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Clinical Objectives Technical Affective Skills

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Clinical Objectives Technical Affective Skills

  1. 1. Clinical Objectives Technical and Affective Skills
  2. 3. Patient Interactions <ul><li>Interacts with the patient in a courteous, professional manner by: </li></ul>
  3. 4. Patient Interactions <ul><li>Treating All Patients Equally </li></ul><ul><li>does not discriminate on the basis of sex, age, race, creed or religion </li></ul><ul><li>cares for patients with communicable diseases </li></ul>
  4. 5. Patient Interactions <ul><li>Communicating With Patients in a Polite and Reassuring Manner </li></ul><ul><li>addresses adult patients by surname </li></ul><ul><li>maintains a positive demeanor </li></ul><ul><li>responds to patient requests and inquiries promptly </li></ul><ul><li>listens and responds to patient concerns </li></ul><ul><li>directs attention to the patient </li></ul><ul><li>answers patient questions to best of ability </li></ul>“ Hey, I only work here.”
  5. 6. Patient Interactions <ul><li>Maintaining Confidentiality of Patient Information </li></ul><ul><li>only discusses patient information in a professional context </li></ul>
  6. 7. Patient Interactions <ul><li>Maintaining Patient Comfort and Modesty </li></ul><ul><li>provides patient blanket, pillow, etc. as needed and appropriate </li></ul><ul><li>covers patient to maintain modesty </li></ul><ul><li>uses table pads, sponges, etc. as appropriate to increase patient comfort </li></ul>“ I didn’t have time.”
  7. 8. Peer Interactions <ul><li>Interacts with peers in a courteous, professional manner by: </li></ul>
  8. 9. Peer Interactions <ul><li>Conducting Professional and Courteous Conversations in the Work Area </li></ul><ul><li>listens and responds to inquiries and comments </li></ul><ul><li>addresses individuals by name and/or title </li></ul>“ No Dr., it is actually my second day here.”
  9. 10. Peer Interactions <ul><li>Using Proper Telephone Etiquette </li></ul><ul><li>upon answering the telephone identifies self and department </li></ul><ul><li>listens and responds to inquiries </li></ul><ul><li>ask permission before placing caller on hold </li></ul><ul><li>verify that transferred calls reach intended recipient </li></ul>“ I just assumed that I transferred the call to the right place.”
  10. 11. Peer Interactions <ul><li>Maintaining a Positive Attitude That Is Supportive Of Other Students </li></ul><ul><li>directs concerns to proper authority </li></ul><ul><li>complaints are of a reasonable nature </li></ul><ul><li>abides by due process guidelines </li></ul><ul><li>assists other students when not busy </li></ul><ul><li>does not talk about other students in a negative way </li></ul>“ I think that other student put barium in my soda!”
  11. 12. Initiative/Dependability <ul><li>Displays initiative and dependability by: </li></ul>
  12. 13. Initiative/Dependability <ul><li>Completing Assigned Tasks </li></ul><ul><li>once begun, completes examination </li></ul><ul><li>carries out assigned tasks expeditiously </li></ul>
  13. 14. Initiative/Dependability <ul><li>Seeking Instruction and Guidance When Necessary </li></ul><ul><li>asks for help when unsure of self </li></ul><ul><li>has radiographs checked by proper authority before releasing patient </li></ul>“ But everyone was busy!”
  14. 15. Initiative/Dependability <ul><li>Performing Radiographic Examinations with Appropriate Supervision </li></ul><ul><li>has a technologist directly supervise exams prior to competency testing </li></ul><ul><li>has a technologist indirectly supervise exams following competency testing </li></ul><ul><li>has a technologist directly supervise all repeats </li></ul><ul><li>has a technologist approve all radiographs taken regardless of the level of competence </li></ul>“ They said that I should be able to do portables alone.”
  15. 16. Initiative/Dependability <ul><li>Performing Non-Patient Tasks On Own Initiative </li></ul><ul><li>maintains room supply of accessory items </li></ul><ul><li>keeps assigned room clean and neat </li></ul><ul><li>assists in ancillary areas (i.e. film library, patient escort) when patient examinations are not available </li></ul><ul><li>does not use the internet for entertainment purposes </li></ul>“ But MySpace threatened to close my account, I have to clean up my blog!”
  16. 17. Initiative/Dependability <ul><li>Remaining In Vicinity of Assigned Area </li></ul><ul><li>is immediately available to participate in exams performed in assigned room </li></ul><ul><li>let others know when you are leaving the department </li></ul>
  17. 18. Initiative/Dependability <ul><li>Seeking Opportunities for Clinic Practice </li></ul><ul><li>volunteers to perform patient examinations </li></ul><ul><li>asks questions pertinent to examinations performed </li></ul><ul><li>practices positioning when patient examinations are not available </li></ul><ul><li>practices equipment manipulation when patient examinations are not available </li></ul>“ But, I already comped on that.”
  18. 19. Acceptance of Constructive Commentary <ul><li>Acknowledges constructive commentary by: </li></ul>
  19. 20. Acceptance of Constructive Commentary <ul><li>Accepting Comments Graciously and Uses Them to Improve Performance </li></ul><ul><li>listens politely to comments </li></ul><ul><li>allows comments to be completed before responding </li></ul><ul><li>responds to comments in a professional manner </li></ul><ul><li>consults appropriate authority for mediation of problem areas </li></ul><ul><li>notes areas needing improving </li></ul><ul><li>while in clinic attempts to improve areas of weakness </li></ul>
  20. 21. Appearance <ul><li>Maintains a proper, professional appearance by: </li></ul><ul><li>Adhering To the Uniform Policy As Outlined In the Student Handbook </li></ul>
  21. 22. Appearance <ul><li>Keeping Uniforms and Shoes Clean and Neat </li></ul><ul><li>shoes are clean </li></ul><ul><li>uniform is freshly laundered </li></ul>
  22. 23. Attendance <ul><li>Acknowledges the need for responsible clinic attendance by: </li></ul>
  23. 24. Attendance <ul><li>Minimizing Absenteeism </li></ul><ul><li>is absent no more than three days in any one semester </li></ul><ul><li>PPS grade begins to lower after 1 to 2 absences </li></ul>
  24. 25. Attendance <ul><li>Reporting To Clinic on Time </li></ul><ul><li>is not late to clinical site </li></ul><ul><li>PPS grade begins to lower after 1 to 2 tardies </li></ul><ul><li>Remember…..your attendance record is the most inquired about attribute by future employers </li></ul>
  25. 26. Quality <ul><li>Produces radiographs of diagnostic quality by: </li></ul>
  26. 27. Quality <ul><li>Preparing the Radiographic Room Prior To Patient Arrival </li></ul><ul><li>has appropriate number of IRs </li></ul><ul><li>has prepared contrast media / consent forms if applicable </li></ul><ul><li>has enough lead shielding available </li></ul><ul><li>has anatomic markers, sponges, grids, tape, etc. </li></ul>
  27. 28. Quality <ul><li>Placing Proper Anatomic Marker and Patient Identification Information on the Film </li></ul><ul><li>right/left marker is visible and not in pertinent anatomy </li></ul><ul><li>date, patient name and number are visible </li></ul>
  28. 29. Quality <ul><li>Setting Appropriate Technical Factors </li></ul><ul><li>measure SID – no “guessing” </li></ul><ul><li>mAs and kVp to produce optimum contrast and density </li></ul><ul><li>focal spot size used to produce optimum detail </li></ul><ul><li>measures patient and consults technique chart </li></ul><ul><li>selects appropriate AEC cell </li></ul>
  29. 30. Quality <ul><li>Following Department Protocol for the Exam Requested </li></ul><ul><li>seeks to memorize departmental protocols </li></ul><ul><li>correct projections are taken for each examination </li></ul>“ I don’t need to write it down.”
  30. 31. Quality <ul><li>Maintaining a Repeat Rate That Is Consistent With Level of Knowledge and Skill </li></ul><ul><li>positioning patient properly </li></ul><ul><li>aligning the x-ray tube, patient and image receptor device appropriately </li></ul><ul><li>adjusting routine protocol for patient limitations </li></ul>
  31. 32. Quantity <ul><li>Maintains a high level of active participation by: </li></ul>
  32. 33. Quantity <ul><li>Performing Examinations in an Organized Manner </li></ul><ul><li>takes radiographs in a logical sequence that minimizes patient discomfort </li></ul><ul><li>prioritizes tasks to improve efficiency </li></ul>
  33. 34. Quantity <ul><li>Assisting Others When Not Busy </li></ul><ul><li>volunteers to help others </li></ul>“ But, I’m not going to be a file room clerk when I graduate.”
  34. 35. Quantity <ul><li>Performing Tasks at a Speed Consistent With Level of Education </li></ul><ul><li>speed at which successfully tested competency exams are performed gradually increases with added practice </li></ul>
  35. 36. Quantity <ul><li>Seeking Opportunities for Clinic Experience </li></ul><ul><li>volunteers to assist others </li></ul><ul><li>continues to practice previously completed competencies to increase skill </li></ul><ul><li>with assistance, attempts exams not yet competency tested </li></ul>“ But, I already have enough comps for the semester.”
  36. 37. Radiation Protection/General Safety <ul><li>Provides radiation/general protection for patients, others and self by: </li></ul>
  37. 38. Radiation Protection/General Safety <ul><li>Asking Female Patients of Child Bearing Age about the Possibility of Pregnancy </li></ul><ul><li>completes institutional pregnancy questionnaire </li></ul><ul><li>seeks appropriate action when possibility of pregnancy exists </li></ul>
  38. 39. Radiation Protection/General Safety <ul><li>Shielding Patients </li></ul><ul><li>shields all patients of childbearing age </li></ul><ul><li>may shield all patients upon request by patient or facility </li></ul><ul><li>places shield appropriately for each projection taken </li></ul>
  39. 40. Radiation Protection/General Safety <ul><li>Limiting the X-Ray Field to the Area of Interest </li></ul><ul><li>uses the smallest IR possible </li></ul><ul><li>collimates to the part </li></ul>
  40. 41. Radiation Protection/General Safety <ul><li>Using Appropriate Radiation Safety Methods for Self and Others </li></ul><ul><li>removes all unnecessary persons from the room prior to making the exposure </li></ul><ul><li>ensures all persons, other than the patient, in the room during radiographic exposure wear protective apparel </li></ul><ul><li>wears a personnel radiation monitoring devices </li></ul><ul><li>practices the principles of time and distance to reduce exposure </li></ul>
  41. 42. Radiation Protection/General Safety <ul><li>Transporting Patients without Accident or Injury </li></ul><ul><li>locking wheels on wheelchair before assisting patient in or out </li></ul><ul><li>driving transport vehicles safely </li></ul><ul><li>checking for tubing, lines, etc. before moving the patient </li></ul>“ I’m sorry nurse, I didn’t mean to pull out that IV line that took you two hours to put in.”
  42. 43. Radiation Protection/General Safety <ul><li>Transferring Patients without Accident or Injury </li></ul><ul><li>providing step stools for the patient </li></ul><ul><li>physically assisting the patient as needed </li></ul><ul><li>obtaining sufficient lifting help to transfer stretcher patients </li></ul>
  43. 44. Radiation Protection/General Safety <ul><li>Positioning the Patient and Equipment without Causing Further Injury to the Patient </li></ul><ul><li>provides pads, cushions etc. for patient comfort and safety </li></ul><ul><li>moves x-ray tube away from the table before assisting patient on and off </li></ul><ul><li>provides hand grips for the patient when available </li></ul><ul><li>cautions patient about grasping the edges of the table </li></ul><ul><li>gives clear instructions to the patient </li></ul>
  44. 45. Equipment Manipulation <ul><li>Properly and safely manipulating the radiographic and ancillary equipment by: </li></ul>
  45. 46. Equipment Manipulation <ul><li>Driving and Maneuvering Mobile Equipment </li></ul><ul><li>drives mobile units safely </li></ul><ul><li>maneuvers mobile units in and out of patient rooms or OR suites </li></ul>
  46. 47. Equipment Manipulation <ul><li>Operating Ancillary Equipment </li></ul><ul><li>turns oxygen on and off as necessary </li></ul><ul><li>prepares suction machine for usage </li></ul>
  47. 48. Equipment Manipulation <ul><li>Processing Radiographs Properly </li></ul><ul><li>feeds film into the processor correctly </li></ul><ul><li>processes radiographs properly </li></ul><ul><li>secures film bin before leaving darkroom </li></ul><ul><li>produces copies of radiographs </li></ul><ul><li>DR/CR/PACS </li></ul><ul><li>has understanding of software, image manipulation, and exposure protocol (S#, EI, etc.) </li></ul>
  48. 49. Patient Care <ul><li>Courteously provides patient care and comfort by: </li></ul>
  49. 50. Patient Care <ul><li>Properly Identifying the Patient </li></ul><ul><li>checks patient wristband </li></ul><ul><li>questions the patient to ascertain identity </li></ul><ul><li>matches patient information to examination request </li></ul>
  50. 51. Patient Care <ul><li>Assisting the Patient </li></ul><ul><li>helps patient with clothing changes </li></ul><ul><li>assists patient on and off x-ray table </li></ul><ul><li>provides patient help with bathroom needs </li></ul>
  51. 52. Patient Care <ul><li>Collecting Pertinent Clinical Data </li></ul><ul><li>completes any required institutional forms </li></ul>
  52. 53. Patient Care <ul><li>Providing Patient Education </li></ul><ul><li>explains examination preparation </li></ul><ul><li>explains examination procedure </li></ul><ul><li>answers patient questions to best of ability </li></ul>“ Oh, it’s just a little injection, no big deal.”
  53. 54. Patient Care <ul><li>Talking In a Voice That Is Appropriate In Tone and Volume </li></ul><ul><li>voice tone and volume are adequate for hearing under normal circumstances </li></ul>
  54. 55. Senior students <ul><li>meet with me when you are ready to begin modality rotations </li></ul><ul><li>comps are completed </li></ul><ul><li>approval of rotations by site / Pima </li></ul><ul><li>no more than four weeks at a time </li></ul>
  55. 56. Harborview <ul><li>4 week rotations </li></ul><ul><li>parking: pay in garage, take bus, locate street parking (limited) </li></ul><ul><li>expectations: be aggressive, be proactive, learn to adapt to patient condition/limitations quickly </li></ul><ul><li>can earn comps </li></ul><ul><li>turn in completed trauma objectives and evaluation </li></ul>
  56. 57. Children’s <ul><li>2 week rotations </li></ul><ul><li>parking: whale garage, lower levels (at least for first day) </li></ul><ul><li>radiology is located on the 4 th floor </li></ul><ul><li>expectations: observe first day or so, earn confidence from techs, let them know that you are ready to try something </li></ul><ul><li>can earn comps: let clinical instructor know which area you want more time in (x ray, fluoro, OR) </li></ul><ul><li>no objectives or evaluations to be completed </li></ul>

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