appendices for bsc (hons) & msc diagnostic …

APPENDICES FOR

BSc (HONS) & MSc

DIAGNOSTIC

RADIOGRAPHY

CLINICAL HANDBOOK

FOR STUDENTS AND

MENTORS

SEPTEMBER 2019

Contents APPENDIX 1 ........................................................................................................................ 1

DEMOGRAPHIC INFORMATION .................................................................................... 1

APPENDIX 2 ........................................................................................................................ 2

ATTENDANCE SHEET ..................................................................................................... 2

APPENDIX 3 ........................................................................................................................ 3

SICKNESS/ABSENCE/RETURN TO PLACEMENT REPORTING FORM ...................... 3

APPENDIX 4 ........................................................................................................................ 4

ORIENTATION TO WORK AREA ................................................................................... 4

APPENDIX 5 ........................................................................................................................ 6

FORENSIC PRACTICE FOR STUDENT RADIOGRAPHERS ......................................... 6

APPENDIX 6 ........................................................................................................................ 7

DRESS CODE FOR STUDENT RADIOGRAPHERS ON CLINICAL PLACEMENT ........ 7

APPENDIX 7 ........................................................................................................................ 9

CLINICAL SITE CO-ORDINATOR (CSCo)/MENTOR CONCERN FORM .................... 9

APPENDIX 8 ...................................................................................................................... 12

REQUESTING ADDITIONAL CLINICAL HOURS ........................................................ 12

APPENDIX 9 ...................................................................................................................... 13

REQUEST TO WORK MORE THAN MAXIMUM HOURS PER WEEK ......................... 13

APPENDIX 10 .................................................................................................................... 14

Request to Change Placement Form ........................................................................ 14

Placement Concern Form............................................................................................ 14

Request for Leave of Absence Form ......................................................................... 15

Raising and Escalating Concerns (Whistle Blowing) Procedure ........................... 15

Placement Charter ....................................................................................................... 15

APPENDIX 11 .................................................................................................................... 16

STUDENT PROGRESS FORM ....................................................................................... 16

APPENDIX 12 .................................................................................................................... 18

STUDENT’S WEEKLY SELF-REPORT CLINICAL PROGRESS FORM ........................ 18

APPENDIX 13 .................................................................................................................... 19

PATIENT ASSESSMENT OF THE STUDENT ............................................................... 19

APPENDIX 14 .................................................................................................................... 20

STUDENT ASSESSMENT OF THEIR COMMUNICATION AND INTERPERSONAL

SKILLS ........................................................................................................................... 20

APPENDIX 15 .................................................................................................................... 24

COMPETENCE/EXPERIENCE ON CLINICAL PLACEMENT ........................................ 24

APPENDIX 16 .................................................................................................................... 25

ELECTIVE PLACEMENT FORM ..................................................................................... 25

APPENDIX 17 .................................................................................................................... 29

EXAMPLE OBJECTIVES FOR ‘SPECIALIST’ PLACEMENT AREAS ............................ 29

APPENDIX 18 .................................................................................................................... 34

FIRST CLINICAL PLACEMENT - Overview ................................................................ 34

COMPETENCY STATEMENTS – Placement One ....................................................... 36

EXAMPLES OF EVIEDNCE – Placement One ............................................................ 36

FORMATIVE FEEDBACK SHEET – Placement One................................................... 45

THE TRIPARTITE- Placement One ............................................................................. 50

APPENDIX 19 .................................................................................................................... 52

SECOND CLINICAL PLACEMENT - Overview ............................................................ 52

COMPETENCY STATEMENTS – Placement 2 ............................................................ 54

EXAMPLES OF EVIDENCE – Placement Two ............................................................ 60

FORMATIVE FEEDBACK SHEET – Placement Two .................................................. 64

CT HEAD SCAN – EVIDENCE FORM .......................................................................... 70

DIAGNOSTIC RADIOGRAPHY IMAGE INTENSIFIER – EVIDENCE FORM ............. 72

DIAGNOSTIC RADIOGRAPHY MOBILE RADIOGRAPHY – EVIDENCE FORM ........ 75

APPENDIX 20 .................................................................................................................... 77

THIRD CLINICAL PLACEMENT - Overview ............................................................... 77

COMPETENCY STATEMENTS – Placement Three .................................................... 80

EXAMPLES OF EVIDENCE – Placement Three ......................................................... 85

FORMATIVE FEEDBACK SHEET – Placement Three................................................ 88

MANAGEMENT OF A SESSION ................................................................................... 92

3rd PLACEMENT STUDENT ASSESSMENT OF A 1ST PLACEMENT STUDENT’S

EXAMINATION SKILLS ................................................................................................ 95

DISCLAIMER

The information contained in this handbook is, as far as possible, accurate and up to date at the

time of printing. The express permission of Teesside University must be obtained to reproduce

any, or all of this publication, other than for personal use or for those purposes permitted by law.

S:\Medical Imaging\Clinical (MW)\Clinical Documents\2019-20 -- Amended Docs\Appendices 2019-20.docx

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APPENDIX 1

DEMOGRAPHIC INFORMATION

This form should be passed on to your Clinical Site Coordinator on your first visit

to the clinical placement. It will then be appropriately destroyed once the

placement has finished.

Name

Date of Birth

Address (whilst on

placement)

Telephone number

University email address

Address (home)

Telephone number

Mobile telephone number

Car Details:

Registration number

Make and Model


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APPENDIX 2 ATTENDANCE SHEET

PRE-REG NURSING, MIDWIFERY, RADIOGRAPHY, PHYSIOTHERAPY, OCCUPATIONAL THERAPY & DENTAL CERT HE

Surname ………………………………………………………………………………………

Forename …………….…………………………………………..

Student Number

Cohort …………….

Month ………………

Year ……….………

Date

Shifts Total Hours Worked/ Sick

Code Clinician / Mentor Sign to Verify

Shift worked with mentor / supervisor? () (for Nursing, Midwifery, Dental Cert HE only)

Code Time Started

Time Finished

1 ND – Night Duty DO – Day Off AL – Annual Leave S – Sick A – Absent U – University / Theory P – Placement Hours Relate to placements only and should include the time started and finished. Please note that you must subtract your meal break from the total hours worked column. Hours per week Nursing 37.5 Midwifery 3yr 35 Midwifery 78wk 37.5 Radiography 35 Physiotherapy 36 Occ Therapy 37.5 MSc Rehab 37.5 Dental

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

Student Signature …………………………………………………………………………………….

Date …………………………………………………….

Practice Mentor / Educator / Supervisor’s Signature ……………………………………..................................................…………………...............

Date ……………………………………………………. The form should be signed by the student and countersigned by the Practice Mentor / Educator / Site Co-ordinator each month. In addition they will

be checked by the Academic Mentor at the end of the tripartite meeting (nursing / midwifery) / at the end of the placement (OT) / at the final bipartite

meeting (DR).Note: Nursing / Midwifery / DR - the student must keep a copy of the completed “Student Attendance Sheet” in their portfolio as well

as submit a copy of this with their travel expense form to verify eligibility of claim.


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APPENDIX 3

SICKNESS/ABSENCE/RETURN TO PLACEMENT REPORTING FORM

This form should be completed whenever you have time off for sickness

from CLINICAL PLACEMENT.

The form should be completed upon return to work and given to your

Clinical Site Co-ordinator who will forward it to your Personal Tutor at the

University.

It is expected that you complete 100% of your practice placement. If any

time is missed you will need to make it up before your competencies can

be signed off. This will need to be negotiated with the Clinical Site Co-

ordinator.

Student Name:

Dates absent:

Number of days absent:

Reason for absence:

If you are absent for more than seven days you need to include a fitness

certificate from your GP. This form is confidential and will be kept in your

personal folder.

Processed by student records:

Date:

Name:


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APPENDIX 4

ORIENTATION TO WORK AREA

The student should complete this form on their first day in each new work

area and place it in their portfolio.

Name

Hospital

Work Area

Type of work undertaken in the

area

Placement Mentor or supervisor

Dates of allocation to area

Yes No

I know my responsibilities in the event of fire, cardiac

arrest or untoward incident

I know the location of the resuscitation equipment

I have been shown the following special equipment

I have been shown and understand the implications of

the local rules which apply specifically to this area

I understand the need for and when to complete the

‘holding record’

I have been told of the policy for reporting technical

problems


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I know where to find stocks of contrast media, laundry

and cleaning materials

I have had the control of infection policy explained to me

I have had the waste disposal policy explained to me

I have been shown the patient hoist and aids for moving

patients

I know the procedure for the safe keeping of valuables

I understand patient confidentiality issues

I have been shown how to access Trust policies and

protocols

Other Comments:

Signature of

Student:

Date:

Signature of Mentor/

Supervisor:

Date:


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APPENDIX 5

FORENSIC PRACTICE FOR STUDENT RADIOGRAPHERS

Under NO circumstances are student radiographers permitted to

undertake any forensic radiography. This includes deceased as well as

living cases such as suspected physical abuse (formally non-accidental

injury) patients.

There are many additional complex issues to such cases, for which

students are not trained. Even someone merely observing a case is a

potential witness and as such may be called to a court of law to testify.

Again, students are not trained or prepared to deal with this.

The recommendation that student radiographers should not participate in

forensic radiography examinations was developed by the Policy and

Research Subcommittee of the International Association of Forensic

Radiographers (IAFR). This is in line with the Society of Radiographer’s

Guidelines on Forensic Radiography Services 2014.


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APPENDIX 6

DRESS CODE FOR STUDENT RADIOGRAPHERS ON CLINICAL PLACEMENT

When on clinical placement you are representing Teesside University and

have a professional obligation to dress appropriately. There may be local

uniform protocols within your hospital trust and these should be

acknowledged and discussed with the Site Co-ordinator.

Uniforms must be worn. These should be clean and not be worn for

travelling to and from placement. Cardigans and sweatshirts should not

be worn when providing patient care (there is a “bare below the elbow”

policy).

Specific hospital trust identity badges should be clearly visible.

TLD (radiation monitoring badge) must be worn at all times in line with

medical physics guidelines.

Hair should be back from the face. If longer than shoulder length, it

should be tied up. Students should be well groomed. Males should be

either clean shaven or have neatly trimmed beards/moustaches. A good

standard of personal hygiene is expected. Hair colour should be of natural

appearance and consistent.

Closed back and toe, easy wipe, shoes should be worn i.e. not canvas.

These should be comfortable, flat or low-heeled. Sandals and trainers are

not permitted. Colours recommended are black, brown, white or

burgundy.

Jewellery should be limited to a plain wedding band (no stones) and if

earrings are worn, a small pair of studs is recommended. No other body

piercings should be worn for health and safety reasons.

Make-up should be of a natural appearance. Nails should be short, clean

and unvarnished. Perfume and aftershave can be worn in moderation.


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Prior to commencement of your first clinical placement you will be

expected to buy:

Radiographic markers (these can be purchased from the University).

Students may be required to purchase a pair of theatre clogs for their

own use when in theatre. This varies between Trusts and must be

discussed with the Clinical Site Co-ordinator. If required, the clogs must

be bought in plenty of time for the first theatre placement.


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APPENDIX 7

CLINICAL SITE CO-ORDINATOR (CSCo)/MENTOR CONCERN FORM

Student Name: Date:

Clinical Site Co-ordinators Comments: – nature of concern, including

dates and supplementary evidence from third parties if necessary.

Please continue on a separate sheet if required.

Mentor’s Comments (if in attendance):


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Student’s Comments:

Agreed Plan of Action:

Date for follow-up review:

CSCo signature: Date:

Mentor’s signature (if applicable): Date:

Student’s signature: Date:


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Follow-up review – to be completed by Clinical Site Co-ordinator/Mentor.

CSCo Signature: Date:

Mentor’s signature: Date:


A copy of this form should be kept by the student, Clinical Site Co-

ordinator and Mentor to inform the follow-up review. Once the issue has

been resolved the form should be kept by the Clinical Site Co-ordinator

until the end of placement when it will be forwarded to the visiting

lecturer at the University who will place it in the student file.

If the issue has not been resolved then a meeting to explore the matter

further should be arranged with the following members in attendance:

Clinical Site Coordinator

Visiting Lecturer Mentor

Student


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APPENDIX 8

REQUESTING ADDITIONAL CLINICAL HOURS

Under exceptional circumstances students may request up to two weeks’

additional clinical placement after completion of their competencies. This

form should be completed and returned to the placements officer

following discussion with the Site Coordinator. An audit is required if the

placement is outside of the normal placement region for the course. You

should contact the placement officer prior to submission if this is the case.

Appendix 16 should be completed following the placement and put in the

student’s portfolio.

Student Name Proposed

Site

Audit Required Yes Audit

Included

Yes Actions (if any)

No No

Rationale for

Placement

Clinical Site

Coordinator

Name

Signature

of

approval

Placement

Officer

Approval

NB: This form is NOT required for the negotiated placement (summer placement for BSc

students)


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APPENDIX 9

REQUEST TO WORK MORE THAN MAXIMUM HOURS PER WEEK Under exceptional circumstances students may request to work more than the maximum hours per week (48 hours).

Students Rationale for Longer Working Hours The student should outline why they need to work more than 48 hours per week. The form should then be handed to the Clinical Site Coordinator.

Signature ………………………………………………………………………. Date …………..

Clinical Site Coordinator (CSCo) – Supporting Information The CSCo should outline whether they support the request and also whether

they can provide the clinical support required to the student. The form should then be forwarded to the Placement Officer for approval.

Signature ……………………………………………………………………. Date …………..

Placement Officer: Approved / Rejected

Signature …………………………………………………………… Date …………..


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APPENDIX 10

The following forms can be obtained by the student electronically from the

student e-directory (part of the Student Intranet). Please search for the

term shown underlined.

Request to Change Placement Form

This can be done at any time. The form will be filed until the end of a

block of clinical placement. The Course Leader will then assess any

vacant placements, and will contact the Clinical Site Co-ordinators with

the request for change. If the department is willing to accommodate the

request, the Course Leader will inform the student and their existing

placement of the proposed change.

Under no circumstances should the student contact any

department requesting a change of placement.

Placement Concern Form

This form may be used by the School of Health & Social Care staff and

students to record concerns that they may have regarding a student’s

educational experience in a practice placement area. This form must not be

used to record issues of concern which relate to client care, safety or

wellbeing. In those instances, the School’s whistleblowing procedure must

be followed (see below). Most concerns and queries should normally be

raised with a student’s Clinical Site Coordinator or Mentor in the first

instance. However, the nature of some concerns may be of a sensitive

nature. If this is the case the student may feel that they wish to discuss

this with the academic member of staff linked to that placement.

If the issue is not resolved, the above members of staff have not been

seen, or the issue is of serious concern, the student should also complete

and return this form to Pauline Yarker in a sealed envelope and handed to

reception in the Centuria Building. This form will be treated in the strictest

of confidence. However, the student should be aware that the relevant

person will have a professional responsibility to follow up the concern with

the placement area. It will be necessary for a member of staff to discuss

the issue further with the student in order to clarify the situation or

discuss any further implications which may follow e.g. enquiries into staff


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conduct. In the very unlikely event that the student would be required to

attend any hearing/disciplinary meeting, they will be offered full support

from the School of Health & Social Care, Teesside University and Student

Support from outside of the School as well, should they require it.

Please note: This is the last form on the list when you search for it.

Request for Leave of Absence Form

This form should be completed by the student and forwarded to the

Clinical Site Co-ordinator whilst on placement, and Course Leader whilst

in the University. Authorised absence can be granted for the following

reasons:

In case of death of a near relative

In the case of illness in the home Other urgent domestic reasons

However, this time will need to be made up in order that the 100%

attendance competency can be signed off. This will be negotiated

between the Clinical Site Co-ordinator and student (and the Course

Leader, if required).

Raising and Escalating Concerns (Whistle Blowing) Procedure

This policy has been developed according to Department of Health and

General Social Care Council guidance on Whistleblowing. It is intended to

guide students and staff on procedures to follow in exceptional situations

where concern is expressed that patients/clients are at risk from

exceptionally low standards of individual, organisational practice or

competence, and when abuse, malpractice or negligence is suspected.

Placement Charter

The Schools placement charter is available on the E-Directory and outlines

the roles of the placement provider (i.e. your placement), the university

and your pledges for your learning experiences whilst on clinical

placement.


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APPENDIX 11

STUDENT PROGRESS FORM

INCLUDING RADIOGRAPHER ASSESSMENT OF THE STUDENT’S

COMMUNICATION AND INTERPERSONAL SKILLS

This form should be completed, as a minimum standard, at least once during a

week of placement. You can complete forms more often, if you are working with

more than 1 radiographer during that week. You should always keep copies of

the forms and take them along to the meetings with your Mentor where your

progress will be reviewed and Action Plans agreed.

Student name:

Course: BSc MSc

Clinical placement: 1 2 3

Area of

practice/room:

Dates: From: To:

Radiographic Practice Good Satisfactory Needs

Improvement

N/A

Demonstrates the ability to perform a

range of radiographic examinations,

safely, effectively and in a timely

manner, specific to their level of clinical

practice.

Demonstrates anatomical knowledge

commensurate with their stage of the

course.

Demonstrates a systematic approach to

image appraisal.

Patient Care Good Satisfactory Needs

Improvement

Demonstrates good communication and listening

skills whilst respecting their privacy and dignity.

Team-working/Interprofessional Skills Good Satisfactory Needs

Improvement

Works effectively as a member of the

radiographic team, communicating appropriately

with healthcare colleagues


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Professionalism Good Satisfactory Needs

Improvement

Has a professional attitude adhering to ‘codes of

conduct’, departmental and university protocols

Range of examinations undertaken during supervision (student to

complete)

Radiographer/Supervisor’s Comments

Areas of Strength:

Areas for Development:

Student’s Reflection on Feedback received:

Radiographer/Supervisor (please print name):

Radiographer/Supervisor (signature): Date:

Student’s Signature: Date:


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APPENDIX 12

STUDENT’S WEEKLY SELF-REPORT CLINICAL PROGRESS FORM

This form should be completed at the end of each week and emailed to your

Mentor with a copy to the Clinical Site Co-ordinator.

Student name: Date:

Course: BSc MSc

Clinical placement: 1 2 3

Areas worked:

Radiographers

worked with:

Autonomous

examinations

signed off:

Other examinations

assisted with:

Other areas

developed e.g.

cross infection/

adapted

techniques/

communication/

meetings attended.

Reflection on the

week including key

achievements and

areas for

development.


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APPENDIX 13

PATIENT ASSESSMENT OF THE STUDENT COMMUNICATION AND

INTERPERSONAL SKILLS

The aim of this form is to help the student radiographer develop their

skills in talking to you, listening to you and explaining things to you

during your visit at the hospital.

This form helps you to give your opinion on what the student did well and

where the student needs to improve.

This form is completely anonymous. You do not have to complete this

form if you choose not to. If you would like to complete this form, there

is a box at reception where you can post it or alternatively, the

radiographer who gave you the form can discuss it with you and complete

it on your behalf.

How well did the student do in

Poor

Okay

Good

Excellent

Making you feel that your views,

decisions and choices were

respected.

Treating you in a caring and compassionate manner.

Explaining things in a way that you could understand.

What did the student do that was good?

What could the student do to improve?

Thank you for taking the time to complete this feedback form.


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APPENDIX 14

STUDENT ASSESSMENT OF THEIR COMMUNICATION AND

INTERPERSONAL SKILLS

Name of Student:

Please comment on how effective you feel in relation to the following areas:

Poor

Okay

Good

Excellent

Listening and attending skills

Comment

Giving information Comment

Receiving information Comment

Following instructions

Comment

Receiving feedback Comment

Working in a team Comment


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What aspects of your communication and interpersonal skills do you think

are good?

How can you develop or improve your communication and interpersonal

skills?

Student’s Name:

Signature:

Date:


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COMMUNICATION AND INTERPERSONAL SKILLS

Summary and Action Plan:

To be completed by the student for implementation prior to the bi-partite

meeting.

Summarise the feedback you have received from Radiographers (via your

progress forms) and patients (via the patient questionnaire).

How does this compare with your own assessment of your communication

and interpersonal skills?

What have you learnt from this comparison?

Identify what aspects of your communication and interpersonal skills are

good.

Identify areas that you would like to develop below and formulate an

Action Plan for you to facilitate your development. You will need to

implement this Action Plan over the course of the academic year and

discuss your progress at the final tripartite meeting.

Areas for development:


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COMMUNICATION AND INTERPERSONAL SKILLS ACTION PLAN

Once you have received your feedback from patients and staff you can review this feedback and produce an Action

Plan that identifies the areas you need to develop. An example of an area for development has been included on

the Action Plan below e.g. telephone skills. This completed form should be placed in your portfolio.

Area for Development Issue to Address Resources/Strategy Evaluation

Example

Telephone Skills

Example

Difficulty in using answer-phones. Do not like

leaving messages.

Example

Practice talking into an answering machine.

Prepare any messages that

need to be left before making the call.

Example

Make calls to check on progress. Seek feedback.


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APPENDIX 15

COMPETENCE/EXPERIENCE ON CLINICAL PLACEMENT

Placement 1 Placement 2 Placement 3

Competence on adult cooperative patients in:

Competence in:

Competence in:

Hand Fingers/thumb Wrist/carpal bones/ forearm Elbow/humerus Shoulder Chest Foot/toes/tarsal bones Ankle Tibia and fibula Femur Pelvis Abdomen

Cervical spine Thoracic spine Lumbar Sacral Spine CT head Mobiles Theatre CT (2 weeks)

Trauma Pantomography Management of two sessions from e.g. CT, fluoroscopy, US, theatre Patients requiring complex care e.g. paediatrics hearing impairment visual impairment learning disabilities bariatric dementia CT (2 weeks)

Experience in: Experience in: Experience in:

Reception and clerical area IT procedures ‘Nursing’ procedures CT (2 days) MSc students – service improvement

Cardio-radiology (2 d) Neuro-radiology (if available) Fluoroscopy Angiography Interventional Quality assurance processes / clinical governance Audit MUS (2 days) MRI (2 days) RNI (1 day)

Mammography (females) (2 days) Private hospital (if available) Reporting MUS (2 days) MRI (2 days) RNI (1 day) MDT meetings BSc students – service Improvement


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APPENDIX 16

BSc (Hons) Diagnostic Radiography and

PgDip/MSc Diagnostic Radiography (pre-

registration)

ELECTIVE PLACEMENT FORM

Student Name:

Hospital:

Placement:

Agreed number of days in placement:

Dates from/to:

Actual number of days in placement:


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Placement Objectives

To be completed by the student prior to the placement and discussed with

the head of department or department Supervisor at the beginning of the

placement.

Head of Department/Supervisor’s Comments on Objectives


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The following section should be completed by the head of

department/Clinical Supervisor at the end of the placement after

discussion with other appropriate clinical staff and the student.

Relationship

with staff,

users and

carers

Commitment

Attendance

Punctuality

Involvement

in clinical

activities

Willingness

to learn and

accept

constructive

criticism

Any additional comments:

Signature: Position:

Date:


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Student Comments/Reflection upon Completion of Placement:

Student’s Signature:

Date:


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APPENDIX 17

EXAMPLE OBJECTIVES FOR ‘SPECIALIST’ PLACEMENT AREAS

MUS Objectives by Placement

Placement 2 Placement 3

Welcome patients and bring them to the US scan area.

Understand the patient preparation for abdominal and

pelvis examinations.

Prepare the patient for the examination changing them into a

gown if necessary

Assist with US examinations of the abdomen and pelvis

Escort the patient to the US scan

room and help to position them for

the scan.

Discuss the need for different

transducers according to area

imaged

On completion of the examination

help the patient down from the table.

Describe the gross normal

anatomy of the abdomen and pelvis.

Recognise the different transducers

available within the department.

Archive images to the network

under supervision.

Understand how US images are

acquired.

Recognise the limitations of US

MRI Objectives by Placement


Welcome patients and bring them to the MRI scan area.

Understand the patient preparation for common MRI

examinations.

Prepare the patient for the examination changing them into a

gown if necessary

Go through the ‘patient safety checklist’ with the patient

Escort the patient to the MRI scan

room and help to position them for the scan.

Assist with positioning the patient

and placing of MRI coils

On completion of the examination

help the patient down from the table.

Discuss the need for different coils

according to area imaged

Recognise the safety requirements for staff and patients entering into

the MRI scan room.

Archive images to the network under supervision.

Identify the types of contrast agent used for MRI scans

Understand how MRI images are acquired.

Recognise the limitations of MRI


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RNI Objectives by Placement


Welcome patients and bring them to the RNI scan area.

Understand the patient preparation for common RNI

examinations.

Prepare the patient for the

examination changing them into a gown if necessary

Go through the examination with

the patient (i.e. what is going to happen etc.)

Escort the patient to the RNI scan


Archive images to the network

under supervision.

On completion of the examination help the patient down from the

table.

Understand how RNI images are acquired.

Recognise the safety requirements for staff when preparing

radiopharmaceuticals.

Recognise the limitations of RNI studies and articulate the

difference between physiological and anatomical imaging.

Identify the types of

radiopharmaceuticals used for RNI scans

Cardiology

Compare the working environment with peripheral angiography suite Appraise the role of the radiographer within a multi-professional team

and debate their extended role Review normal angiographic anatomy of the cardiac vessels

Revise aseptic technique as it relates to the angiographic procedure Compare consumables used in cardiac angiography with peripheral

angiography Review current evidence and guidelines from e.g. NICE

Neurology

Debate the necessity for a tertiary referral centre

Identify and discuss the range of examinations and procedures employed in a neuroradiology centre

Evaluate the imaging modalities available

Evaluate the benefits of MR in the role of spinal imaging Recognise the needs of the individual patient

Evaluate why skill mix and inter-professional team working is so important in vascular imaging


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Breast Screening

Review alternative definitions of screening and evaluate the importance of several key principles, including the natural history of the disease,

detection points, intervals for screening Screening test requirements e.g. simple to perform, reproducible, easy

to interpret, variety of personnel

Acceptability of screening e.g. uptake Sensitivity/Specificity

Yield of cancer detected Selection process e.g. high risk groups, ageism.

Private Hospitals/Independent Sector

Reflect upon the similarities and differences in the ways in which the

private/independent sector to the National Health Service.

Recognise and evaluate the factors that affect team working in the private/independent sector.

Evaluate and analyse protocols and working practices in the private/independent sectors.

Evaluate the software applications and other devices/modalities used in the private/independent sector.


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CT Objectives by Placement

Placement 1 Placement 2 Placement 3

Welcome patients and bring them to the CT scan area.

Discuss clinical indications and contraindications for CT.

Assist with CT examinations of the spine, chest and abdomen in acute

trauma.

Be shown how to prepare (prep) and give the following to the

patient – water and contrast media

Undertake a CT head scan unaided – as per the requirements of the

‘evidence form’.

Describe the normal anatomy found on sectional images of the

thorax, pelvis and abdomen.

Prepare the patient for the

examination – changing them into a gown if necessary

Assist with CT examinations of the

spine.

Recognise abnormal appearances

on sectional images of the thorax, pelvis and abdomen.

Escort the patient to the CT scan


Help the patient down from the

table and explain about any after care and how they can obtain the

results.

Contribute effectively to other CT

studies.

On completion of the examination help the patient down from the

table.

Describe the normal anatomy found on sectional images of the head and

spine.

Operate equipment safely under

supervision.

Evaluate the images of the head

scan for diagnostic quality, recognising normal and abnormal

appearances.

Understand how cross sectional

images are acquired.

Recognise abnormal appearances on

sectional images of the spine.


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Archive images to the network under supervision.

Discuss the range of contrast examinations undertaken in CT.

Recognise the limitations of CT, differentiating the application of

CT to MRI.

Explain the contrast media employed in different CT

examinations and the volume and method of administration.

Additional Objectives for Mobile Vans

Safety aspects of operating in a mobile environment e.g. operation

of lift


of lift


of lift

Emergency procedure – awareness

of emergency equipment on board and the evacuation of patient who

becomes unwell



becomes unwell



becomes unwell


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APPENDIX 18 FIRST CLINICAL PLACEMENT - Overview The Learning Outcomes associated with the first clinical placement are assessed in two ways; competency statements and a

tripartite (or Viva Voce). Note the physics exam in the BSc module is undertaken prior to clinical placement.

MIM1016-N Radiographic Practice One (BSc) Assessments: Competencies, Tripartite, Physics exam

MIM1020-N Clinical Placement One (MSc) Assessments: Competencies, Tripartite

Outcomes Competencies Tripartite Physics

exam

(BSc

Only)

Knowledge and Understanding

Identify the key elements of the scientific basis for imaging examinations

Describe the key concepts that will support the safe and successful radiographic examination of the appendicular skeleton, chest, shoulder and pelvis.

Explain the risk benefit philosophy and principles involved in the practice of diagnostic radiography (justification)

Identify and describe the need to ensure the physical and radiation safety of all individuals in the environment at all times.

Identify and describe where applicable the role of ethics in the discipline

Cognitive and Intellectual Skills

Recognise the changing nature of knowledge and demonstrate a positive attitude to learning

Apply acquired knowledge appropriately in order to ensure successful completion of the clinical examination

Recognise, with guidance, the need to adapt radiographic technique according to patient type and evolution of the imaging service

Practical and Professional Skills

Act in accordance with health and safety legislation, demonstrating safe practice


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Act with limited autonomy using accepted departmental protocols when practicing the

radiographic technique of the appendicular skeleton, chest, pelvis and shoulder

Appraise images for radiographic anatomy, technical accuracy and presence/absence

of disease/trauma within a limited and defined context

Recognise the factors that contribute to effective team-working within the clinical

environment

Act on and respond to the needs of the individual patient/client/carer acting within

their scope of practice

Operate ethically in defined contexts and behave in accordance with the ‘Code of

Conduct and Ethics’ as published by the Society and College of Radiographers

Adhere to departmental protocols for the documentation of patient information and

images using the information technology available

Demonstrate effective workflow within their scope of practice

Remove and reapply dressings, when appropriate, in a safe, effective and considerate manner

Key Transferable Skills

Discuss the process of reflection and how this informs their learning

Communicate effectively both orally and in writing


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COMPETENCY STATEMENTS – Placement One

Student name: Mentor name: Trust:

Intake year: Course: BSc MSc N.B NLC – no longer competent

At the end of the placement the student should be able to:

√

Date

Mentor’s

Signature

Initial

if NLC

A Identify and describe where applicable the role of ethics in the study of the discipline

1 Discuss and recognise how personal attitudes can influence the patient experience

and/or colleagues

2 Recognise the legal basis for introducing themselves to the patient and gaining consent

B Recognise the changing nature of knowledge and demonstrate a positive attitude to

learning

1 Identify their own learning needs and demonstrate how feedback has developed their

learning

2 Recognise there are differences in practice and use these opportunities to gain a

variety of experiences

3 Demonstrate the emergence of clinical reasoning and decision making

C Act in accordance with health and safety legislation, demonstrating safe practice in:

1 Waste disposal and disposal of sharps and assembly of sharps containers

2 Dealing with COSHH substances (including bodily fluids)

3 Working within RIDDOR in radiographic practice

4 Reporting of equipment faults and untoward incidents

5 Manual handling and load management


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√

Date

Mentor’s

Signature

Initial

if NLC

6 Infection control

7 Demonstrate knowledge of and follow the local rules on radiation protection

8 Identify the patient, using departmental protocols

9 Extract the relevant information from the referral

10 Employ LMP protocols and shields appropriately

11 Collimate the beam

D Act with limited autonomy using accepted departmental protocols when practicing the

radiographic technique of the appendicular skeleton, chest, abdomen, pelvis and

shoulder

1 Demonstrate the ability to undertake standard radiographic examinations of

2 Hand

3 Fingers/thumb

4 Wrist

5 Forearm

6 Elbow

7 Humerus

8 Shoulder girdle

9 Foot

10 Toes

11 Ankle

12 Tibia & Fibula

13 Knee

14 Femur


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√

Date

Mentor’s

Signature

Initial

if NLC

15 Pelvis

16 Chest

17 Abdomen

E Appraise images for radiographic anatomy, technical accuracy, and presence/absence

of disease/trauma within a limited and defined context

1 Conduct image appraisal using the prescribed systematic checklist

2 Identify any gross pathology or abnormalities

3 Describe the radiographic anatomy seen on images of the appendicular skeleton, chest,

abdomen, pelvic and shoulder girdles

F Recognise the factors that contribute to effective team working within the clinical

environment

1 Recognise the roles and responsibilities of different staff within the imaging department

2 Demonstrate the ability to work effectively with others

3 Demonstrate appropriate verbal and non-verbal communication skills using the correct

medical terminology

4 Discuss issues in a professional manner with other health care workers

5 Adhere to departmental protocols in relation to telephone answering and message

taking

G Act on, and respond to the needs of individual patient/client/carer acting within their

scope of practice

1 Demonstrate good communication skills with patients, clients, and carers.

2 Demonstrate awareness of diversity on delivery of effective care.

3 Demonstrate anti-discriminatory practice

4 Ensure privacy and dignity is maintained for all patients


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√

Date

Mentor

Signature

Initial

if NLC

5 Adhere to the trust policy on confidentiality and discloser of information

6 Adhere to the departmental policy on discharge of patients

7 Adhere to the Trust policy on obtaining and recording patient consent

8 Act as the patient’s advocate

H Operate ethically in defined contexts and behave in accordance with the ‘Code of

Conduct and Ethics’ as published by the Society and College of Radiographers

1 Discuss and work within the ethical scope of practice of the SCoR/HCPC codes of

practice

I Adhere to departmental protocols for the documentation of patient information and

images using the information technology available

1 Complete documentation in line with departmental protocols

2 Use the computer/booking system effectively

3 Use the RIS and PACS system according to departmental protocols within their scope of

practice

J Demonstrate effective work flow within their scope of practice

1 Describe and adhere to departmental working procedures for the imaging of patients

2 Recognise the need for effective workflow within the clinical environment

3 Recognise the need to meet deadlines

K Remove and reapply dressings, when appropriate, in a safe, effective and considerate

manner.

1 Demonstrates removal and application of dressing at the appropriate time

2 Demonstrates a caring, safe manner.


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√

Date

Mentor

Signature

Initial

if NLC

L Discuss the process of reflection and how this informs learning

1 Discuss the process of reflection and how this informs their learning

2 Receive and act upon formative feedback

3 Identify their own strengths and weaknesses

4 Identify areas for improvement in their clinical practice

5 Manage their time effectively

6 Keep an up-to-date portfolio

If no to ‘maintaining competence’ please initial the relevant competencies in the final column above and explain why

below.

Additional Professional Issues. This must be signed off on the last day of placement by

either the clinical site coordinator or a nominated deputy.

Yes

Signature

No Signature

The student has attended 100% of their clinical placement (include shift work where

appropriate)

The student has been punctual

The student has adhered to University and departmental protocols

The student has maintained all competencies at the end of placement


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If no to any of the additional professional issues please explain why and what action has been taken.


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EXAMPLES OF EVIDENCE – Placement One

Please note this list is not exhaustive and other forms of evidence can be

agreed between student and mentor at the bi-partite meetings.

Please also note that discussions with students should still be documented by

the student regarding what was discussed. This should be placed in the

portfolio.

NB: The module learning outcome for the competency statements is given in

parentheses.

At the end of the placement the

student should be able to:

Some examples of evidence that can be used:

Competencies A1 & A2

(Identify and describe where

applicable the role of ethics in the

study of the discipline)

Witness statements

Discussions with the students around

hypothetical scenarios

Discussions around journal articles

Reflections within their portfolio relevant to

this area or written evidence

Other

Competencies B1 - B3

(Recognise the changing nature of

knowledge and demonstrate a

positive attitude to learning)

Discussions around the different radiographic

practices the student has seen

Discussions of two or three technique books

and comparing with the departmental protocol

Discussions of their portfolio including a time

management plan and a Strengths

Weaknesses Opportunities and Challenges

(SWOC) analysis with an Action Plan

Other

Competencies C1 - C11

(Act in accordance with health

and safety legislation,

demonstrating safe practice)

HCP feedback sheets

Discussions of departmental policies

Role-play

Witness statements

Observations

Other


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Competencies D1 - D17

(Act with limited autonomy using

accepted departmental protocols

when practicing the radiographic

technique of the appendicular

skeleton, chest, abdomen, pelvis

and shoulder)

HCP feedback sheets

Log book

Witness statements

Observation

Discussion

Other

Competencies E1 - E3

(Appraise images for radiographic

anatomy, technical accuracy, and

the presence/ absence of

disease/trauma within a limited

and defined context)

HCP feedback sheets

Witness statements

Discussion

Image interpretation session

Other

Competencies F1 - F5

(Recognise the factors that

contribute to effective team-

working within the clinical

environment)

HCP feedback sheets

Written account – with identification of learning

from the experience.

Discussion of a journal article/section from

textbook (with documentation)

Witness statements

Other

Competencies G1 - G7

Act on, and respond to the needs

of individual patient/ client/carer

acting within their scope practice

HCP feedback sheets

Discussion - with documentation

Observation

Witness statements

Other

Competency H1

(Operate ethically in defined

contexts and behave in

accordance with the ‘Code of

Conduct and Ethics’ as published

by the Society and College of

Radiographers)

HCP feedback sheets

Reflections within their portfolio relevant to

this area of written evidence

Discussions around a hypothetical scenario -

with documentation

Discussions/reflections on the Society and

College of Radiographers (SCoR) Code - with

documentation.

Competencies I1 -I3

(Adhere to departmental protocols

for the documentation of patient

HCP feedback sheets

Discussion of protocols with documentation

Observation

Witness statements


©TU-SOHSC (2015)

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information and images using the

information technology available)

Other

Competencies J1 - J3

(Demonstrate effective work flow

within their scope of practice)

HCP feedback sheets

Discussion with documentation

Observation

Witness statements

Other

Competencies K1 & K2

Remove and reapply dressings,

when appropriate, in a safe,

effective and considerate manner

HCP feedback sheets

Witness statements


Other

Competencies L1 - L5

(Discuss the process of reflection

and how this informs their

learning)

HCP feedback sheets


Reflections in portfolio

Other


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FORMATIVE FEEDBACK SHEET – Placement One

Student’s Name:

Mentor’s Name:

Date:

Comments on Competencies A1 & A2

Comments on Competencies B1 - B3

Comments on Competencies C1 - C11


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Comments on Competencies D1 - D17

Comments on Competencies E1 - E3


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Comments on Competencies F1 - F5

Comments on Competencies G1 - G7


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Comments on Competency H1

Comments on Competencies I1 - I3

Comments on Competencies J1 - J3

Comments on Competencies K1 & K2

Comments on Competencies L1 - L6


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Agreed Action Plan:

Student’s signature:

Mentor’s signature:

Date of next bi-partite meeting (if appropriate):


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THE TRIPARTITE- Placement One

The tripartite dialogue will occur at the University towards the end of

clinical placement. An academic member of staff, a Practice Mentor and

the student undertakes it. If you are involved you will not assess your

own student. The tripartite assesses the underpinning theoretical

principles related to practice, including:

Radiographic technique of the appendicular skeleton, chest, abdomen,

pelvis and shoulder.

Image appraisal including radiographic anatomy.

Clinical histories and medical terminology.

Recognition of alternate imaging strategies with a realistic understanding

of their accessibility.

Health and safety issues and the principles of radiation protection.

Patient consent.

Evidence-based practice.

TRIPARTITE MARKING CRITERIA

Mark Criteria

80-100%

The student has:

Demonstrated an excellent/outstanding standard of

theoretical knowledge for this stage of education and

training.

Clearly demonstrated the ability to apply clinical

reasoning skills to patient care.

Shown initiative in responding to the questions asked

requiring no or little prompting.

60-79%

The student has:

Demonstrated a very good/excellent standard of


training.

Clearly demonstrated the ability to apply clinical

reasoning skills to patient care.

Shown some initiative in responding to the questions

asked requiring some prompting.


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40-59%

The student has:

Demonstrated a satisfactory/average standard of


training.

Demonstrated the ability to apply clinical reasoning skills

to patient care.

Shown average initiative in responding to the questions

asked requiring some prompting.

20-39%

The student has:

Demonstrated an unsatisfactory standard of theoretical

knowledge for this stage of education and training.

Demonstrated some ability to apply clinical reasoning

skills to patient care.

Shows little initiative in responding to the questions

asked and needs continuous prompting.

Less than

20%

The student has not successfully engaged with the

assessment, showing little evidence of knowledge and

understanding and requires continuous prompting.


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APPENDIX 19

SECOND CLINICAL PLACEMENT - Overview The Learning Outcomes associated with the second clinical placement are assessed in two ways; competency statements and

an OSCE (written exam). Note the summer placement documentation in the BSc module is submitted after clinical

placement.

MIM2023-N Radiographic Practice Two (BSc) Assessments: Competencies, OSCE, Summer docs

MIM2022-N Clinical Placement Two (MSc) Assessments: Competencies, OSCE

Outcomes Competencies OSCE Summer

docs

(BSc

Only)


Demonstrate a detailed knowledge of anatomy and pathophysiology to encompass the

range of radiographic examinations undertaken

Critically review the range of positive and negative contrast media, their composition and

their physiological and toxic effects enabling safe administration and calculation of quantities

Discuss the choice of radiographic equipment and accessories

Advise patients and the general public on the relative risks of radiographic procedures.

Demonstrate a detailed knowledge of the theory of intravenous contrast and drug administration including the legal and professional requirements.


Critically analyse the variety and scope of service user information to encompass the

range of radiographic examinations undertaken at the student's base hospital

Appraise the effects of local and national policies on patient management

Employ a problem-solving approach to practice


Demonstrate the ability to manipulate images using available technology


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Practice a range of radiographic examinations of the axial and appendicular skeleton, adapting radiographic technique where appropriate.

Critically review radiographic images for image quality and diagnostic acceptability

Employ safe practice in the preparation of drugs and contrast media for administration by other health care professionals

Recognise and respond to any adverse events in the Imaging Department and know how to report these events

Practice in a caring and professional manner within a legal and ethical framework

Discuss how effective communication and teamwork has an impact on patient

management

Assist in CT, MRI, RNI and Ultrasound examinations whilst on placement.

Organise and plan the negotiated summer placement to meet individual student needs


Reflect upon working practices to identify learning needs in order to progress with confidence in self-directed study


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COMPETENCY STATEMENTS – Placement 2


Intake year: Course: BSc MSc

N.B NLC – no longer competent

At the end of the placement the student should be able to:-

√

Date

Mentor’s

Signature

Initial

if NLC

A Demonstrate a detailed knowledge of anatomy, cross sectional anatomy and

patho-physiology to encompass the range of radiographic and contrast

examinations undertaken

1 Demonstrate a detailed anatomical knowledge of related systems examined

2 Demonstrate a detailed knowledge of the physiology of related systems examined

3 Review cross sectional images of the neck, thorax, abdomen and pelvis

identifying key anatomical structures

4 Demonstrate a detailed knowledge of how pathologies manifest themselves on

the images within the scope of their practice.

B Critically review the range of positive and negative contrast media, their

composition and their physiological and toxic effects enabling safe administration

and calculation of quantities

1 Justify the indications and contra-indications of the range of contrast media used

for a range of examinations undertaken at the base hospital for all modalities.

2 Discuss physiological and toxic effects of contrast media used including

nephrotoxicity, neurotoxicity and haematological effects.

3 Check the administration requirements for contrast media i.e. patient history,

clinical indications, patient size and age, co-morbidities, etc.


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At the end of the placement the student should be able to: √ Date Mentor’s

Signature

Initial

if NLC

C Discuss choice of radiographic equipment and accessories

1 Be able to choose effective radiographic equipment and accessories for the

equipment in hand.

D Advise patients and the general public on the relative risks of radiographic

procedures.

1 Know the relative dose burdens/risks for examinations and procedures

undertaken (including all modalities)

E Critically analyse the variety and scope of service user information to encompass

the range of radiographic examinations undertaken at the student’s base hospital.

1 Critically review the information provided to patients for the range of

examinations undertaken

2 Discuss the issues around consent with regard to patient’s undergoing contrast

examinations

3 Discuss the feedback and complaints procedures with the department and the

role of the Patient Advice and Liaison Services (PALS)

F Appraise the effects of local and national policies on patient management

1 Discuss how local and national policies affect waiting times and service delivery

G Employ a problem solving approach to practice

1 Demonstrate the development of clinical reasoning and decision making skills.

H Demonstrate the ability to review and manipulate images using available

technology

1 Use regional appropriate windows for the range of examinations undertaken

2 Access dose delivered using exposure indices and act appropriately

I Practice a range of radiographic examinations of the axial and appendicular

skeleton, adapting radiographic technique where appropriate

1 Cervical Spine


©TU-SOHSC (2015)

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Signature

Initial

if NLC

2 Thoracic Spine

3 Lumbar sacral spine

4 Undertake additional and supplementary techniques of the appendicular and axial

skeleton

5 Compare pathological conditions and discuss how they may necessitate

modification of technique

6 Assist in mobile and theatre examinations demonstrating competence and safe

use of the equipment

7 Distinguish between different dose reduction strategies when undertaking mobile,

theatre and fluoroscopic examinations.

8 Competently undertake a CT head examination unaided (not including image

review).

9 Assist in CT examinations of the neck, thorax, abdomen and pelvis.

J Critically review radiographic images for image quality and diagnostic

acceptability

1 Appraise images using a recognised system for the range of examinations

undertaken

2 Recognise normal anatomical appearances on CT examinations of the neck,

thorax and abdomen

K Employ safe practice in the preparation of drugs and contrast media for

administration by other health care professionals

1 Demonstrate and apply safe aseptic technique

2 Complete all relevant checks and documentation regarding drug administration

as stated in the departmental protocol

3 Adhere to departmental policy with regard to sharps and waste disposal


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Signature

Initial

if NLC

L Recognise and respond to any adverse events in the Imaging Department and

know how to report these events

1 Recognise and respond to adverse events as a result of contrast administration in

the Imaging department

2 Demonstrate knowledge of the application and contraindications to the range of

pharmacological drugs used in the Imaging department

3 Discuss how to contact the emergency team and detail the information that need

to be given

4 Much greater than intended dose

5 DATIX (incident) reporting

6 Whistleblowing policies

M Practice in a caring and professional manner within a legal and ethical framework

1 Understand the specific needs of different client groups e.g. visually impaired,

disability etiquette and respond appropriately

2 Care for patients and clients with due regard to human dignity

N Discuss how effective communication and team work has an impact on patient

management

1 Recognise the roles and responsibilities of different staff within and out with the

imaging department

2 Demonstrate the ability to work effectively as part of the multidisciplinary team

(MDT)

3 Explore issues in a professional manner with other health care workers

4 Demonstrate appropriate verbal and non-verbal communication skills using the

correct medical terminology


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Signature

Initial

if NLC

5 Explore the issues of equality and diversity in relation to the SCoR Statements of

Professional Conduct and the HPC’s Standards of Conduct, Performance and

Ethics

O Assist in CT, MRI, RNI and Ultrasound examinations whilst on placement

1 Demonstrate the ability to appropriately prepare patients for MRI, CT, RNI & US.

2 Recognise the potential dangers to staff and patients within each modality and

act in an appropriate safe and caring manner.


P Reflect upon working practices to identify learning needs in order to progress with

confidence in self-directed study

1 Critically review the importance of reflection as a learning tool

2 Provide and discuss examples of how reflection has informed their learning and

development

3 Explore the different models of reflection and discuss the difference between

reflection on action and reflection in action

If no to ‘maintaining competence’ please initial the relevant competencies in the final column above.


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Additional Professional Issues. This must be signed off on the last day of

placement by either the site coordinator or a nominated deputy.

Yes

Signature

No

Signature

The student has attended 100% of their clinical placement (including shift work

where appropriate)



The student has maintained competence at the end of placement

If no to any of the additional professional issues please explain why and what action has been taken


©TU-SOHSC (2015)

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EXAMPLES OF EVIDENCE – Placement Two





portfolio.


parentheses.

At the end of the placement

the student should be able to:

Some examples of evidence that can be

used:

Competencies A1 - A4

(Demonstrate a detailed

knowledge of anatomy, cross

sectional anatomy and patho-

physiology to encompass the

range of radiographic and contrast

examinations undertaken)

HCP feedback sheets

Discussion with the student

Review of images and reports

Review of reasons for clinical requests

Anatomy worksheets

Other


(Critically review the range of

positive and negative contrast

media, their composition and their

physiological and toxic effects

enabling safe administration and

calculation of quantities)

HCP feedback sheets

Discussion with student

Review of local protocols

Review of manufacturers information

Discussion of literature

Examples of the different types of contrast

used in the department

Other

Competency C1

(Discuss choice of radiographic

equipment and accessories)

HCP feedback sheets

Identification of radiographic equipment and

when they have used them

Discussion with student


Other

Competency D1

HCP feedback sheets


Implementation of new I(ME)ER regulations

Review of relevant websites e.g. RCR, HPA


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(Advise patients and the general

public of the relative risks of

radiographic procedures)

Other

Competencies E1 - E3

(Critically analyse the variety and

scope of service user information

to encompass the range of

radiographic examinations

undertaken at the student’s base

hospital)

HCP feedback sheets

Discussions of information provided to patients

for a range of examinations

Analysis of the PIL and how it was produced

Review of relevant literature

Review of relevant websites e.g. RCR, HPA

Other

Competency F1

(Appraise the effects of local and

national policies on patient

management)

HCP feedback sheets

Review of relevant guidelines e.g. RCR, NICE

Discussion of recent news/TV courses

Discussion of literature/journal articles

Review of Trusts mission statements and vision

Discussion of NHS Constitution and reports

such as Francis.

Other

Competency G1

Employ a problem-solving

approach to practice

HCP feedback sheets

Discussion of clinical scenarios

Reflections

Other

Competencies H1 & H2

(Demonstrate the ability to review

and manipulate images using

available technology)

HCP feedback sheets

Discussions of departmental policies

Role-play

Witness statements

Observations

Other

Competencies I1 - I9

(Practice a range of radiographic

examinations of the axial and

appendicular skeleton, adapting

radiographic technique where

appropriate)

HCP feedback sheets

Log book

Witness statements

Observation

Discussion

Other


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Competencies J1 & J2

(Critically review radiographic

images for image quality and

diagnostic acceptability)

HCP feedback sheets

Witness statements

Discussion

Image interpretation session

Other

Competencies K1 - K3

(Employ safe practice in the

preparation of drugs and contrast

media for administration by other

health care professionals)

HCP feedback sheets

Written account – discussion

Discussion of a journal article/section from

textbook

Witness statements

Other

Competencies L1 - L6

(Recognise and respond to any

adverse events in the Imaging

Department and know how to

report these events)

HCP feedback sheets

Discussion

Observation

Role play

Witness statements

Other

Competencies M1 & M2

(Practice in a caring manner

within a legal and ethical

framework)

HCP feedback sheets

Discussion of protocols

Discussion of ‘codes of conduct’

Observation

Witness statements

Patient 3600 review

Other

Competencies N1 - N5

(Discuss how effective

communication and team work

has an impact on patient

management)

HCP feedback sheets

Discussion

Observation

Witness statements

Patient 3600 review

Other

Competencies O1 & O2

HCP feedback sheets


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(Assist in CT, MRI, RNI and

Ultrasound examinations whilst on

placement)

Witness statements from staff working in that

area.

Student feedback sheets

Reflections on first encountering the modalities

Safety training undertaken in that area

Discussions with mentor(s)

Other

Competencies P1 - P3

(Reflect upon working practices to

identify learning needs in order to

progress with confidence in self-

directed study)

HCP feedback sheets integrated with

reflections.

Discussion


Review of SWOC analyses and action plans in

portfolio

Other


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FORMATIVE FEEDBACK SHEET – Placement Two

Student’s Name:

Mentor’s Name:

Date:

Comments on competencies A1 - A4

Comments on competencies B1 - B3

Comments on competency C1

Comments on competency D1


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Comments on competencies E1 - E3

Comments on competency F1

Comments on competency G1

Comments on competencies H1 & H2


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Comments on competencies I1 - I9

Comments on competencies J1 & J2

Comments on competencies K1 - K3


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Comments on competencies L1 - L6

Comments on competencies M1 & M2

Comments on competencies N1 - N5


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CT HEAD SCAN – EVIDENCE FORM

Student Name: BSc/MSc (please circle)

The student should be able to:

Competency √ Comments

Switch on the generator (power

disruption)

Switch on the scanner and warm it

up

Use the gantry and control table

controls

Demonstrate knowledge and

understanding of the principles of

multi-slice CT (3rd Year Only)

Correctly prepare the patient

Undertake patient registration and

select the appropriate work list

Demonstrate knowledge of IR(ME)R

2000 relating to the examination and

discuss the roles of the

operator/practitioner/referrer

Apply the appropriate radiation

protection procedures

Interpret the CT scan request card

information


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Select the correct scan protocol

Undertake a routine head scan

Undertake a head scan with contrast

Identify the volume and type of

contrast used and method of

administration

Demonstrate knowledge of head

anatomy and pathology (3rd Year

Only)

Undertake reconstructions (3rd Year

Only)

Ensure the images are correctly

stored

Archive to the network

Radiographer (please print name):

Radiographer (signature): Date:


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DIAGNOSTIC RADIOGRAPHY IMAGE INTENSIFIER – EVIDENCE FORM

Student Name: …………………………………………. BSc/MSc (please circle)

Image Intensifier Name:

The student should be able to:

Movement and Set-up of Image

Intensifier

√ Comments

Identify the correct components that

make up the Image Intensifier

Identify the correct items of Personal Protection Equipment (PPE) required for

the examination (Personal and Patient)

Move the equipment to the required examination area from the storage area

in a safe manner. Ensure the Image Intensifier is clean

Assemble the Image Intensifier and be able to correctly switch it on

Radiation Protection √ Comments

Follow the correct patient identification

procedure specifically related to theatre

Correctly position radiation warning

signs.

Identify the wearing of PPE by all staff

present at the time of exposure

Describe the Local Rules pertaining to

theatre and the specified examination

Demonstrate knowledge of IR(ME)R 2000 relating to the examination and


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discuss the roles of the

operator/practitioner/referrer

Check the LMP and describe what actions are required to ensure correct

implementation

Entering Patient Examination Demographics

√ Comments

Correctly compile a request form (as per IR(ME)R) unless provided by requestor

Correctly enter the patient’s demographics onto the system

Correctly select the patient’s details from

the work list

Correctly select the examination

parameters for the specific examination

Correctly ensure that the exposure factors relate to the examination

Examination √ Comments

Enable the unit to perform an exposure

Demonstrate the main functions buttons

on the C-arm

Correctly orientate the image

Manipulate the C-arm in a safe and economic manner during the theatre

procedure

Switch between automatic and manual settings during the examination and manipulate the image

Use the different types of collimation on

the unit

Discuss the correct procedure to be adopted when the time warning buzzer

sounds

Save an image

Recall a saved image


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Describe how to magnify an image

during the procedure

Describe how to switch off the unit in an emergency/malfunction

Post-processing, Saving and Printing Images

√ Comments

Recall an image for post processing

Annotate, collimate, rotate and reverse images

Save post processed images and send to

PACS

Set up a print page and print images to film

Termination of Examination √ Comments

Record the examination details relating to dose and screening onto the request card

Switch the unit off, clean, and dissemble the unit

Safely return the unit to the storage area

Post-examination Records and Procedures

√ Comments

Record examination details, dose screening time, on the Radiology

Management System or RIS, and any specific departmental theatre logs

Access the PACS system to ensure images are present and access the print queue

Please Note:

The student may require small prompts to complete certain actions. They should also be

able to discuss their actions and the reason relating to set procedures specifically used in

their placement hospital.


Radiographer (signature): Date:


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DIAGNOSTIC RADIOGRAPHY MOBILE RADIOGRAPHY – EVIDENCE FORM

Student Name: BSc/MSc (please circle)

The student should be able to (with small prompts):

Objective √ N/A Comments

Demonstrate knowledge and understanding of the protocols/local

rules for mobile use

Undertake quality control checks on the mobile unit

Demonstrate the infection control

measures in place for the unit

Switch the unit on and off using the key lock/ key pad

Safely transport and manoeuvre the unit

Demonstrate geometry control i.e. locks, brakes

Select the correct patient from the work

list (if applicable)

Communicates effectively with patient, staff and family members (if applicable)

Correctly position the patient using appropriate manual handling techniques

Select an anatomical program in the DR

mode

Manually set the correct exposure factors

Switch to cassette manual exposure

control

Correctly utilise AED control


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Collimate appropriately

Prepare and expose the tube

Undertake post processing protocols

Transfer images to PACS

Disable motorised drive

Park as required by local arrangements

Charge the mobile unit


Radiographer (signature):

Date:

Please Note:

The student may require small prompts to complete certain actions. They should also be able to

discuss their actions and the reason relating to set procedures specifically used in their placement

hospital.


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APPENDIX 20

THIRD CLINICAL PLACEMENT - Overview

The Learning Outcomes associated with the third clinical placement are assessed in two ways; competency statements and

an OSCE (written exam). The competencies are the same for the two modules however the nature of the OSCE is different

for the BSc and MSc students. Note the critical commentary in the BSc module is handed in on return to the University.

Outcomes MIM3045-N: Radiographic Practice Three (BSc (Hons) Diagnostic Radiography) Competencies OSCE Critical Commentary


Demonstrate a comprehensive and detailed knowledge of anatomy and pathophysiology for the

range of radiographic examinations undertaken

Critically appraise the role of the radiographer in the intravenous cannulation and administration of contrast media within varied contexts.


Employ a problem-solving approach to practice utilising the best available evidence to inform solutions.

Synthesise, appraise and evaluate evidence from their portfolio in order to demonstrate personal and professional development


Demonstrate a holistic approach to patient care and management

Manage radiographic sessions autonomously with limited supervision within agreed guidelines.

Evaluate the pathological process and disease in order to tailor the radiographic examination to

the condition

Undertake the range of radiographic examinations required of a newly qualified radiographer,

safely, effectively and with a high degree of accuracy

Work as an operator, practitioner or referrer as local protocols demand, in accordance with the

Ionising Radiation (Medical Exposure) Regulations

Collaborate effectively with other healthcare practitioners, patients and families to effectively

manage health care delivery.


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Achieve the level of first post competence as identified by the Health and Care Professions

Council (HCPC)


Reflect upon personal performance and learning needs in order to progress with confidence in Continuing Professional Development (CPD)

Demonstrate the ability to utilise information technology in a range of settings

Outcomes MIM3046-N: Clinical Placement Three (MSc/PgDip Diagnostic Radiography (Pre-Registration)) Competencies OSCE


Demonstrate a comprehensive and detailed knowledge of anatomy and pathophysiology for the full range

of radiographic examinations undertaken

Demonstrate a comprehensive and detailed knowledge of CT head anatomy and pathophysiology


Employ a problem-solving approach to practice utilising the best available evidence to inform solutions

Analyse and evaluate the image for clinical manifestations of disease and technical accuracy


Demonstrate a holistic approach to patient care and management

Manage radiographic sessions autonomously with limited supervision within agreed guidelines.

Evaluate the pathological process and disease in order to tailor the radiographic examination to the

condition

Undertake the range of radiographic examinations required of a newly qualified radiographer, safely,

effectively and with a high degree of accuracy

Work as an operator, practitioner or referrer as local protocols demand, in accordance with the Ionising

Radiation (Medical Exposure) Regulations

Collaborate effectively with other healthcare practitioners, patients and clients to manage health care

delivery

Evaluate radiographic images for normal and abnormal radiographic appearances

Evaluate, interpret and comment on images in line with agreed protocols

Achieve the level of first post competence as identified by the Health and Care Professions Council



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Reflect upon personal performance and learning needs in order to progress with confidence in self-

directed study

Demonstrate the ability to utilise information technology in a range of settings

Communicate relevant radiographic and clinical findings fluently and efficiently.


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COMPETENCY STATEMENTS – Placement Three


Intake year: Course: BSc MSc At the end of this placement the student should be able to:

√

Date

Mentor’s

Signature

Initial

if NLC

A Demonstrate a comprehensive and detailed knowledge of anatomy and pathophysiology for

the range of radiographic examinations undertaken

1 Upper and lower limbs (including shoulder and pelvic girdles)

2 Thoracic and abdominal viscera

3 Axial skeleton and associated soft tissues

4 Central Nervous System (especially as demonstrated on CT head examination)

B Employ a problem solving approach to practice utilising the best available evidence to inform

solutions.

1 Demonstrate appropriate clinical reasoning

2 Evaluate the scope and identify the limitations of projection radiography

3 Able to make decisions and defend those decisions confidently

4 Identify alternative imaging strategies where appropriate and evaluate their relevance and

effectiveness

C Undertake a holistic approach to patient care and management

1 Recognise patient capabilities in relation to the pathological process

2 Demonstrate anti-discriminatory practice

3 Recognise and respond to the needs of relatives and carers


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At the end of this placement the student should be able to:

√

Date

Mentor’s

Signature

Initial

if NLC

D Manage radiographic sessions autonomously with limited supervision within agreed guidelines.

1 Manipulate CT equipment to successfully complete and accurately review (including gross

abnormalities) a scan of the head.

2 Use an image intensifier to successfully complete the radiographic examinations on the ward

and in theatre

3 Demonstrate the ability to manage workflow in within the imaging department

4 Liaise with departments outside of the imaging department to enhance workflow

E Evaluate the pathological process and disease in order to tailor the radiographic examination

to the condition

1 Justify the range of radiographic examinations undertaken and adapt their technique to meet

the individual patient needs

2 Evaluate the benefits and risks of alternate imaging modalities in the diagnostic process

F Undertake the range of radiographic examinations required of a newly qualified radiographer,

safely, effectively and with a high degree of accuracy

1 Undertake a panoral tomography examination

2 Undertake the full range of projection radiographic examinations carried out in the Trust in a

variety of settings

3 Know when to ask for help

4 Undertake the range of contrast media studies performed within the Trust relevant to first

post-competence

G Work as an operator, practitioner, or referrer as local protocols demand, in accordance with

the Ionising Radiation (Medical Exposure) Regulations

1 Know and understand the scope of practice of the roles identified within the regulations


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√

Date

Mentor’s

Signature

Initial

if NLC

2 Work within their scope of practise at all times

3 Adhere to local rules at all times

4 Acknowledge their limitations and identify their own learning needs with regard to the

regulations

H Collaborate effectively with other healthcare practitioners, patients and families to effectively

manage health care delivery.

1 Work as part of the multidisciplinary team and understand role and dynamics of inter-

professional working.

2 Identify the roles and responsibilities of members of the MDT

I Reflect upon personal performance and learning needs in order to progress with confidence in

Continuing Professional Development (CPD)

1 Demonstrate the capability of self-audit

2 Recognise their own ethical stance and personal values and how these may affect their

management of patients

3 Take constructive criticism and act on feedback

4 Begin to demonstrate use of legitimate influence and leadership within the MDT

5 Understand the consequences of their actions

6 Recognise the limitation of their knowledge and actively try to address shortcomings to meet

the needs of the patients

7 Recognise limitations in the knowledge and skills of 1st year radiography students


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√

Date

Mentor’s

Signature

Initial

if NLC

8 Give 1st year radiography students constructive feedback and identify areas for their (and the

students) improvement.

J Demonstrate the ability to utilise information technology in a range of settings

1 Fully embrace clinical system usage to ensure data quality is of a high standard and up to date

2 Recognise the appropriateness of use of social media in a professional capacity

If no to ‘maintaining competence’ please initial the relevant competencies in the final column above and explain why.

Additional Professional Issues. This must be signed off on the last day of placement by

either the site coordinator or a nominated deputy.

Yes

Signature

No

Signature

The student has attended 100% of their clinical placement (include shift work where appropriate)



The student has achieved and maintained the level of first post competence at the end of

placement, as identified by the HCPC


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If no to any of the additional professional issues please explain why and what action has been taken


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EXAMPLES OF EVIDENCE – Placement Three





portfolio.


parentheses.

At the end of the placement the

student should be able to:

Some examples of evidence that can be used:

Competencies A1 - A4

(Demonstrate a comprehensive

and detailed knowledge of

anatomy and pathophysiology for

the range of radiographic

examinations undertaken)

HCP feedback sheets

Discussion with the student

Review of images and reports

Review of reasons for clinical requests of a

disputed nature

Anatomy worksheets

Other


(Employ a problem-solving

approach to practice utilising the

best available evidence to inform

solutions)

HCP feedback sheets

Discussion of clinical scenarios

Reflections of specific incidents

Witness statements

Other

Competencies C1 - C3

(Undertake a holistic approach to

patient care and management)

HCP feedback sheets

Discussion

Observation

Witness statements

Patient 3600 review

Other


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Competencies D1 - D4

(Manage radiographic sessions

autonomously with limited

supervision within agreed

guidelines)

HCP feedback sheets

Witness statements

Observation

Discussion

Other

Competencies E1 & E2

(Evaluate the pathological process

and disease in order to tailor the

radiographic examination to the

condition)

HCP feedback sheets

Witness statements

Discussion

Review of image requests

Other

Competencies F1 - F4

(Undertake the range of

radiographic examinations

required of a newly qualified

radiographer, safely, effectively

and with a high degree of

accuracy)

HCP feedback sheets

Witness statements

Log book

Discussion

Observation

Role play

Other

Competencies G1 - G4

(Work as an operator, practitioner

or referrer as local protocols

demand, in accordance with the

Ionising Radiation (Medical

Exposure) Regulations)

HCP feedback sheets

Discussion of protocols

Observation

Witness statements

Other

Competencies H1 & H2

(Collaborate effectively with other

health care practitioners, patients,

patients and clients to manage

health care delivery)

HCP feedback sheets

Discussion

Observation

Witness statements

3600 review radiographer

3600 review patient

Other


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Competencies I1 - I8

(Reflect upon personal

performance and learning needs

in order to progress with

confidence in Continuing

Professional Development (CPD))

HCP feedback sheets

Discussion


SWOC analyses and action plans

3600 review summary and action plan

Other

Competencies J1 & J2

(Demonstrate the ability to utilise

information technology in a range

of settings)

HCP feedback sheets

Witness statements

Observation

Other


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FORMATIVE FEEDBACK SHEET – Placement Three

Student’s Name:

Mentor’s Name:

Date:

Comment on competencies A1 - A4

Comment on competencies B1 - B4

Comment on competencies C1 - C3


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Comment on competencies D1 - D4

Comment on competencies E1 & E2

Comment on competencies F1 - F4

Comment on competencies G1 - G4


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MANAGEMENT OF A SESSION

Student Name…………………………… Course: BSc MSc

Before commencement of the session,

the student:

GOOD SATIS-

FACTORY

NEEDS

IMPRO-

VEMENT

N/A

Can discuss the rationale for the order of

the examinations to be undertaken

Is aware of the medical conditions being

investigated

Communicates effectively with health care

colleagues and has organised arrival times

for any inpatients with portering staff

Ensures the room is prepared, clean and

safe from hazards

Ensures all patient data has been

successfully entered into RIS

Ensures all trolleys are set correctly and all

drugs, equipment and contrast are

available for the session

During the session the student: GOOD SATIS-

FACTORY

NEEDS

IMPRO-

VEMENT

N/A

Communicates effectively with

patients/staff/carers

Introduces self to patient and gives clear

explanation and instructions

Adheres to departmental policies and

protocols for examinations undertaken

Demonstrates the ability to care for

patients with a range of medical conditions

Demonstrates knowledge of examinations

and procedures to be undertaken

All relevant drug and contrast checks are

made prior to administration and


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documented after administration (within

the scope of their practice)

Is aware of exposure factor requirements

and can manipulate these and reconstruct

images when required

Aware of capabilities and limitations of

equipment:

Image capture and sending images

Adheres to the ALARP principle for

radiographic examinations undertaken

Room is cleaned and tidied after each

patient

After the session the student: GOOD SATIS-

FACTORY

NEEDS

IMPRO-

VEMENT

Ensures after each patient is completed,

they know how to access their results and

are fit to leave the department

Discharges the patient as stated in the

departmental protocol (within the scope of

their practice)

Ensures all documentation is complete

Ensures room is cleaned and tidied after

completion of the session

Ensures that preparation areas and trolleys

are all cleaned and tidy

Ensures that all drugs are checked and put

away as per department protocol

Recognises own limitations and seeks and

accepts advice when necessary

Professionalism – the student: GOOD SATIS-

FACTORY

NEEDS

IMPRO-

VEMENT

Was punctual for the start of the session

Had a professional appearance

Adhered to code of conduct and ethics


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Radiographer/Comments

Student Comments


Radiographer (signature):

Date:

Student Signature:

Date:

This form is a guide to what students should achieve at the end of their

management session. It can be adapted to departmental procedures and

protocol.


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3rd PLACEMENT STUDENT ASSESSMENT OF A 1ST PLACEMENT STUDENT’S EXAMINATION SKILLS

1st Placement

Student Name:

3rd Placement

Student Name:

Radiographic

Examination:

Date:

Radiographic Practice Good Satisfactory Needs

Improvement

Demonstrates the ability to perform a

radiographic examination safely and effectively

for a 1st placement student

Demonstrates good communication and listening

skills whilst respecting their privacy and dignity.

Demonstrates a systematic approach to image

appraisal.

Demonstrates anatomical knowledge

commensurate with 1st clinical placement.

Has a professional attitude towards staff and

patients.

3rd Placement Student’s Comments

Areas of Strength:


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Areas for Development:

1st Placement Student’s Reflection on the examination & feedback:

3rd Placement Student signature: Date:

1st Placement Student Signature: Date:

NB: Copies should be kept by both parties in their portfolio