digestive, reproductive and urinary systems.

  6.       identify anatomical parts of the digestive, biliary, reproductive and urinary   systems on finished radiographs.

  7.       select from a group of radiographs those radiographs which are of diagnostic quality.

  8.       evaluate finished radiographs for technical errors and make recommendations for corrections.

  9.       discuss the various aspects of quality assurance.

10.       explain the impact of various radiographic systems on the production of quality images,

11.       discuss the disciplines interrelated to radiography.

12.       combine appropriate aspects of all current and preceding radiography courses, to perform radiographic examinations of the biliary, digestive, reproductive and urinary system in addition to previous examinations.

 

Objectives:                               Course:

1                                              Previous semester

2-13                                         RAD 224


SECOND YEAR - FALL SEMESTER

 

Upon completion of the fifth semester, the student radiographer will be able to:

 

  1.       achieve all objectives from the previous semester.

  2.       read and discuss representative forms of literature.

  3.       explain the concepts of radiation physics in the areas of electrostatics,

electrodynamics, currents, circuits, magnetism, electromagnetism, rectification, x-ray tubes, x-ray circuits and the production and characteristics of x-radiation.

  4.       identify topographic landmarks associated with advance radiographic procedures.

  5.       explain the procedure for performing advanced radiographic examinations.
  6.       identify the various types of equipment used for advanced radiographic

procedures.

  7.       explain the use of contrast media used in advanced radiographic procedures.

  8.       identify anatomical parts visualized on a finished radiograph when advanced

radiographic procedures are performed.

  9.       select from a group of radiographs those radiographs which are of diagnostic

quality.

10.       evaluate finished radiographs for technical errors and make recommendations for

correction.

11.       combine appropriate of all current and preceding radiography courses to perform

advanced radiographic procedures in addition to previous examinations.

 

Objectives:                               Course:

1                                              Previous semester

2                                              PSY 101

3                                              RAD 120

4-11                                         RAD 225


SECOND YEAR - SPRING SEMESTER

 

Upon completion of the sixth semester, the student radiography will be able to:

1.       achieve all objectives from the previous semesters.

  2.       discuss and perform the basic principles of CPR.

  3.       discuss subject matter taught in the humanities (art/music/philosophy or the  performing arts).

  4.       identify imaging modalities that utilize transverse anatomy.

  5.       identify transverse human anatomy of various body areas on provided diagrams orimage receptor(s).

  6.       discuss the concept of pathology and disease as they relate to various radiographic  procedures.

  7.       adjust radiographic exposure factors to compensate for the presence of existing pathology.

  8.       discuss questions pertinent to radiography as preparation for certification.

  9.       with entry level skills, perform all duties associated with the profession.

10.       utilize basic statistical concepts

11.       discuss the role of computers in medicine and radiology.

 

Objectives:                               Course:

1                                              Previous semester

2                                              CPR renewal

3                                              Humanities option

4-9                                           RAD 225

10                                            MTH 107

11                                            CIS 101

   


Competency Based CLINICAL Education

 

Competency Based Education

Competency based clinical education is a progressive approach to the clinical development of a student.  The steps for successfully completing this process are listed in sequence.

            1.         Clinical observation

            2.         Classroom instruction and testing

            3.         Lab demonstration and testing

            4.         Clinical participation (under direct supervision)

            5.         Initial Competency Testing

            6.         Clinical participation (under indirect supervision)

            7.         Continual Competency Testing

            8.         Final Competency Testing

 

Clinical Observation

Beginning May of the 1st year, students are scheduled in a clinical site for an observational rotation.  During this time students are expected to assist the radiographer to the best of their abilities and training to date but are NOT permitted to perform any procedure until it has been presented and tested in the classroom and laboratory settings.

 

Classroom Instruction and Testing

Beginning with the first day of the summer semester of the Junior year, the students will receive didactic instruction which will lay the foundation for the performance of clinical procedures.  Periodic testing will document student mastery of the information.

 

To pass the theory portion of each radiography course the student must:

follow the course outline and take each test as scheduled

pass with an average test grade of 79% or better

pass all written assignments

adhere to the radiography course attendance policy

 

Lab

Clinical labs are scheduled following didactic instruction to provide hands on application and skill development.  The clinical laboratory procedure will consist of instructor demonstration, student practice, and student return demonstration.  The instructor(s) will document participation, evaluate and grade student return demonstration.

 

Students will learn and practice clinical skills in the lab before they are performed in the clinical setting.

To pass the lab portion of each radiography course the student must:

obtain a passing grade on each lab return demonstration

attend all scheduled labs (or make-ups).

 

 

Clinical Participation (Direct Supervision)

Following the successful completion of laboratory return demonstration of a particular examination, the student will actively participate in that examination under the direct supervision of a qualified, currently licensed radiographer.

            Direct Supervision means the radiographer will:

            1.         review the exam request

            2.         evaluate the condition of the patient

            3.         be present in the room during the examination

            4.         review and approve the completed radiographs before the patient leaves

            5.         be present in the room for any repeat radiographs.

 

Initial Competency Testing

Beginning with the Fall semester of the Junior year and after the student has performed a minimum number of cases for a specific body part under direct supervision; he/she may request Initial Competency Testing.

 

Clinical Participation (Indirect Supervision)

Upon the successful completion of Initial Competency Testing, the student progresses to indirect supervision by a qualified, currently license radiographer for that procedure.

            Indirect Supervision means the radiographer will:

            1.         review the exam request

            2.         evaluate the condition of the patient

            3.         be immediately available to assist the student regardless of the level of                            student achievement

            4.         review and approve the completed radiographs before the patient leaves

            5.         be present in the room for any repeat radiographs

 

The student may remain under indirect supervision for exams of this specific body part for the remainder of the 24 months program.  During this period the student will continue to strengthen his/her skills in this exam under more difficult situation (eg. trauma, difficult patient, etc.)

 

Mobile radiography and operating room rotations remove the student from the department and ready access to qualified individuals.  Therefore, all radiographic procedures in these rotations will be performed under the direct supervision of a licensed radiographer regardless of the level of competence the student has achieved.

 

If, at any time, a program official observes a student performing a procedures and in his/her opinion the student is not fully competent in that procedure, the student will revert to direct supervision for that procedure.

 

Continual Competency Testing

Beginning with Spring semester of the Junior year, continual competency Testing is conducted to ensure that the student has maintained proficiency in a particular exam for which he/she has already passed initial testing.

Final Competency Testing

Final Competency Testing is conducted prior to graduation.  This encompasses various exams to ensure that the student has remained proficient in all previously tested categories.  This evaluation will be conducted after all initial Competency Testing has been successfully completed and will take place in the final month.

 

To pass the clinical experience of each radiography course, the student must:

            1. receive a grade of 85% or better on all Required Behaviors identified on  the Clinical Performance Evaluation form.

            2. demonstrate mastery of all published clinical rotation performance objectives

            3. demonstrate all previously required BCC Radiography Course Behaviors

            4. obtain a passing grade on 100% of the required Clinical Competency category  items

            5. practice safety measures pertaining to the patient, self, others and the  environment

            6. adhere to the radiography program attendance policy. Attendance in clinical is  necessary for the instructor to adequately evaluate required behaviors.

 

Clinical Performance Evaluation Tools

Three clinical performance evaluation tools are utilized to assess vital aspects of clinical objective mastery, i.e. Clinical Performance Evaluation, Clinical Rotation Evaluation and Clinical Procedure Competency Evaluation.

 

Self-evaluation is a valued affective behavior in a healthcare professional and is fostered in all Radiography Program students.  The Clinical Performance Evaluation consists of criterion referenced clinical objectives.  This means that each student is evaluated in terms of how he/she has met the stated objectives and not in comparison with other students’ performance.

 

First semester radiography students require a mid-semester evaluation to enable the student to initiate self-evaluation behavior.  This formative evaluation also allows the student to set personal goals and the instructor the opportunity to provide support and direction for continued clinical performance.  Clinical performance evaluation forms are competed by both the instructor and the student.  Each student meets individually with the instructor for the final evaluation.

 

A grade of “U” (Unsatisfactory) at midterm should be accompanied by an explanation of required behaviors on the part of the student to achieve an “S” grade.  If a student receives an “NA” (Not Applicable), it indicates that the students has not had the opportunity to demonstrate a Desired Behavior but has been present for all clinical experiences.

 

As the objectives for each successive clinical rotation within a specific area are dependent on the mastery of previous rotation objectives, the clinical instructor will evaluate student achievement of published objectives at the completion of each clinical rotation using the Clinical Rotate Evaluation.  Students are required to achieve an 85% in all Required Behaviors before progressing to the next successive clinical rotation.

 

Clinical Procedure Competency Evaluation is used to determine students’ mastery of clinical procedures.  Competency evaluation is designed to assess the student’s development of clinical skills, verify level of competency maintained and ensure that the graduate has achieved entry-level clinical skills.  To assure each step has been achieved, evaluation will be performed in a progressive fashion.  The steps utilized are initial, continual and final evaluation.

 

Clinical Performance Guidelines for Satisfactory and Safe Performance

Students will perform within the legal and ethical codes of radiology; demonstrate accountability in imaging procedures and provide for appropriate patient, personnel and general public radiation safety and/or monitoring.

 

Examples of unsafe or unsatisfactory performance include, but are not limited to, the following:

            a.         inappropriate behavior in any assigned clinical experience, such as not  reporting known errors, falsifying documents, signatures, or assignments,

            b.         incorrect or omission of appropriate radiation safety and/or monitoring,such as imagining equipment abuse, gross procedure errors or failure tocomply with monitoring standards,

            c.         physical, mental or emotional abuse of patients,

            d.         inappropriate interpersonal relations with agency staff, peers, or faculty members,

            e.         failure to accurately document imaging procedure parameters,

            f.          failure to maintain confidentiality of patient information and records,

            g.         failure to notify the agency and/or clinical instructor of absence,

            h.         coming to clinical under the influence of alcohol/drugs,

i.                     unexcused tardiness/absence to clinical assignments

j.                    abuse of the attendance policy

k.                  insubordination to technologists, radiology staff or program officials.

l.                     performing repeats, portables, or operating room exams without direct supervision

 

A student whose behavior is unsafe or unsatisfactory may be removed from the clinical area at the discretion of the clinical instructor.  Such behavior may result in an unsatisfactory grade for clinical or dismissal from the program.

 


CLINICAL ROTATION POLICY

           

ROTATION AREAS

Each student is scheduled for the indicated number of two-week rotations in the following areas of diagnostic radiology.

            1.         darkroom/sorting area                           -           1

            2.         radiology office/control desk                 -           1

            3.         chest room                                           -           1

            4.         general diagnostic radiography  -           6

            5.         emergency department radiography       -           6

            6.         fluoroscopy                                          -           5

            7.         intravenous urography               -           5

            8.         operating room radiography                  -           5

            9.         mobile radiography                               -           5

            10.       mammography                          -           2

            11.       special diagnostic radiography   -           1

            12.       computed tomography/MRI                  -           2

            13.       cardiac cath lab                                    -           1 day observation (fall)

            14.       dexa scan                                             -           1 day observation (spring)

            15.       lithotripsy                                              -           1 day observation (summer)

            16        radiation therapy, US, NM       -           two day rotation each (summer, fall)

Clinical education objectives specific to each clinical rotation are published to the student prior to the rotation.  At the completion of the rotation, student’s performance will be evaluated by a clinical instructor or assignee based on these objectives.  Additionally, the radiographer and/or supervisor assigned to the area will provide a brief written student performance review.

 

Students involved in mobile and operating room rotations will not spend 100% of their clinical time in these areas (due to the nature of the area); therefore, they will report to the following areas during non-peak hours.

                        OR       -  Rm ER

                        Mobile -  General Diagnostic/Chest Room

                       

A single two-week rotation is available in the following radiology related disciplines in order to create an awareness of these specialties in the second year of the program.

1.                  nuclear medicine

2.                  radiation oncology

            3.         diagnostic medical sonography

Collectively, radiography related disciplines may not account for more than 10% of the total clinical education experience.  If a student expresses an interest in a specific discipline, he/she may elect to spend additional time in that area during the Summer semester of the Senior year provided that the related discipline total does not exceed the maximum.

 

Clinical education objectives, specific to each radiography related discipline rotation, are published to the student prior to the rotation.  At the completion of the rotation student performance will be evaluated, an area specialist, as based on these objectives.  Additionally, the area supervisor (or assignee) will provide a brief written student performance review.

 

RESTRICTIONS

Fluoro

Students will not fluoroscope any patient, in any location, at any time, for any reason.

 

Operating Room

No more than two students shall be permitted in a single OR room at any time.  In the event that more than two students are scheduled for a single two week rotation in the OR, the second year student will receive preference in case observation.  Should a second case (either in the hospital or in the Ambulatory Surgery Center; requiring a second radiographer) occur while the first case is in progress, up to two additional students (assigned to this rotation) will be permitted to observe this case under the direct supervision of the second radiographer.

 

Once the case has been completed, the students observing that case must return to the radiography department with the supervising radiographer.  Under no circumstances may a student remain in the operating room area unsupervised.

 

All students leaving the OR (for any reason) must remove the OR scrubs and put on the approved program uniform.  It the student is expected to return to the OR the same day, he/she must place the previously worn scrubs in the locker provided for radiology personnel for later use.

 

Gender

The program supports and complies with “Fair Practices in Education.”  Therefore, all students are required to participate in the same clinical education experience regardless of gender.

 

Other

Each clinical site may restrict the exams that students may participate in or observe.  Students should check with the Clinical Instructor to determine the restrictions of that clinical site.  


CLINICAL HOURS

In the event that a student has been granted advanced placement for previous Burlington County College work, he/she will not be required to attend those classes as published in the program schedule.  This time may be utilized to gain additional clinical experience, with approval of the Clinical Instructor, at the clinical setting provided it will not place the student’s total educational hours above 8 per day or 40 per week.  As this behavior can only enhance the clinical education experience, program officials strongly recommend that students engage in this practice.

 

The student must report his/her presence to program offices prior to the start of any additional clinical experience.

 

OFF HOURS

Those students who elect the “off-hours” option will be furnished with specific clinical education objectives.  These objectives identify the educational purpose of the rotation in addition to specific behavioral objectives.  The designated evening clinical instructor at the completion of the rotation will evaluate student performance during this rotation.  This also can not account for more than 10% of the clinical time.

 


COMPETENCY TESTING POLICY

 

RATIONALE

Competency testing is designed to assess the student’s development of clinical skills, verify level of competency maintained and ensure that the graduate has achieved entry- level clinical skills.  To assure each step has been achieved, evaluation will be performed in a progressive fashion.  The steps utilized are initial, continual and final evaluation.

 

progression

Following the successful completion of classroom instruction and testing, laboratory demonstration and testing and suitable clinical participation under direct supervision (as defined in the Clinical Education Policy); the student is eligible for initial testing.  Program officials will perform all competency testing.

 

Competency testing will encompass actual and simulated patient examinations.  Simulation techniques will be utilized on a limited basis for those examinations not readily available (refer to Category Identification List for specifics.)

 

Upon passing initial competency on a specific examination the student advances to the level of indirect supervision (as defined in the Clinical Education Policy) for that examination.  The student must successfully complete the minimum published number of procedures within a category to be identified as competent in that category and advance to the level of indirect supervision for the entire category.

 

Continual Competency Testing will begin six weeks after the end of the semester in which the student attained initial competence.  It will be performed on actual patients in any previously completed category to ensure continued competence in all radiographic exams. 

 

During the final month of the educational process and after all other testing has been completed, students will be required to undergo Final Competency Testing.  Those who successfully complete this will meet program requirements for clinical competency.

 

Regardless of competency, mobile radiography and operating room procedures will always be performed under direct supervision.  There are some procedures in the second spring semester that must be performed under direct supervision as well. 

 


Procedure

Initial

The Category Identification List outlines all body parts/procedures which comprise each semester category.  As testing on each individual part is not practical, the program has identified the minimum procedures which must be successfully completed to achieve competency in each category.

 

The student must complete a minimum of two examinations on a specific body part under direct supervision before requesting competency testing on that part.

 

The clinical instructor makes the final decision as to the readiness of the student for competency testing.  A patient will be selected for that procedure and the student will be tested as per the Category Identification List.

 

A clinical Competency Testing Evaluation Form (initial - green) will be completed for each testing procedure.  All projections will be averaged to determine the final grade.  Students must achieve a minimum final grade of 85%.

 

Students will review and sign completed Clinical Competency Testing Evaluation Forms (initial), which will then be placed in the students’ files.

 

Continual

All students will be required to complete continual competency evaluation procedures.  Minimum requirements are listed below.

            Spring 1st year: 2 procedures from Fall 1st year category

 

            Summer 2nd year:         2 procedures from Spring 1st year category &

                                                2 procedures from Fall 1st year category.

 

            Fall 2nd year:                2 procedures from summer 2nd year category, &

                                                2 procedures from Spring 1st year category &

                                                2 procedures from Fall 1st year category.

 

A Clinical Competency Testing Evaluation Form (Continual - pink) will be completed for each evaluated procedure.  All projection will be averaged to determine the final grade.  Students must achieve a minimum final grade of 85%.

 

Students will review and sign completed Clinical Compet