appendices for bsc (hons) & msc diagnostic … · u:\my documents\clinical\2018-19...
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APPENDICES FOR
BSc (HONS) & MSc
DIAGNOSTIC
RADIOGRAPHY
CLINICAL HANDBOOK
FOR STUDENTS AND
MENTORS
SEPTEMBER 2018
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 ............................................................ 42
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.
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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:
Student’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
Placement 2 Placement 3
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
Placement 2 Placement 3
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
room and help to position them for the 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
room and help to position them for the 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
Safety aspects of operating in a mobile environment e.g. operation
of lift
Safety aspects of operating in a mobile environment e.g. operation
of lift
Emergency procedure – awareness
of emergency equipment on board and the evacuation of patient who
becomes unwell
Emergency procedure – awareness
of emergency equipment on board and the evacuation of patient who
becomes unwell
Emergency procedure – awareness
of emergency equipment on board and the evacuation of patient who
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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At the end of the placement the student should be able to:
√
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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At the end of the placement the student should be able to:
√
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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At the end of the placement the student should be able to:
√
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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At the end of the placement the student should be able to:
√
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
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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
Discussion with documentation
Other
Competencies L1 - L5
(Discuss the process of reflection
and how this informs their
learning)
HCP feedback sheets
Discussion with documentation
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
theoretical knowledge for this stage of education and
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
theoretical knowledge for this stage of education and
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)
Knowledge and Understanding
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.
Cognitive and Intellectual Skills
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
Practical and Professional Skills
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
Key Transferable Skills
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 (Updated June 2014)
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 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
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At the end of the placement the student should be able to: √ Date Mentor’s
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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At the end of the placement the student should be able to: √ Date Mentor’s
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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At the end of the placement the student should be able to: √ Date Mentor’s
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.
Key Transferable Skills
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 been punctual
The student has adhered to University and departmental protocols
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
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EXAMPLES OF EVIDENCE – Placement Two
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 - 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
Competencies B1 - B3
(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
Discussion of literature
Other
Competency D1
HCP feedback sheets
Discussion of literature
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
Reflections in portfolio
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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Comments on competencies O1 & O2
Comments on competencies P1 - P3
Agreed Action Plan:
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Student’s signature:
Mentor’s signature:
Date of next bi-partite meeting (if appropriate):
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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 (please print name):
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 (please print name):
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
Knowledge and Understanding
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.
Cognitive and Intellectual Skills
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
Practical and Professional Skills
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)
Key Transferable Skills
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
Knowledge and Understanding
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
Cognitive and Intellectual Skills
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
Practical and Professional Skills
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
Key Transferable Skills
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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
Student name: Mentor name: Trust:
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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At the end of this placement the student should be able to:
√
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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At the end of this placement the student should be able to:
√
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 been punctual
The student has adhered to University and departmental protocols
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
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 - 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
Competencies B1 - B4
(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
Reflections in portfolio
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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Comment on competencies H1 & H2
Comment on competencies I1 - I8
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Comment on competencies J1 & J2
Agreed Action Plan
Student’s signature: Date:
Mentor’s signature: Date:
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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 (please print name):
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