Radiation Therapy Handbook

ARKANSAS STATE UNIVERSITY COLLEGE OF NURSING AND HEALTH PROFESSIONS

Department of Medical Laboratory & Radiation Sciences

Student Handbook Radiation Therapy Program

Revised August 2026

 

 

TABLE OF CONTENTS

 

MISSION, PHILOSOPHY AND GOALS

University Mission                                                                                                    3

College of Nursing & Health Professions Mission                                              3

Program Philosophy                                                                                                3

Program Goals/Outcomes                                                                                      3

General Program Objectives                                                                                  4

GENERAL INTRODUCTION                                                                                             5

STUDENT POLICIES

Academic Advising                                                                                                   6

Academic Responsibilities and Standards                                                           6

Expenses                                                                                                                   8

Change of Address                                                                                                  9

Health                                                                                                                         9

Substance Abuse Policy & Procedures                                                                25

Student Records                                                                                                      25

Health and Safety                                                                                                    25

Student Counseling                                                                                                 25

Withdrawal from the Program                                                                                25

Dismissal from the Program                                                                                   26

Readmission to the Program                                                                                 26

Application for Registry Examination                                                                    27

Grievance Policy                                                                                                      27

Program Non-Compliance                                                                                      27

Social Media Guidelines                                                                                         27

CLINICAL POLICIES & PROCEDURES

Clinical Assignments                                                                                               29

Dosimeter                                                                                                                  30

Dress Code                                                                                                               30

Online Clinical Software                                                                                          31

Attendance                                                                                                                31

Weather                                                                                                                     31

MRI Safety                                                                                                                32

Clinical Course Requirements                                                                               33

Clinical Competency Objectives                                                                            34

Clinical Advising Program                                                                                       38

Clinical Supervision                                                                                                 38

Evaluations and Clinical Checklist                                                                         39

Clinical Rotation                                                                                                       39

Additional Clinical Rotations                                                                                   39

Cell Phone Policy                                                                                                     40

Criminal Background Checks                                                                                 40

CODE OF ETHICS                                                                                                              41

APPENDIX                                                                                                                            45

 

MISSION, PHILOSOPHY AND GOALS

University Mission

We pursue and share knowledge within a caring community that prepares students in challenging and diverse ways to become more productive global citizens.

College of Nursing & Health Professions Mission

The primary mission of the College of Nursing and Health Professions is to provide quality education to students and graduates in a variety of health disciplines. Teaching, research and scholarly activity, service, and professional and practice activities are the principle faculty roles in the College. Recognizing its unique position in the lower Mississippi Delta region, the College provides educational programs that are designed for upward mobility and lifelong learning based on the expressed needs of its varied constituencies.

Program Mission

The Radiation Therapy Program exists to produce competent entry-level radiation therapists for the practice of radiation therapy.

Program Philosophy

 

The Radiation Therapy Program is founded in the belief in the need for better educational opportunities in the changing health care profession of Radiation Therapy. Our program is based on the concept that education is a continuing process whereby the learner determines goals, clarifies values, and develops such discipline and understanding as best meets individual needs for self-actualization. Through specific general education courses, curriculum and clinical experiences, it is our goal to educate students for a professional career in which they can be successful.

 

Program Goals/Outcomes

 

1. Students will be clinically competent:

Outcomes

1. Students will be able to perform treatment procedures accurately
2. Students will be able to perform simulation procedures accurately

2. Students will communicate effectively:

Outcomes

1. Students will demonstrate written communication skills
2. Students will use effective oral communication skills

3. Students will develop critical thinking skills:

Outcomes

1. Students will be able to adapt standard radiation therapy techniques to varying clinical situations
2. Students will identify & assess effective treatment plans

4. Students will demonstrate professionalism:

Outcomes

1. Students will understand professional ethics
2. Students will demonstrate professional conduct

 

 

General Program Objectives

 

Graduates of the program in Radiation Therapy should exhibit the following terminal behaviors:

 

1. Deliver a planned course of radiation
2. Verify the mathematical accuracy of the
3. Calculate monitor units from a prescribed
4. Record and maintain treatment
5. Provide patient care and
6. Observe the clinical progress of the patient undergoing radiation
7. Detect any equipment malfunctions and report them to the proper
8. Practice radiation
9. Understand treatment methods and
10. Understand the different pathology and staging of
11. Understand the function of the equipment and treatment
12. Simulate and plan a prescribed course of
13. Construct beam-directional devices and immobilization
14. Assist in brachytherapy
15. Assist in calibration of equipment, quality assurance and in treatment planning
16. Participate in patient education

 

 

GENERAL INTRODUCTION

 

This handbook has been compiled to acquaint students with the policies and procedures utilized by the professional program in radiation therapy. It is the responsibility of the student to read the entire handbook.

 

Students enrolled in the Radiation Therapy Program are responsible for observing all policies and procedures stated in this handbook, in addition to any rules and regulations which are contained in the A-State Undergraduate Bulletin and/or the A-State Student Handbook. Failure to read this handbook does not excuse students from the requirements and regulations contained herein.

 

Students are expected to adhere to the highest standards of medical ethics in all periods of attendance in the clinical education centers. All clinical education centers, while separately located, are considered to be an integral part of the University campus. Any infraction of medical ethics in the clinical education center will be dealt with under appropriate disciplinary policy of the University. It is the student's responsibility to know what the appropriate policies and procedures are at each of the clinical education centers. This is covered during the orientation session.

 

 

STUDENT POLICIES

 

1.0         Academic Advising

 

Each radiation therapy student will be assigned to a faculty member who will act as his or her academic adviser. Each adviser will have regularly scheduled office hours which are posted and other hours by appointment.

 

If a student plans to seek employment in addition to carrying a full-time academic load, this should be discussed with his or her adviser. A realistic workload is recommended. Under no circumstances should employment schedules interfere with academic or clinical responsibilities.

 

Regularly scheduled classroom and clinical activities may not exceed 40 hours per week.

 

2.0         Academic Responsibilities and Standards

 

• Textbooks

 

Each student is responsible for purchasing the required textbooks before the second meeting of the class. Because the same textbook may be used again in later courses, it is strongly recommended that before selling books, a student consult the radiation therapy faculty who will be teaching future courses.

 

2.2         Assignments

 

Each student is responsible for completing all reading, written, and oral assignments made by the faculty. If a student is absent from class for any reason, he or she is still responsible for the material disseminated in class.

 

2.3         Classroom Etiquette

 

Each student is responsible for learning the content of any course in which he or she is enrolled and for respecting the rights of fellow students in the classroom.

 

The instructor has the right to request any disruptive student to leave the classroom. Continued misbehavior in the classroom is cause for disciplinary action.

The use of any tobacco product is prohibited in the classroom and/or in the laboratory.

 

Cell Phone – See cell phone policy 25.0

 

 

2.4         Course Syllabus

 

Within the first two class meetings of the semester each instructor is required to provide each student in the course with a syllabus. The syllabus will contain a description of the course, the goals and/or objectives of the course, the method of evaluating and grading students, make-up policy, and a description of written or oral assignments.

 

2.5         Evaluation and Grading

 

The program has established standards of grading that supersede the University's grading policy and that are consistent with the minimum passing score on the Radiation Therapy Registry.

 

The grading scale used is:

 

A =      93 - 100

B =      84 - 92

C =      75 - 83

Below 75 - Failing

 

Each instructor is responsible for determining academic achievement for each student in the course.

 

2.6         Standards of Academic Achievement

 

When the cumulative, semester, or session grade point average falls below 2.75, the student in radiation therapy will be placed on probation. At the end of the next semester or session of enrollment the cumulative grade point average must be at least 2.75 for the student to remain in the Radiation Therapy program.

 

A student who receives a grade below "C" in any of the Radiation Therapy courses may not continue in the Radiation Therapy Program. The policy and procedure for readmission into the Radiation Therapy Program is clearly outlined in the A-State Undergraduate Bulletin. This handbook also has a readmission policy (Student Policies, 12.0).

 

Clinical evaluations will be filled out each semester and may be used to set goals for future clinical assignments. Unsatisfactory process in the clinical education process can result in a failed clinic grade for that course. Unsatisfactory process includes poor student evaluation forms, non-completion of required clinical competency and proficiency exams, and/or poor attendance practices.

 

 

2.7         Cheating and Plagiarism

 

The maintenance of academic standards and integrity includes the obligation of honesty. A student who uses dishonest or deceitful means to obtain a grade is guilty of cheating; a student who submits another's work as his or her own without adequate attribution is guilty of plagiarism.

 

Copying and/or sharing test questions in any manner (written, photo, typed, screen saved, spoken etc.) is plagiarism, theft of intellectual material, and against department policy. Students will be removed from the program and receive an F for the course. Students will not be eligible for any MIRS programs if removed from a program.

 

Cheating and/or plagiarism will result in disciplinary action and may result in dismissal from the program. Each student will be required to sign the College Honor Code Contract as well as the Academic Honesty Policy and Clinical Experience Contract.

 

2.8         Copyright Violation

 

It is illegal to copy any copyrighted material unless permission has been obtained from the copyright owner. A student guilty of copyright violation may face sanctions by the Radiation Therapy Program, University, State and Federal authorities.

 

3.0         Expenses

 

In addition to the normal university tuition, fees, and book costs, a student in the Radiation Therapy Program will incur additional expenses. These expenses include, but are not limited to, the following:

 

Transportation

Each student is responsible for transportation to his/her assigned clinical      education center. Transportation and all costs incurred for travel to the clinical education centers is the sole responsibility of the student.

 

Uniforms

Each student is responsible for providing his/her own uniforms, including lab coat,   shoes, and name tag.

 

Hepatitis-B Vaccine

Beginning in the Fall Semester 1992, all students in the College of Nursing and    Health Professions must provide documented evidence of vaccination for Hepatitis-B. Vaccination consists of three separate doses of the vaccine, given at time zero, 1 month and 6 months. Optimal protection is not conferred until after the third dose. The student must start this series prior to entering the Clinical Education Center.

 

 

 

Liability Insurance

Proof of professional liability insurance is required before a student can begin clinical education. Forms to obtain liability insurance may be picked up in the office of the Program Director.

 

Dosimeter

Each student is required to purchase radiation monitoring devices (film badges) prior

to the beginning of procedure courses and clinical education. This one-time fee may

be given to the Program Director.

 

Criminal Background Check & Drug Screen

Arkansas State University College of Nursing and Health Professions requires background checks for students admitted to professional programs. This is to ensure compliance with agreements between the College and Clinical Facilities. Some facilities may require a drug screen to be able to participate in clinical rotations.

 

Online Clinical Software

All clinical recordkeeping will be done through an Online Clinical Software Reporting System. This will be an additional cost to student. All students are required to purchase this program since all clinical records will be done through this system. Students are responsible for maintaining their account and checking it daily to ensure their competencies, evaluations, and time records are updated.

 

Verified Credentials

Students must maintain and submit current health record requirements

for clinic Into Verified Credentials. Failure to maintain current vaccinations, etc. may cause Students to miss clinic and/or be ineligible to attend clinic as scheduled, which May result in

student inability to complete the program

 

4.0         Change of Address

 

The Department of Health Professions, Radiologic Sciences Programs and University registrar's office should be notified promptly of changes in name or address. Correct phone numbers should be filed with the Department of Health Professions and Radiation Therapy Program so that students can be reached in case of an emergency.

 

5.0         Health

 

• Health Examination

Students are required to submit a completed health form and to have a physical examination prior to entering the clinical education center. The required health form is to be completed by a physician and turned in to the Program Director before the beginning of the Fall semester. If at all possible, a health form is mailed to the student with the acceptance letter into the Radiation Therapy program so the student will have the opportunity during early summer to get it completed. If, however, the student does not receive one in the mail, there is a health form located in the appendix.

 

5.2         Health Care

The Student Health Center is open Monday through Friday for the benefit of students. A description of services and the hours of availability are listed in the Undergraduate Bulletin. Except for the services of the Student Health Center, the University assumes no responsibility for health care costs.

 

5.3         Illness

 

If the student is ill and unable to attend the clinical education center the Radiation Therapy clinical supervisor and Program Clinical Coordinator must be notified as soon as possible prior to the scheduled starting time. A student is expected to use good judgment in determining whether or not to attend the clinical education center because of illness. The student's time records must indicate the person notified and the time the call was made.

 

If the student is ill and can’t attend class, the Program Director should be notified prior to the start of class.

 

A student who has a communicable disease may be restricted from working with high risk patients. Examples of common communicable diseases include herpes simplex, strep, hepatitis, colds, and flu. If a student has a suspected communicable disease he/she should:

 

1. contact the clinical supervisor before reporting for

 

Communicable diseases may require that one or more of the following protective measures be taken. The student may be:

 

1. required to use reverse isolation techniques while working with non- high-risk patients.

 

2. reassigned to a non-patient care

 

3. relieved from clinical duty until he or she is no longer

 

5.4         Injury

 

Should a student become injured or acutely ill during the course of assigned clinical duties, the clinical education center to which that student is assigned will provide treatment and emergency care, with any charges for treatment being the sole responsibility of the student.

 

Any injury, however minor, occurring while on duty at the clinical education center must be reported to the clinical supervisor and the appropriate incident form completed with copies to the Program Director at A-State.

 

 

5.5         Health Insurance

Students are strongly encouraged to obtain individual health insurance coverage. Information on Student Health Insurance is available through the Office of Student Affairs, Administration Building. Professional liability insurance should not be misconstrued as including health insurance coverage.

 

5.6         Pregnancy

In compliance with the Nuclear Regulatory Commission (NRC) regulations, a female student who becomes pregnant has the option of whether or not to inform program officials of her pregnancy. If the woman chooses to voluntarily inform the officials of her pregnancy, it must be in writing and indicate the expected date of confinement (delivery). In absence of this voluntary written disclosure, a student cannot be considered pregnant.

 

If the student does voluntarily disclose her pregnancy, she does have the option of continuing the educational program without modification of interruption. Another option can include modification in clinical assignments.

 

If the pregnant student does choose to disclose her pregnancy, she will receive counseling and be required to sign a form releasing the university and the program of any responsibility should problems develop with the pregnancy.

 

At any point in time, the student may provide a written withdrawal of declaration.

 

5.7         Policy/Procedure Guidelines for Infection Control

 

INTRODUCTION

The policy guidelines herein are of a general nature and deal with HIV- related infections as well as other blood borne pathogens. They apply to all students/faculty in the College of Nursing and Health Professions (CNHP). Due to differences in the various programs, individual CNHP programs may have specific rules and/or guidelines that are modifications of those in the general policy, however, the specific policies of the various programs will be consistent in their intent with the guidelines noted herein. This policy shall be reviewed annually and modified as necessary based on the current information from the CDC and OSHA.

 

ADMISSIONS

The HIV/HBV (Human Immunodeficiency Virus/ Hepatitis B Virus) status of an applicant should not enter into the application process. Applicants applying for healthcare programs should, however, be informed that certain diseases may necessitate either a modification of their program, or in the extreme may necessitate their dismissal from a program if they cannot perform procedures and/or tasks that are considered essential to their educational experience.

 

 

RETENTION

If it is determined that a student is sero-positive for HIV/HBV or is clinically manifesting symptoms of either disease process, that student should receive counseling about personal health care concerns and about interaction with others, especially clients. The student should be counseled by a designated faculty member in his/her respective program. The function of the designated faculty member is to counsel the student as to whether the program of education should be modified, another educational program considered, or in the extreme, whether the student should be dismissed from a program because of the inability to perform procedures and/or tasks crucial to the educational program. When considering the possibility of modifying clinical experiences or whether to dismiss, the designated faculty member will request that the Infection Control Committee convene to consider the specific student situation.

 

INFECTION CONTROL COMMITTEE

The Infection Control Committee will be comprised of one representative from each of the programs in the College of Nursing and Health Professions. The dean will be charged with appointing faculty to serve on this committee after consultation with chairs or directors of the various programs. Once the committee is established, a chair shall be elected by the members. In addition, a community member who is an expert in infectious disease will be designated as a consultant to the committee.

 

The committee shall function to consider the specific student/faculty situations outlined in the HIV/HBV Guidelines. In addition, this committee will function to review the HIV/HBV Guidelines on an annual basis. The committee will coordinate annual instruction on Standard Precautions for the faculty. This committee will also serve the programs by making recommendations for infection control policy that may impact both the student and faculty populations. Information regarding such policy will be included in the various program's Student Handbook and the CNHP Faculty/Staff Handbook.

 

When the Infection Control Committee convenes to consider specific student/faculty situations, a timely response is in order. Individuals will be provided a letter outlining the committee recommendations within a one- week period after convening. During this time period the student/faculty person shall not engage in direct client contact. Should an individual wish to appeal the decision of the committee, the established University Grievance process should be followed (See A-State Student/Faculty Handbooks).

 

 

COUNSELING

It is the responsibility of the programs to provide counseling to a student/faculty member who is determined to be sero-positive for HIV/HBV or who manifests symptoms of either disease process. The counselor interaction with the student/faculty member should be reported to the Infection Control Committee only when the person's health status necessitates a modification in the clinical program or dismissal. It will be the responsibility of the counselor to verify that the student is aware of options for testing, counseling and health care. In addition, the counselor will verify that the student has been provided with specific information that relates to client contact.

 

The following information is provided in order to refer students when necessary to outside agencies for assistance and follow-up. This information should be reviewed and updated annually.

 

HIV Infection Services provided by A-State Student Health Center: Students at Arkansas State University who desire HIV testing may obtain this service free at the Student Health Center. The Center encourages appointments but will accept students on a walk-in basis. Pre- and post- test counseling is provided by certified CDC counselors. Specimens are sent to the Craighead County Public Health Department for testing.

 

The Student Health Center has developed a media library (videos, pamphlets) for persons coming in with questions about HIV infection. The Center is located directly across from the College of Nursing and Health Professions and can be reached at ext. 2054.

 

Services offered by the Public Health Department

The Craighead County Public Health Department is open from 8:00 a.m. until 3:30 p.m. for testing. The department offers pre- and post-test counseling as well as HIV testing. The cost of the service is $3.00 which pays the record maintenance fee. The Public Health Department can be contacted by calling 933-4585. Offices are located in the Arkansas Services Center on McClellan Drive.

 

An individual who desires testing should allow about one hour for the procedure because pre-counseling is extensive.

 

Services offered by Northeast Arkansas Regional AIDS Network (NARAN) This organization offers free confidential testing. Pre- and post-counseling is provided by certified counselors. They also provide direct care services to those persons who need them, including financial counseling. NARAN is also a network agency for persons living with AIDS. A referral can be made by contacting the office at 931-4HIV (4448). The office is located at 1000 S. Caraway in Jonesboro.

 

 

Services offered by Regional Aids Interfaith Network (RAIN)

Chapters of this organization do exist here in Northeast Arkansas. The program coordinator is Rev. Ed Pruitt, chaplain at Methodist Hospital in Jonesboro. This group provides spiritual and social support for the person with HIV infection and family members.

 

Other

The American Red Cross office now advertises the Arkansas HIV/AIDS Network. The office can be reached at 935-2437 and is located at 701 S. Union in Jonesboro. The group is funded by the C.D.C. whose primary goal is to provide HIV education to Arkansans. However, the Red Cross will provide information to those who call.

 

The counselor should not neglect to refer the student/faculty member to his/her private physician for guidance.

 

Students and faculty outside of Craighead County should seek specific referral information from the Chair of the Infection Control Committee or from a faculty member designated as counselor at the distant sites.

 

 

FREQUENTLY ASKED QUESTIONS ABOUT HEPATITIS B

 

1. How can HBV infection be detected?

 

1. Although most individuals do not have symptoms of infection, blood tests can accurately identify persons with either a chronic or resolved infection.

 

1. How does one become infected with HBV?

 

1. The virus is present in saliva and blood and is spread when these fluids come in contact with breaks in the skin or other body surfaces. Hepatitis B is approximately 100 times more contagious than HIV. There are certain groups of Americans who engage in activities that place them at risk, but many of the cases do not fit into these groups. Between 15 and 30% of cases in recent years (45,000 - 90,000) are newly infected persons who have no identified risk factors.

 

1. Who should be vaccinated?

 

1. Vaccination is recommended for health care personnel who have contact with blood and/or body fluids. Vaccination prior to training of health care professionals before such exposure occurs will decrease any risks related to unintentional injuries or exposures while they are learning health care techniques and processes.

 

1. How is the vaccine administered?

 

1. The standard recommendation for HBV is a 3-dosage procedure. The hepatitis B vaccine is inoculated intramuscularly, usually in the deltoid area. The first dose is followed by a second dosage inoculation 1 month after the initial dose. The last dose then is administered 6 months following the second dose. Ninety percent (90%) protection is usually achieved using this procedure.

 

1. How long will protection last?

 

1. Studies have shown that the initial 3-dose immunization series provides protection from HBV infection for years. All studies indicate that the immunity is long-term and may be lifelong.

 

1. Is post-vaccination screening for antibody production necessary?

 

1. Screening for antibody is advised for personnel at on-going risk for blood exposure to determine whether response to vaccinations has occurred and to aid in determining the appropriate post-exposure prophylaxis or the need for re-vaccination.

 

 

1. What is the rational for post-vaccination screening?

 

1. Individuals who do not produce antibodies or who do not complete the primary vaccination series should be re-vaccinated with a second 3-dose vaccine series or evaluated to determine whether they are HbsAg seropositive. Re-vaccinated persons should be tested for anti-HBs at the completion of the second series.

 

If they do not respond, no further vaccination series should be given and they should be evaluated for the presence of possible HbsAg (possible chronic HBV infection).

 

1. What happens is there is an exposure?

 

1. The need for post-exposure prophylaxis, vaccination, or both depends on the HbsAg status of the source of the exposure as well as the immunization status of the person exposed.

 

5.8         Guidelines for HIV/HBV Students/Faculty in the Laboratory/Clinical Setting

 

Note: This policy assumes that the HIV/HBV infected student/faculty member has been identified and is currently a member of a program.

 

In accordance with sections 503 and 504 of the Rehabilitation Act of 1973, schools must provide equal treatment to persons who have contracted the HIV/HBV virus. Furthermore, schools may not discriminate against any individual based on the perception that he/she is infected.

 

TRANSMISSION INFORMATION

All CNHP students and faculty will employ Standard Precautions while in the clinical setting. CNHP students will receive instruction and annual evaluation regarding transmission of blood-borne pathogens and the use of Standard Precautions. The Infection Control Committee will coordinate instruction on Standard Precautions for faculty on an annual basis. It will be the responsibility of faculty members to document annual instruction through the Infection Control Committee.

 

POLICY

Students, faculty, and staff with HIV/HBV should be allowed equal access, as long as their medical condition permits, to university facilities or campus activities, including participation in clinical experiences or other academic and social activities offered by the university.

 

All confidential medical information is protected by statute and any unauthorized disclosure may create legal liability. The duty of the health care providers to protect this confidentiality is superseded by the necessity to protect others in very specific circumstances.

 

 

An infected student/faculty who is symptomatic may be excluded from providing direct client care, determined on a CASE-BY-CASE basis by the Infection Control Committee. In addition, should an individual sero-convert and express concern regarding clinical practice, the committee will convene to review the case.

 

Any student who has a positive history of HIV/HBV probably should not participate as a source partner in on-campus laboratories for procedures involving needle sticks or other forms of vascular access. For criteria related to laboratory participation, see the specific program handbook.

 

EXPOSURE (Laboratory and Clinical)

 

Students and faculty in the College of Nursing and Health Professions may be exposed to blood borne pathogens such as HIV and HBV. In the clinical and classroom laboratory settings, students/faculty are expected to utilize Standard Precautions, hand washing and protective clothing/gear to prevent contact with blood and other potentially infectious materials.

 

Exposure incident means a specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious material that results from one's duties as a CNHP student or faculty member. An exposure incident involving a student/faculty member in the CNHP while in a clinical facility or campus laboratory is treated in a similar manner to any type of accident occurring within the agency.

 

Laboratory Post-HIV/HBV Exposure Protocol

 

Should a student or faculty member be exposed to HIV/HBV in an on- campus laboratory setting, the following post-exposure protocol is recommended:

 

1. The student will notify the faculty member supervising the learning experience. If the exposed individual is a faculty member, he/she will notify the chairperson of the specific program in the CNHP.

 

2. As soon as possible following the exposure, the college incident form will be completed by the faculty member/student.
3. The exposed individual will be referred to the Student Health Center for evaluation if the event occurs during operating hours. If the exposure occurs when the Health Center is closed, the faculty member will determine the individual's primary care options and refer the person to those resources.

 

4. It is recommended that both individual and source be tested for HIV and HBV when an exposure occurs. Testing will be conducted at the individual's expense.

 

 

5. It is recommended that post-exposure prophylaxis of those involved be directed by the individual's primary care providers at the individual's expense.

 

6. If there is a delay in reporting an exposure incident, it is recommended that the same protocol be followed.

 

Clinical Post HIV/HBV Exposure Protocol

 

If a student/faculty member is exposed to blood or other potentially infectious materials in the clinical environment, this protocol is to be followed:

 

1. The student will notify the clinical faculty. If the exposed individual is a faculty member, s/he will notify the chairperson of the specific program at the CNHP.

 

2. The student, clinical faculty or chairperson will notify the supervisor of the area where the exposure occurred. Thereafter, post-exposure protocols for the clinical institution will be followed.

 

3. The infection control staff member/epidemiologist of the clinical facility will be notified of the exposure immediately by the student or if possible by the clinical faculty member. If a faculty member has been exposed, this individual will notify the infection control staff/epidemiologist.

 

4. As soon as possible following a report of an exposure incident the clinical faculty and infection control staff/epidemiologist should provide the student with counseling about an immediate confidential medical evaluation and follow-up at the student's expense. In some instances the clinical facility may cover costs of treatment and testing as would be done for an In the case of a faculty member's exposure, the individual is expected to communicate directly with the infection control staff/epidemiologist. The medical evaluation and follow-up should include, at a minimum, the following requirements:

 

• Documentation of the route(s) of exposure and the circumstances under which the exposure incident occurred.

 

• Identification and documentation of the source individual unless the clinical facility staff establishes that the identification is unfeasible or prohibited by state or local law.

 

• The source individual's blood shall be tested as soon as possible after consent is obtained in order to determine HBV and HIV infectivity. If consent is not obtained, the clinical facility shall establish that the source individual's consent cannot be obtained. When the source individual's consent is

 

 

not required by law, the source individual's blood shall be tested and the results documented.

 

• When the source individual is already known to be infected with HIV or HBV, testing for the source individual's HIV or HBV status need not be repeated.

 

• Results of the source individual's testing shall be made available to the exposed individual who should also be informed of applicable laws and regulations concerning disclosure of the identity and infectious status of the source

 

• The exposed student/faculty member's blood should be tested as soon as possible after consent is Agencies which provide testing for HIV include:

Northeast Arkansas Regional AIDS Network (NARAN) (931-4HIV)

 

Craighead County Public Health Department (933-4585) Student Health Center (972-2054).

Additionally, the exposed individual has the option of utilizing their private physician for confidential testing.

 

• It is suggested that post-exposure prophylaxis be managed by the student/faculty member's personal healthcare provider.

 

• A copy of the OSHA Bloodborne Pathogens Standard (29 CFR 1910-1030) is accessible in this document (attached).

 

 

• Incident Report Form

 

COLLEGE OF NURSING AND HEALTH PROFESSIONS

Incident Report Form

 

 

Date:                                                           Time:      

Location:                                                                       

 

CLINICAL LABORATORY SCIENCES o COMMUNICATION DISORDERS o DISASTER PREP. & EMERGENCY MGMT o

NURSING o

NUTRITIONAL SCIENCE o

 

(On Campus/Off Campus)                                                                                  PHYSICAL THERAPY o

MEDICAL IMAGING AND RADIATION SCIENCES o

SOCIAL WORK o

Student:                                                                    Student ID Number                                         Description of Incident (Name all persons involved):

 

 

 

 

 

 

 

 

Witnesses of the Incident:

Action taken (notification of/by whom):

 

 

 

 

 

Review/Comments:

 

 

 

 

 

 

Does this need review by the Infection Control Committee? Yes No

 

Student                                                                                  Date

 

Faculty                                                                                   Date

Follow-up:

 

 

 

 

 

 

If more space is necessary, use additional pages or back of sheet. Two copies (one copy in student file; one in Departmental Office file).

 

 

5.10      HIPAA / HITECH Compliance Contract

 

            Protecting the Privacy of Patients’ Health Information

 

Overview: Each time a patient sees a doctor, is admitted to a hospital, goes to a pharmacist or sends a claim to a health plan, a record is made of their confidential health information. In the past, family doctors and other health care providers protected the confidentiality of those records by sealing them away in file cabinets and refusing to reveal them to anyone else. Today, the use and disclosure of this information is protected by a patchwork of state laws, leaving gaps in the protection of patients’ privacy and confidentiality.

 

Congress recognized the need for national patient record privacy standards in 1996 when they enacted the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The law included provisions designed to save money for health care businesses by encouraging electronic transactions, but it also required new safeguards to protect the security and confidentiality of that information. The law gave Congress until August 21, 1999 to pass comprehensive health privacy legislation. When Congress did not enact such legislation after three years, the law required the Department of Health and Human Services (HHS) to craft such protections by regulation.

 

In November 1999, HHS published proposed regulations to guarantee patients new rights and protections against the misuse or disclosure of their health records. During an extended comment period, HHS received more than 52,000 communications from the public. In December 2000, HHS issued a final rule that made significant changes in order to address issues raised by the comments. To ensure that the provisions of the final rule would protect patients’ privacy without creating unanticipated consequences that might harm patient’s access to care or quality of care, HHS Secretary Tommy G. Thompson opened the final rule for comment for 30 days. After that comment period, President Bush and Secretary Thompson allowed the rule to take effect on April 4, 2001, as scheduled, and make appropriate changes during the next year to clarify the requirements and correct potential problems that could threaten access to, or quality of, care. On July 6, 2001, HHS issued its first set of guidance to answer common questions and clarify confusion about the final rule’s provisions.

 

COMPLIANCE SCHEDULE

The final rule took effect on April 14, 2001. As required by the HIPAA law, most covered entities have two full years - until April 2003 - to comply with the final rule’s provisions.

The law gives HHS the authority to make appropriate changes to the rule prior to the compliance date.

 

COVERED ENTITIES

As required by HIPAA, the final regulation covers health plans, health care clearinghouses, and those health care providers who conduct certain financial and administrative transactions (e.g., electronic billing and funds transfers) electronically.

 

 

INFORMATION PROTECTED

All medical records and other individually identifiable health information used or disclosed by a covered entity in any form, whether electronically, on paper, or orally, are covered by the final rule.

 

CONSUMER CONTROL OVER HEALTH INFORMATION

Under the final rule, patients will have significant new rights to understand and control how their health information is used.

 

• Patient education on privacy protections. Providers and health plans will be required to give patients a clear written explanation of how the covered entity may use and disclose their health information.

 

• Ensuring patient access to their medical Patients will be able to see and get copies of their records, and request amendments. In addition, a history of non-routine disclosures must be made accessible to patients.

 

Receiving patient consent before information is released. Health care providers who see patients will be required to obtain patient consent before sharing their information for treatment, payment, and health care operations. In addition, separate patient authorization must be obtained for non-routine disclosures and most non-health care purposes. Patients will have the right to request restrictions on the uses and disclosures of their information.

 

BOUNDARIES ON MEDICAL RECORD USE AND RELEASE

With few exceptions, such as appropriate law enforcement needs, an individual’s health information may only be used for health purposes.

 

• Ensuring that health information is not used for non-health Health information covered by the rule generally may not be used for purposes not related to health care - such as disclosures to employers to make personnel decisions, or to financial institutions - without explicit authorization from the individual.

 

• Providing the minimum amount of information necessary. In general, disclosures of information will be limited to the minimum necessary for the purpose of the disclosure. However, this provision does not apply to the disclosure of medical records for treatment purposes because physicians, specialists, and other providers need access to the full record to provide quality care.

 

 

ENSURE THE SECURITY OF PERSONAL HEALTH INFORMATION

The final rule establishes the privacy safeguard standards that covered entities must meet, but it gives covered entities the flexibility to design their own policies and procedures to meet those standards. The requirements are flexible and scalable to account for the nature of each entity’s business, and its size and resources. Covered entities generally will have to:

 

• Adopt written privacy procedures. These include who has access to protected information, how it will be used within the entity, and when the information may be Covered entities will also need to take steps to ensure that their business associates protect the privacy of health information.

 

• Train employees and designate a privacy officer. Covered entities will need to train their employees in their privacy procedures, and must designate an individual to be responsible for ensuring the procedures are followed.

 

ESTABLISH ACCOUNTABILITY FOR MEDICAL RECORDS USE AND RELEASE

In HIPAA, Congress provided penalties for covered entities that misuse personal health information.

 

• Civil Health plans, providers and clearinghouses that violate these standards will be subject to civil liability. Civil money penalties are $100 per violation, up to $25,000 per person, per year for each requirement or prohibition violated.

 

• Federal criminal Under HIPAA, Congress also established criminal penalties for knowingly violation patient privacy. Criminal penalties are up to

$50,000 and one year in prison for obtaining or disclosing protected health information under “false pretenses”; and up to $250,000 and up to 10 years in prison for obtaining or disclosing protected health information with the intent to sell, transfer or use it for commercial advantage, personal gain or malicious harm.

 

BALANCING PUBLIC RESPONSIBILITY WITH PRIVACY PROTECTIONS

In limited circumstances, the final rule permits - but does not require - covered entities to continue certain existing disclosures of health information without individual authorization for specific public responsibilities.

 

These permitted disclosures include: emergency circumstances; identification of the body of a deceased person, or the cause of death; public health needs; research, generally limited to when a waiver of authorization is independently approved by a privacy board or Institutional Review Board; oversight of the health care system; judicial and administrative proceedings; limited law enforcement activities; and related to national defense and security.

 

 

All of these disclosures could occur today under existing laws and regulations, although the privacy rule generally establishes new safeguards and limits. If there is no other law requiring that information be disclosed, covered entities will use their professional judgments to decide whether to disclose any information, reflecting their own policies and ethical principles.

 

SPECIAL PROTECTION FOR PSYCHOTHERAPY NOTES

Psychotherapy notes (used only by a psychotherapist) are held to a higher standard of protection because they are not part of the medical record and are never intended to be shared with anyone else. All other personal health information is considered to be sensitive and protected consistently under this rule.

 

EQUIVALENT REQUIREMENTS FOR GOVERNMENT ENTITIES

The provisions of the final rule generally apply equally to private sector and public sector entities. For example, both private hospitals and government medical units have to comply with the full range of requirements, such as providing notice, access rights and requiring consent for routine uses.

 

COST OF IMPLEMENTATION

The final rule projected the implementation costs at $17.6 billion over 10 years - a figure more than offset by the $29.9 billion in projected savings under the final electronic transactions’ regulation issued in August 2000.

 

PRESERVING EXISTING, STRONG STATE CONFIDENTIALITY LAWS

As required by the HIPAA law itself, stronger state laws (like those covering mental health, HIV infection, and AIDS information) continue to apply. These confidentiality protections are cumulative; the final rule will set a national “floor” of privacy standards that protect all Americans, but in some state’s individuals enjoy additional protection. In circumstances where states have decided through law to require certain disclosures of health information, the final rule does not preempt these mandates.

 

COMPLIANCE AND ENFORCEMENT

The rule will be enforced by the HHS Office for Civil Rights (OCR). On July 6, OCR issued its first set of guidance to answer many common questions about the new patient privacy rule and to clarify some of the confusion regarding the rule’s potential impact on health care delivery and access. Before covered entities must comply with the rule, OCR will provide assistance to providers, plans and health clearinghouses in meeting the requirements of the regulation. The initial guidance and other information about the new regulation are available on the Web at http://www.hhs.gov/ocr/hipaa/.

 

Note: All HHS press releases, fact sheets and other press materials are available at http://www.hhs.gov/news.

 

 

• Substance Abuse Policy & Procedures

                         See Appendix N

 

• Student Records

 

The registrar's office maintains records of all didactic and related courses attempted and/or completed by all students. The following records are kept in the Department of Health Professions and the Radiation Therapy Program:

 

1. Radiation monitoring record
2. Attendance and clinical rotation records
3. Clinical competency records
4. Pre-admission high school and/or college transcripts
5. Advising documents

 

Under the Federal Family Educational Rights & Privacy Act of 1974 (Buckley Amendment), students have the right to inspect and review any and all official records, files and data pertaining to them.

 

 

        7.1       Health and Safety

 

Policies on emergency preparedness, campus safety, harassment, communicable diseases and substance abuse are located on the A-State Website as well as the A- State Student Handbook.

 

8.0       Student Counseling

 

The purpose of student counseling is to promote, assist, and maintain superior student performance. Feedback given in counseling persons may be used to identify areas of strength and weakness in student performance or behavior. All counseling sessions are documented and filed in the student's permanent folder.

 

9.0       Withdrawal from the Program

 

The following steps are necessary when withdrawing from the program:

 

1. The student should meet with the Program Director to discuss the withdrawal
2. The student should write a formal letter of resignation stating the reason for withdrawal. This letter will remain in his/her permanent file and will be considered in the event the student seeks readmission to the program at a later date.
3. The student will return the film badge that has been issued and any other material that may be on loan.
4. The student will follow University guidelines for completing the withdrawal process, securing the appropriate signatures when necessary.

 

If a student withdraws from a professional course, the student must withdraw from

the program.

 

10.0 Dismissal from the Program

 

There are conditions that will necessitate dismissal from the Radiation Therapy Program. These include, but are not limited to:

 

1. Failure to meet academic

 

2. Failure to demonstrate suitable progress in clinical

 

3. Patterns of behavior jeopardizing patient safety, individual or group progress, and/or contract agreement with the clinical affiliate.

 

4. Patterns of behavior indicating an attitude of irresponsibility to self, patient, profession, or University.

 

5. Cheating and/or

 

6. Physical or emotional conditions affecting ability to attain curricular

 

7. Falsification of any records or knowledge of such (i.e., time sheets, clocking in/out at clinical site using personal devices or computer workstation not located in the radiation therapy department, competency evaluations, etc.) related to the Radiation Therapy program.

 

8. Upon a clinical site’s request for a student to leave / not return to the

 

9. The unlawful and/or unauthorized use, abuse, possession, distribution, transportation

     manufacture, concealment, consumption, promotion or use of alcohol, illegal drugs,

     and legal drugs obtained illegally, controlled substance or designer drugs.

 

10. Lack of professional compatibility or unsafe clinical practice as identified by faculty.

 

11. Illegal possession of weapons

 

Dismissal will be based on the following:

1. Written documentation describing the offense and/or
2. Review of the student's performance records by the A-State faculty, and the Radiation Therapy Program Director.
3. A recommendation will be made in writing and discussed with the student and will become part of the student's permanent record. Any student wishing to appeal must follow the appeal process stated in the A-State Student

 

11.0 Re-admission to the Program

 

A student wishing to be readmitted to the program must make formal application to the program and to the University, if not currently enrolled. Readmission is granted on an individual basis, based on the student's previous records and the availability of space.

 

Readmission will be denied if:

1. the cumulative grade point average is lower than 75.
2. the student has received a final grade lower than "C" in the same course, or has received a grade lower than "C" in professional courses in two separate semesters in the same program
3. a clinical site will not allow the student to return to the facility
4. Students who fail one program twice, or two different programs, are no longer

eligible to enroll in MIRS programs.

 

1.         Application for Registry Examination

 

In the last semester of the program each student will receive an application form for the Registry exam. The ARRT rules and regulations require that candidates must have successfully completed a program of formal education before sitting for the exam. Additional information will be provided by the Program Director.

 

2.         Grievance Procedures

 

A grievance is a complaint alleging that one or more of the “academic rights of students” has been violated. Steps for filing a grievance are listed in detail in the A- State Student Handbook.

 

3.         Program Non-Compliance

 

If, during the course of your professional education, you feel the A-State Radiation Therapy Program does not comply with the Joint Review Committee on Education in Radiologic Technology Standards (see Appendix, Standards for an Accredited Educational Program in Radiologic Technology) you have the right to notify the JRCERT. Their address is: Joint Review Committee on Education in Radiologic Technology, 20 N. Wacker Dr. Suite 2850, Chicago, IL 60606-2901. Phone number: (312) 704-5300. OR www.jrcert.org

 

4.         Social Media Guidelines

 

Social media can be a way to share life experiences and opinions with others.   Use of social media presents risks and carries with its certain responsibilities.

 

Social media includes all means of communicating or posting information or content of any sort via the Internet or other electronic communication method. Social media includes both your personal or someone else’s personal web log/blog, journal, website, or chat room, and group interchanges such as Facebook, Twitter, or Linked-in and social media anonymous sites. You are solely responsible for what you post online. Inappropriate postings specific to patients, classmates or faculty that include discriminatory remarks, harassment or threats, or violations of professional codes of conduct are subject to disciplinary action.

 

Your actions could adversely affect your standing in your health professions program which could include program dismissal. CNHP Faculty/Staff Handbook 2015-2016 45

 

You should be aware that future employers may view potential candidate’s websites. Students are advised to review their site (s) for any unprofessional images or language which could adversely affect successful employment upon graduation. Please make responsible decisions about your use of social media.

 

 

CLINICAL POLICIES AND PROCEDURES

 

 

General Introduction

 

During each semester of the professional program in Radiation Therapy at Arkansas State University the student will be enrolled in a clinical course that requires attendance in the clinical education center in order to:

 

----     Acquire expertise and proficiency in a variety of radiation therapy clinical set ups.

 

----     Develop and practice work habits and appropriate interpersonal relationships with patients and other members of the health care team.

 

In the Clinical Education Center the student will be representing Arkansas State University, the College of Nursing and Health Professions, and the Radiation Therapy Program. The student is expected to conduct himself/herself in a professional manner at all times.

 

5.         Clinical Assignments

 

Each student is assigned to a specific area in the radiation therapy department at the Clinical Education Center (CEC). Assignments are arranged by the Clinical Coordinator and the assigned schedule must be followed closely by each student. All students are scheduled and rotated through various areas during the professional program so that they have an equal opportunity to perform all types set ups. A composite of all clinical assignments is maintained on each student to verify the equity of the assignments.

 

Clinical assignments will be on Mondays, Wednesdays, and Fridays.

 

It is logistically impossible to assign all students to the same clinical activities at the same time throughout the program. Thus, it is the students' responsibility to coordinate clinical course competencies with clinical assignments. In this manner, students progress at their own rate and engage in procedures related to their specific clinical assignment.

 

Students are required to clock in/out using Trajecsys from a computer workstation within the clinical site’s radiation therapy department. Students may not use personal devices (tablets, laptops, phones) to clock in/out from clinic, and doing so would be considered falsification of records and cause for removal from the program.  

 

Students will complete onboarding as required by the clinical site prior to arrival. It is the student’s responsibility to ensure that all onboarding documentation, vaccination requirements and any other documentation are submitted to the appropriate contact at clinical site in a timely manner. The student’s failure to submit the documentation as required may result in inability to attend and/or delay in beginning the clinic rotation. All clinical days must be completed by the last day of the semester, or the student will be unable to progress in the program.

 

Students are responsible for making sure that all documentation (both paperwork and electronic records) is accurate and submitted upon completion of the clinical site rotation. Failure to submit required documents within one week of following the completion of a clinical site rotation may result in a lowered or incomplete grade.

 

6.            Dosimeter

 

A dosimeter is provided to the student for the purpose of monitoring radiation exposure. Students will not be allowed in the clinical area without the film badge. The dosimeter is to be worn on the collar and is to be downloaded on or before the first of each month. Failure to download dosimeter can result in an additional clinic deviation. If a female student is pregnant, she will also wear a fetal monitor (baby badge) on her abdomen, also to be replaced every month. The A-State dosimeter IS NOT TO BE WORN when employed by a health care facility.

 

A radiation exposure report is made available each month to the students. Students must initial the monthly exposure report to ensure they are aware of their exposure (if any). If a student exceeds a reading of 30 millirems, and investigation of cause will occur and the student will be counseled regarding exposure. If a student exceeds a reading of 60 millirems, the student will be removed from clinical rotations while a formal investigation of cause will occur. After assurance of student safety has been established, the student will be allowed back in the clinical setting with no loss of clinical time on their record.

 

Proper care of the dosimeters is the responsibility of the individual student. Any discrepancy which might affect the film badge reading should be reported immediately to the Clinical Coordinator and Program Director.

 

Should a student come to the clinical area without a current dosimeter, that student will be asked to leave the clinical area and will receive an absence for that day.       

 

7. Dress Code

 

                        All students:

                       

1. Gray scrubs with the A-State Radiation Therapy logo on the upper left corner of the shirt will be the required uniform. Only solid white shirts may be worn under the scrub top.

 

2. White lab coats are required. Students may select any style they prefer.

 

3. Shoes must be predominately white, grey or black with matching shoe laces.

 

 

General Appearance:

 

1. A-State photo ID’s with the “Radiation Therapy Program” designation are to be worn in the clinical area at all times.

 

2. The A-State ID IS NOT TO BE WORN when employed by a health care

 

3. Hair should be neat/clean. Long hair should be pulled back, away from the

 

4. Personal hygiene is to be maintained at all

 

5. Plain wedding bands and watches (with a second hand) are the only recommended jewelry to be If ears are pierced, posts may be worn. Excessive body piercing is not allowed.

 

6. Uniforms must be kept clean and neat at all Shoes and laces should be kept clean.

 

7. Fingernails should be kept trimmed and neat, with no colored nail

 

8. All visible tattoos must be

 

9. Students should refrain from perfumed products out of respect for patient

 

10. Regulations regarding appearance are intended to foster Faculty reserve the right to regulate student appearance.

 

            19.0   Online Clinical Software

 

All clinical recordkeeping will be done through an Online Clinical Software Reporting

System. This will be an additional cost to students and will be paid through online clinical software program. All students are required to purchase this program since all clinical

records will be done through this system. Students are responsible for maintaining the

account and checking it daily to ensure their competencies, evaluations, and time records

are updated.

 

 

            20.0    Attendance

 

                        Students are required to be in attendance 100% of all assigned clinical days. Any days

missed will have to be made up before grades are due for that semester. The days missed

must be made up at the clinical education center at which they were missed. It is the responsibility of the student to check with the clinical supervisor at that clinical education

center to make sure the days they will make up are acceptable to that CEC.

 

 

 

Students will receive a reduction of 1 letter grade for every 3 deviations and/or absence during each semester. A deviation and/or absence includes arriving to clinic late and/or leaving early. If a student misses one hour or more of the clinical day, this will count as an absence. Any time missed will have to be made up and will still count as an absence. Comp time is not given.

 

The student is responsible for calling both the clinical site and the Clinical Coordinator when they are not going to clinic prior to 8 am. Failure to do so will result in 1 additional absence.

 

Clinical hours are from 8:00 a.m. until 4:00 p.m. The only exception to this is when:

 

1. mandatory warm-ups are being completed. (In this case, it is acceptable for the student to arrive at the clinical site when the therapist(s) will begin machine warm-up and leave early.)
2. all therapists in a department leave for the

 

In both cases, logs must reflect the reason for the discrepancy. 

 

Any days not made up by one day prior to the last day of grade submission will be unexcused and will result in a failing clinical grade, with the student unable to progress in the program. Extenuating circumstances will be at the discretion of the program Director.

 

Evidence of falsified clinical time records will result in immediate dismissal from the program, including changing and / or incorrectly reporting clock in/clock out times.

 

21.0   Weather

 

If the University closes for inclement weather then the student is excused from clinic for that day. If the University does not close for inclement weather but the local schools close in the area where the student is traveling to clinic, then the student is

encouraged not travel to clinic. This day will however; be required to be made up at

a later time.

 

• MRI Safety

 

                        Safety screening protocols for students in the magnetic resonance environment:

Students in the A-State Radiation Therapy Program will be trained in MRI safety

procedures including field strength, flux lines, projectile/missile effects, torque, tissue

heating and other safety issues through an MRI safety presentation presented by the

A-State Program Director of the MRI program during their Introduction to Radiation

Therapy and Patient Care course (RST 4203). During this presentation, student will practice

using the MRI screening form to ensure understanding of MRI safety. This presentation

will be given during the first week of classes to ensure all students are prepared for any

interactions they may have in an MRI environment. The program director will review the

forms to ensure there are no contraindications for student to enter the MRI suites.

If there are contraindications noted, student will be counseled and not be allowed to

enter an MRI suite during their clinical rotations.

 

 

 

                23.0  Clinical Course Requirements

 

RADT 44603, 44703, and 44533

 

Miscellaneous Policy Concerns and Proposals

 

Any student attending less than 100% of scheduled clinical hours prior to the last day of grade submission will receive a failinggradeforthatclinicalcourse,regardlessofthenumberofcompetency objectives achieved and will be unable to progress (continue) in the program.

 

Clinical grade will be comprised of the following:

 

Comps / Proficiencies Evaluations

Clinical Experience (Folder, journals, case studies, labs, etc.)

 

Syllabi will be distributed every semester with details on grade composition. Evaluation criteria for Clinical Competency Objectives as well as Student Clinical Evaluations are clearly stated on the forms included in this handbook and will be discussed during orientation by the Program Director.

 

All clinical courses reflect a 7:1 ratio of clock hours to credit hours. Student clinical hours are from 8:00 am to 4:00 pm. Students are responsible for their own transportation and any costs associated with travel.

 

Clinical education centers include:

• Bernard’s Medical Center – Jonesboro, AR
• NEA Baptist Memorial Hospital – Jonesboro, AR
• Poplar Bluff Regional Medical Center – Poplar Bluff, MO
• White River Medical Center – Batesville, AR
• Jude Children’s Research Hospital- Memphis, TN
• Methodist University- Memphis, TN
• West Cancer Center and Research Institute- Germantown, TN
• Highlands Oncology- Rogers, Fayetteville, Springdale and Rogers, AR
• UAMS Health Proton Center of Arkansas- Little Rock, AR

 

                        All students will receive fair and equitable rotations to include all equipment types.                                                  

 

                 24.0  Clinical Competency Objectives      

 

                       24.1   Students will observe and participate in machine warm-ups at two times

                                 during the Fall semester. Students will observe and participate in machine

                                 warm-ups three times in the Spring semester.

 

                       24.2  The following competencies are the minimum competencies required. Completing

                                 the minimum competencies required. Completing the minimal number of

                                 competencies each semester will result in a grad of 84% (B) towards the

                                competency component of the grade. An additional five (5) competencies

                                will result in a grade of 100% (A) towards the competency component

                                    of the grade.

 

• Students will perform all 27 clinical competencies required by the ARRT as  listed below. Please note that a Knowledge Assessment must be filled out PRIOR to the competency to show knowledge of the competency. If a knowledge assessment is not entered into Trajecsys prior to the competency, the competency will not be valid.

 

• For the Fall semester, students will perform at least 10 of the required competencies and 10 proficiency exams. Proficiency exams are any exams the student feels competent in performing. They can be duplicated from the required competencies, but have to be 10 separate exams from the required competencies. This is for an 84%. For 100% the student must complete 10 required competencies and 15 proficiencies. Students must get a minimum of 3 proficiencies at each clinical rotation.

 

• For the Spring semester, students will perform at least 10 required competencies and 10 proficiency exams. This is for an 84%. For 100% the student must complete 10 required competencies and 15 proficiencies.

 

• For the Summer Semester, students must complete the remaining 7 required competencies and 10 proficiency exams. This is for an 84%. For 100% the student must complete 7 required competencies and 15 proficiencies.

 

• All 27 procedures must be evaluated by a qualified Radiation Therapist and will be part of the student’s clinical grade.
  • Competency verification is required for select treatment comps per the VERT system by a member of the Program Faculty.
  • Select required treatment competencies performed in the clinical setting will be verified through the use of the final competency evaluation performed by the program director/the clinical coordinator using the VERT system to determine final pass/fail for the If the student does not pass the final competency, the attempted competency must be performed again in the clinical setting. The competency will not be considered valid until it is verified within the clinical software. (simulation and participatory comps not included). Demonstration of competence should include variations of patient characteristics such as age, gender and medical condition.

 

 

Mandatory or Required Treatment Competencies:

 

Breast

Tangential only

Tangential with Supraclavicular

Tangential with Supraclavicular + Posterior Axilla Boost

Special set up (e.g., photon or electron boost, prone, IMRT, gating) Head and Neck

Multi-field Thorax

Multi-field (non-IMRT) IMRT and/or arc therapy

Brain

Primary Metastatic

Abdomen

Multi-field Pelvis

Multiple field –Supine Multiple field- Prone

Skeletal

Multi-field spine Extremity

Electron Fields

Single Photon or Electron

Abutting fields

 

• Multi-field includes two or more fields, and may include 3D conformal, IMRT, and/or arc therapy.

 

Simulation Procedures:

Student responsibility for competency should include the following levels of responsibility: Perform, discuss and review:

 

1. Brain
2. Head and Neck
3. Thorax
4. Breast
5. Pelvis
6. Skeletal Participatory Procedures:
7. Total Body Irradiation (TBI)
8. Craniospinal (CSI)
9. Brachytherapy
10. SBRT/SRS Treatment
11. Special Treatment Simulation Procedure (e.g., 4D CT, SBRT, Gating or Brachytherapy)

 

 

 

The following are ARRT mandatory competencies that must be completed before the student can be eligible for graduation from the program. These are not counted toward required number of treatment competencies but are still required.

 

Dosimetry

 

Competency required: (will be completed during physics rotation)

 

Perform calculations for each of the following:

 

1. Single fields
2. Parallel opposed fields
3. Weighted fields
4. Wedged fields
5. Computer generated isodose plans
6. Electron field

 

 Treatment Accessory Devices

 

Competency required:  (will be completed during the simulation rotation)

 

Fabricate the following beam modification devices:

 

• Custom Bolus
• Custom Immobilization devices

   (foaming agents, vacuum bags, etc.)

• Thermo plastic mold
• Custom Block Process (photon or electron)* *may or may not include actual block fabrication (e.g., third party outsourcing)

 

 

General Patient Care

 

Competency requirement (will be completed during the nursing rotation)

 

Perform the following general patient care procedures:

• CRR-BLS
• Vital signs (blood pressure, pulse, respirations and temperature)
• O2 administration
• Patient Transfer techniques

 

                                Students will also have to be certified in CPR

 

Quality Control Procedures

 

Competency requirement (will be done with physicist during QA testing)

 

Perform the following QA procedures:

 

1. Linear Accelerator beam output and symmetry
2. Linear accelerator laser alignment
3. Linear acceleratory imaging systems
4. Simulator laser alignment
5. Simulator QA Water Phantom

 

 

            Machine Warm Up

           

                        Perform the following Warm-up procedures:

 

                          Linear Accelerator:

• 2 Fall Semester and 3 Spring Semester

 

                             CT Simulator:

• 2 during CT simulation rotation

 

 

 

 

25.0      Clinical Advising Program

 

All students enrolled in radiation therapy clinical education are evaluated and advised regarding their ability to care for patients in a professional and ethical manner. The advising program is conducted via several documents:

 

1. “Significant Incident Record” forms are to be utilized by anyone to document any positive or negative educational experiences of the In most cases students are expected to assist in obtaining positive records while negative experiences are usually documented by clinical education center staff or university faculty.

 

1. “Clinical Evaluation” forms are used by radiation therapists to give students and faculty an opinion of the students' trends in professional attitudes and behavior. Students do not see these actual forms but are supplied with a composite each semester.

 

1. All records of the Clinical Advising Program will be destroyed after graduation except that which document mandatory advising sessions or dismissal from the program.

 

26.0    Clinical Supervision

 

Students are not to operate the equipment with a patient in the room at any time without a registered radiation therapist present (direct supervision). It is the responsibility of the therapist to enter the room immediately upon completion of the patient’s treatment.

 

Students are allowed to operate the controls and set the machine ONLY if the student and therapist both feel confident the student is ready and the student has received both didactic and clinical evaluation. The therapist must be present and check the student (direct supervision).

 

To perform treatment competencies, students must be working at console including actively participating in image acquisition and registration as well as determining shifts. Actual delivery of treatment is not required.

 

 

27.0      Evaluations and Clinical Checklist

 

Upon completion of the student’s assigned rotation in each particular clinical setting, the student must be able to complete the Competency Objectives as outlined on the form incorporated into this handbook.

 

There are certain objectives and criteria for each particular area of rotation for the student. The forms for the clinical competency evaluations and the Clinical Competency Objectives will be discussed during orientation by the Program Director.

 

In addition, the student will be clinically evaluated by the therapist on the machine/clinical assignment to which the student is assigned. The student’s Clinical Evaluation Form to be filled out by the therapist is also included in this handbook and will be discussed in Orientation. The student will also fill out an evaluation for the clinical instructor he/she was assigned to.

 

It is the student’s responsibility to fill out the Clinical Checklist included in this handbook for each machine/clinical assignment they are assigned. The Clinical Checklist is to be kept daily and marked according to the set-ups and procedures the student has observed or performed each day.

 

It is the student’s responsibility to have the Clinical Checklist, Student Clinical Evaluation Form, and Competency Objective Forms completed by the end of each rotation. The last week of the rotation or when the student feels confident to challenge the objective the student must contact the Radiation Therapist/Clinical Instructor to be clinically evaluated on the competency objective.

 

At the end of each rotation, the student is responsible for making sure all clinical documents have been completed online by the appropriate individuals. Failure to ensure completion of all forms will result in a penalty to student’s clinical grade.

 

At the end of each clinical rotation, the student will fill out a Clinical Affiliate Evaluation Form for each clinical site he/she visited.

 

28.0      Clinical Rotation

 

The student’s first few days on a new clinical rotation should be used for observation. This gives the student time to learn the setups, equipment and routine of the machine.

 

29.0    Additional Clinical Rotations

 

In addition to the routine machine rotations and simulator rotations, students will also do a 1-week rotation through the nursing department of the Ben E. Owens Cancer Treatment Center at St. Bernard’s Regional Medical Center. This will allow the student to experience the initial visit of the patient as well as follow up appointments after the treatment. It also allows the student to recognize and report abnormal blood work as well as weekly monitoring of weight.

 

 

 

The student will also do a clinical rotation through the physics/dosimetry department at the various CEC’s. This will allow the student to participate in treatment planning, learning to read isodose curves, calculate monitor units, and chart checks.

 

Students may also be required to participate in any type of special procedures that may become available when the student is in that particular site. This could include brachytherapy and/or proton therapy.

 

 

30.0      Cell Phone Policy

 

Classroom:

Cell phones are not to be used during class time. Cell phones should not ring during class. If the student has an emergency that they need to respond to they can leave the class quietly and be allowed to return. If there is an emergency during the class period, you may be reached through the Radiologic Sciences office at 870-972-3073. If the student’s cell phone rings during class, you will be asked to leave the classroom and not be allowed to return for that class period, which will result in an unexcused absence (meaning no makeup work allowed).

 

Clinic:

All cell phones are to be turned off while the student is in the clinical site. They are not to be carried on the student at all. They must be put away at a location other than on the student. You may use phones during breaks away from patient care areas. Any student caught carrying their cell phone in clinic will be subject to being asked to leave clinic and will result in an unexcused absence.

 

31.0      Criminal Background Checks:

 

Criminal background checks will occur on each student accepted into the program. Students will be responsible for the costs associated with the background check. Proof of compliance will be required before students can be placed in clinical assignments. Each clinical site will have an individual policy regarding background checks. Clinical sites will be the only ones able to access the criminal background check information. No A-State faculty or program director will know the results of the criminal background check. If a clinical site chooses to deny clinical access to a student, then it is the responsibility of the program director/clinical coordinator to re assign that student to a different clinical site based on clinical availability. If a student cannot fulfill his/her clinical requirements, he/she may not be able to graduate from the program.

 

 

AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS CODE OF ETHICS

 

1. The Radiologic Technologist acts in a professional manner, responds to patient needs and supports colleagues and associates in providing quality patient care.

 

2. The Radiologic Technologist acts to advance the principal objective of the profession to provide services to humanity with full respect for the dignity of mankind.

 

3. The Radiologic Technologist delivers patient care and service unrestricted by concerns of personal attributes or the nature of the disease or illness, and without discrimination, regardless of sex, race, creed, religion or socio-economic status.

 

4. The Radiologic Technologist practices technology founded upon theoretical knowledge and concepts, utilizes equipment and accessories consistent with the purposes for which they have been designed, and employs procedures and techniques

 

5. The Radiologic Technologist assesses situations; exercises care, discretion and judgement; assumes responsibility for professional decisions; and acts in the best interest of the patient.

 

6. The Radiologic Technologist acts as an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment management of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the profession.

 

7. The Radiologic Technologist utilizes equipment and accessories, employs techniques and procedures, performs services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing radiation exposure to the patient, self, and other members of the healthcare team.

 

8. The Radiologic Technologist practices ethical conduct appropriate to the profession and protects the patient’s right to quality radiologic technology care.

 

9. The Radiologic Technologist respects confidences entrusted in the course of professional practice, respects the patient’s right to privacy, and reveals confidential information only as required by law or to protect the welfare of the individual or the

 

10. The Radiologic Technologist continually strives to improve knowledge and skills by participating in continuing education and professional activities, sharing knowledge with colleagues and investigating new and innovative aspects of professional

 

 

CODE OF ETHICS

FOR RADIATION THERAPISTS

 

 

1. The radiation therapist advances the principal objective of the profession to provide services to humanity with full respect for the dignity of mankind.

 

2. The radiation therapist delivers patient care and service unrestricted by concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion, or socioeconomic status.

 

3. The radiation therapist assesses situations; exercises care, discretion and judgement; assumes responsibility for professional decisions and acts in the best interest of the

 

4. The radiation therapist adheres to the tenets and domains of the SCOPE OF PRACTICE FOR RADIATION THERAPISTS.

 

5. The radiation therapist actively engages in lifelong learning to maintain, improve and enhance professional competence and knowledge.

 

 

THE PATIENT’S BILL OF RIGHTS

 

The Patient’s Bill of Rights was designed to inform patients of their rights while in a hospital. As radiation therapists who will be experiencing clinical education in several hospitals, you are obligated to respect these rights.

 

1. The patient has the right to considerate and respectful

 

1. The patient has the right to obtain from his physician complete current information concerning his diagnosis, treatment, and prognosis in terms the patient can be reasonably expected to When it is not medically advisable to give such information to the patient, the information should be made available to an appropriate person in his behalf. He has the right to know, by name, the physician responsible for his care.

 

1. The patient has the right to receive from his physician information necessary to give informed consent prior to the start of any procedure and/or treatment. Except in emergencies, such information for informed consent should include, but not necessarily be limited to, the specific procedure and/or treatment, the medically significant risks involved, and the probable duration of incapacitation. Where medically significant alternatives for care of treatment exist, or when the patient requests information concerning medical alternatives, the patient has the right to such information. The patient also has the right to know the name of the person responsible for the procedure and/or treatment.

 

1. The patient has the right to refuse treatment to the extent permitted by law ant to be informed of the medical consequences of his action.

 

1. The patient has the right to every consideration of his privacy concerning his own medical care program. Case discussion, consultation, examination, and treatment are confidential and should be conducted discreetly. Those not directly involved in his care must have the permission of the patient to be present.

 

1. The patient has the right to expect that all communications and records pertaining to his care should be treated as confidential.

 

1. The patient has the right to expect that within its capacity, a hospital must make reasonable response to the request of a patient for services. The hospital must provide evaluation, service, and/or referral as indicated by the urgency of the case. When medically permissible, a patient may be transferred to another facility only after he has received complete information and explanation concerning the needs for and the institution to which the patient is to be transferred must first have accepted the patient for transfer.

 

1. The patient has the right to obtain information as to any relationship of his hospital to other health care and educational institutions insofar as his care is concerned. The patient has the right to obtain information as to the existence of any professional relationships among individuals, by name, who are treating him.

 

 

1. The patient has the right to be advised if the hospital proposes to engage in or perform human experimentation affecting his care or The patient has the right to refuse to participate in such research projects.

 

1. The patient has the right to expect reasonable continuity of He has the right to know in advance what appointment times and physicians are available and where. The patient has the right to expect that the hospital will provide a mechanism whereby he is informed by his physician or a delegate of the physician of the patient’s continuing health care requirements following discharge.

 

1. The patient has the right to examine and receive an explanation of his bill, regardless of source of payment.

 

1. The patient has the right to know what hospital rules and regulations apply to his conduct as a patient.

 

Joint Review Committee on Education in Radiologic Sciences Standards for Educational Programs:

 

Standard One: Integrity

The program demonstrates integrity in the following: representations to communities of interest and the public, pursuit of fair and equitable academic practices, and

treatment of, and respect for, students, faculty, and staff.

 

Standard Two: Resources

The program has sufficient resources to support the quality and effectiveness of the educational process.

 

Standard Three: Curriculum and Academic Practices

The program’s curriculum and academic practices prepare students for professional practice.

 

Standard Four: Health and Safety

The program’s policies and procedures promote the health, safety, and optimal use of radiation for students, patients, and the general public.

 

Standard Five: Assessment

The program develops and implements a system of planning and evaluation of student learning and program effectiveness outcomes in support of its mission.

 

Standard Six: Institutional/Programmatic Data

The program complies with JRCERT policies, procedures, and STANDARDS to achieve and maintain specialized accreditation.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPENDIX

 

 

ARKANSAS STATE UNIVERSITY RADIATION THERAPY PROGRAM

Counseling Document Form

Student:                                                                                                        Date:         /       /     

 

Faculty Advisor:

Reasons for Counseling

Suggestions for Corrective Action

Faculty Advisor’s Comments

Student’s Comments

 

 

Faculty Advisor Signature                                             Student Signature

 

 

ARKANSAS STATE UNIVERSITY RADIATION THERAPY PROGRAM

 

CLINICAL EDUCATION CENTERS

CLINICAL SUPERVISORS/CLINICAL INSTRUCTORS

 

Program Director / Clinical Coordinator:

Tracy White / Jody Nutt

 

Ben E. Owens Cancer Treatment Center

St. Bernard’s Medical Center Jonesboro, AR

 

Clinical Supervisor:

Tonya Harris, BSRS (R)(T)

 

Clinical Instructors:

Cynthia Andrews, BSRS (T)

Jade Ball, BSRS(T)

Mike Cox, CMD

Kristen Neiswander, BSRS (R)(T) William Weaver

Joanna Whitlatch, RTT

Chandra Woodard, BSRS (R)(T) Holly Young, RTT

 

Danny Bell Cancer Treatment Center Poplar Bluff Regional Medical Center Poplar Bluff, MO

 

Clinical Supervisor:

                                       Brittany Baldwin, BSRS (R)(T)

Clinical Instructors:

Sarah Headd, RT (R)(T)

 

 

Fowler Family Center for Cancer Care

NEA Baptist Medical Center Jonesboro, AR

 

Clinical Supervisor:

Amy Tillman, BSRS (R)(T)

 

Clinical Instructors:

                       Hannah Montgomery, BSRS (R)(T)

                       Laura Bass, BSRS (R)(T)

David Domino, BSRS (R)(T) Dustin King, CMD

Kari Simmons, BSRS (R)(T)

 

           

Methodist University

Memphis, TN

 

Clinical Supervisor:

Megan Westmoreland RT(T)

 

Clinical Instructors:

Anna Hermsdorfer RT(T)

Tonia Jones RT(T)

Kelly Middleton BSRS(R)(T)

 

 

 

St. Jude Children’s Research Hospital

Memphis, TN

 

Clinical Supervisor:

Laura Jolovic, (T)

Mary Beth Wainwright, (T)

 

Clinical Instructors:

AndrewSaunders,BSRS(R)(T) Hanna Smith, BSRS (T)

Logan Snyder, BSRS (R)(T) Grant Townsend, BSRS (R)(T)

 

            West Cancer Center and Research Institute

Germantown, TN

 

Clinical Supervisor:

Angela Goetz

 

Clinical Instructor: Kristen Day, RT(T)

 

 

 

White River Medical Center Cancer Care Center

Batesville, AR

 

Clinical Supervisor:

Angie Odom, BSRS (R)(T)

 

Clinical Instructor:

Beth Willfond, BSRS (R)(T)

 

 

 

                      

ARKANSAS STATE UNIVERSITY RADIATION THERAPY PROGRAM

 

ROOM ORIENTATION CHECKLIST

 

Student                                                       Date                                                                 

 

CEC                                                              Room                                                              

 

Radiation Therapist                                                                                           

 

Student working in a radiation therapy room should be oriented to the following:

 

ROOM EQUIPMENT	YES	NO
1. Main breaker switch
2. Emergency off buttons
3. Wedges
4. Electron cones
5. Bolus
6. Table controls
7. Gantry Controls
8. Linens
9. Immobilization devices
10. Custom blocks
11. Storage area for accessories (Ex. emesis basin, gloves, etc.)
12. Radiation safety devices
13. Quality Assurance procedures/ devices
14. Any additional information not listed above:

 

 

ARKANSAS STATE UNIVERSITY RADIATION THERAPY PROGRAM

 

Department Orientation Checklist

 

Topic	Yes	No
1. Codes relevant to institution (Fire, Patient, Emergency)
2. Hazards (Fire, Chemical, Electrical, block room)
3. Review Direct Supervision Policy
4. Location of Crash Cart
5. Rules and Regulations of Department
6. Radiation Safety Policies
7. Tour of Department
8. Department Chain of Command
9. Incident Report Policy
10. HIPAA
11. Lunch Breaks/ Parking
12. Expectations of Students
13. Emergency Preparedness
14. Harassment
15. Communicable Diseases/ Standard Precautions
16. Substance Abuse

 

 

Clinical Supervisor Signature                                                             Date                                

 

Clinical Education Center                                                                                                             

 

Student Signature                                                                         Date                                       

 

 

 

 

 

 

ARKANSAS STATE UNIVERSITY RADIATION THERAPY PROGRAM

Knowledge Assessment

 

Name:                                                                                            Date:                                     

 

Competency:                                                                                                                               

 

 

Competency:
1.	Discuss how patient is traditionally positioned for this competency:
2.	What immobilizations devices are generally used for this competency:
3.	What is the most common pathology / histology for this competency:
4.	What is the common dose (total and daily) and fractionation scheme for this competency:
5.	What are some common critical structures within the treatment fields for this competency?
6.	Discuss if this competency is generally treated as IMRT, Non IMRT, VMAT, or SRT and why?

 

 

ARKANSAS STATE UNIVERSITY RADIATION THERAPY PROGRAM

Competency Evaluation

 

Student Name:                                                                           Date:                                                       

 

Procedure:                                                                         Clinical Site:                                         Circle One:                            Circle One:

Required Comp or Proficiency                                                                          Patient or Simulated Exam

Please rate the student during their demonstration of a “Competency” procedure: 5 – Outstanding

4 – Above average but needs further experience/ learning 3 – Average performance

2 – Needed excessive assistance or time 1 – Competence not demonstrated

The Student:

 

1. Interacted and communicated in a professional manner	Yes	No
with the patient and correctly identified patient with 2 patient identifiers
2. All machine parameters were set correctly and double checked	Yes	No
3. Positioned the patient accurately and with sensitivity to the	Yes	No
patient’s condition
4. Chose correct immobilization devices and used them properly	Yes	No
5. Accessory devices placed, changed and removed correctly when	Yes	No
needed
6. Manipulates both in room and console equipment with efficiency	Yes		No
Including taking port films when needed
7. Correctly sets and reads SSD’s when required	Yes		No
8. Actively participates in image acquisition and registration and makes     appropriate patients shifts as needed	Yes		No
9. Monitors patient during treatment	Yes		No
10. Accurately identifies tumor volumes	Yes		No
11. Documented procedure by using the Record & Verify system	Yes		No
12. Demonstrated respect and compassion for the patient	Yes		No
13. Practiced radiation protection and safety	Yes		No
14. Performed the procedure with confidence	5	4	3	2	1
15. Was able to discuss all aspects of treatment procedures including dose              verification.	5	4	3	2	1
16. Was able to identify anatomy within the area being treated	5	4	3	2	1
17. Was able to identify critical structures and their TD 5/5’s.	5	4	3	2	1
18. Answered all other technical questions asked in regards to the	5	4	3	2	1
treatment side effects, patient management and patient education

 

Clinical Instructor Signature                                                               Student Signature                 Date

*Clinical Instructors may assist the student under the student’s direction.

*Grading:

• Any “No” response = failure to successfully complete the Competency
• Any grade less than 3 = failure to successfully compete the Competency

 

 

 

 

 

Date