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<strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong><strong>Of</strong> <strong>Radiologic</strong> <strong>Technology</strong><strong>2011</strong>-2012STUDENT HANDBOOKVol. XVI


Table of ContentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Mission Statement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Purpose. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3Program Objectives . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4Program Goals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6ADA Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6VA Approved <strong>School</strong> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7<strong>School</strong> Calendar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Closing Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8Code of Ethics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Description of the Profession . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Facility Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Faculty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Prerequisite Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14Application Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Admission Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15Advance Placement Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Fee Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16Refund Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Community Service Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17Graduation Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18Education Curriculum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19Course Descriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Grading Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Make-Up Test Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26Clinical Education Philosophy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27Student Supervision Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29Competency Based Education . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30Personalized Marker Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Student Conduct. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32Dress Code. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34Drug Free Workplace. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35Demerit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37Probationary/Disciplinary Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38Merit System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39Due Process Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40Holiday Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41Attendance Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Jury Duty Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Locker Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42Withdrawal Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43Table of Contents, continuedii


Leave of Absence Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44Smoking Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44Pregnancy Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45Funeral Leave Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Compensatory Time Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Tardiness Policy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46Student Services. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47Jack Tolbert Memorial Grant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48Definitions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49iii


<strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong><strong>Of</strong> <strong>Radiologic</strong> <strong>Technology</strong><strong>2011</strong>-2012STUDENT HANDBOOK_______________<strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is a non-profitschool accredited by the Joint Review Committee on Education in<strong>Radiologic</strong> <strong>Technology</strong> and approved by the Maryland Higher EducationCommission. <strong>The</strong> school is owned and operated by <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>of Silver Spring, Maryland.<strong>The</strong> student handbook is a general source of information about thecourses offered requirements for admission, graduation, expenses, rules,and policies. In order to reach the goals and fulfill the stated mission ofthe program, the courses, requirements, and regulations contained hereinare subject to continuing review and change. <strong>The</strong> program therefore,reserves the right to change, delete, or otherwise alter the informationcontained herein without prior notice. Any significant changes are subjectto prior review by the Maryland Higher Education Commission.Any student or prospective student may obtain information regarding theperformance of the <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong>with regards to enrollment, completion rate, placement rate and pass ratesof graduates from the following agencies:Maryland Higher Education Commission839 Bestgate Rd., Suite 400Annapolis, MD 21401-30131-800-974-0203Joint Review Committee on Education in <strong>Radiologic</strong> <strong>Technology</strong>20 N. Wacker Dr., Suite 2850Chicago, IL 60606-3182(312) 704-53001


Phi losophy<strong>The</strong> philosophy of the <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is toprovide an educational atmosphere that instills in students a desire for learning,excellence in clinical performance and intellectual curiosity. <strong>The</strong> program is maintainedwith the highest of standards of excellence. <strong>The</strong> faculty is committed to providing thestudent with basic and advanced knowledge in the art and science of radiologictechnology as well as developing in them, a spirit of understanding and compassion forthe patient.<strong>The</strong> program provides the learning resources that enable students to attain both theproblem solving knowledge and the technical ability necessary to be competentradiologic technologists.Our program is a patient oriented program. <strong>The</strong> students immediately feel that they areimportant members of the health care team. Students associate the importance of patientcare with regards to procedures from the onset of day one.We recognize our professional obligation to contribute to the development of tomorrow’sradiographers. <strong>The</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is accredited by the Joint ReviewCommittee on Education in <strong>Radiologic</strong> <strong>Technology</strong>.To maintain high academic standards for its students, the program places an emphasis onadmissions prerequisites, consistent grading practices, student evaluations of courses,and comparison of our program to other programs by use of national exam scores, andfollow up of students in work situations after graduation. Student evaluations of allportions of the program are utilized for improvements.It is the policy of <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> to provide equal opportunities to prospective andcurrent employees solely on the basis of individual qualifications, and merit, withoutregard to race, religion, age, sex, national origin, or handicap and in full compliance withall Federal and State Laws. <strong>The</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> observes and complieswith the institutions policy statement.Mission StatementTo support the mission of <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>, the <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of<strong>Radiologic</strong> <strong>Technology</strong> dedicates itself to the education and development ofprofessionals skilled in the art and science of radiography. To ensure quality healthcareservices are provided to our community in a friendly, caring spirit, we will demonstratehigh standards of professional conduct, patient care, and consistently strive to meet ourgoals through continuous improvement methods.2


Overview<strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> offers an accredited program in <strong>Radiologic</strong> <strong>Technology</strong> forindividuals who are interested in pursuing training in radiological sciences. <strong>The</strong> programis designed to prepare individuals for professional practice in the health care specialty of<strong>Radiologic</strong> <strong>Technology</strong>.<strong>The</strong> purpose of the <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is to provide a social andprofessional atmosphere in which the student can obtain the skills and attitudesnecessary for an eventual position in the allied health field of <strong>Radiologic</strong> <strong>Technology</strong>.Radiographers provide patient care essential to radiologic procedures. <strong>The</strong> radiographeradheres to the principles of radiation protection for the patient, self, and others.Radiographers accurately demonstrate anatomical structures on a radiograph by applyingknowledge of anatomy, positioning, and radiographic technique. Radiographers mustalso be able to recognize emergency patient conditions and initiate lifesaving first aidand basic life support procedures. Radiographers may be required to perform some ofthese duties at the patient’s bedside or in the operating room.<strong>The</strong> American Society of <strong>Radiologic</strong> Technologists recommends the curriculum guidefor the <strong>Radiologic</strong> <strong>Technology</strong> program.Purpose- Objectives to be met by students upon completion of theprogram<strong>The</strong> purpose of the <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is to provide a social andprofessional atmosphere in which the student can obtain the skills and attitudesnecessary for an eventual position in the field of <strong>Radiologic</strong> <strong>Technology</strong>.Upon successful completion of the program, the radiographer shall be able to:1. Apply the knowledge of anatomy, physiology, and positioning and radiographictechniques to accurately demonstrate anatomical structures on a radiograph or otherimaging receptor.2. Determine exposure factors to achieve optimum radiographic techniques withminimum radiation exposure to the patient.3. Evaluate radiographic images for appropriate positioning and imaging quality.4. Apply the principles of radiation protection for the patient, self, and others.5. Provide patient care and comfort, with high regard for patient rights and dignity.6. Recognize emergency patient conditions and initiate life saving first aid and basiclife support procedures.7. Evaluate the performance of radiologic systems, know the safe limits of equipmentoperation, and report malfunctions to the proper authorities.8. Exercise independent judgment and discretion in the technical performance ofmedical imaging procedures.9. Actively participate in radiologic quality assurance programs and continuingeducation programs.3


10. Educate the patient as to the ordered procedure, instruct the patient in any neededprecautions or preparation for the schedule procedure, and provide other healthinformation so that the patient understands and follows instructions to obtainoptimum results.Pro gram Objectives1. To provide the student with an overview of radiography and its role in health caredelivery. To orient the student to academic and administrative structure, keydepartments and personnel, and to the profession as a whole. To relate to thestudent the responsibility of the hospital to the community.2. To present the ethical and legal responsibilities of the professional relative to healthcare delivery. To provide the student with the definition of ethical and legalpractice. To express to the student the responsibilities, duties and conduct towardothers, expected of him while administering his duties as a radiographer. To providean understanding of the basic needs of the patient and empathy for the patient.3. To provide the student with the elements of medical terminology. To introduce aword building system. To address abbreviations and symbols. To provide a basicunderstanding of radiographic orders and diagnostic reports thus enabling thestudent to relate well to the patient and other allied health professionals.4. To provide the student with the concepts of patient care including considerations ofphysical and psychological conditions. To describe routine and emergency patientcare procedures. To identify the role of the radiographer in patient education. Toplace an emphasis on the care of the patient during radiographic procedures.5. To present the student with the knowledge of the structure and function of thehuman body. To describe cells, tissues and bones. To discuss organs as componentsof their respective systems.6. To provide the student with the knowledge to perform radiographic procedures andproduce quality radiographs. To stress routine procedures performed in thedepartment of radiology at <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> and to include other procedurescommon to diagnostic radiology.7. To provide the student with the knowledge of factors that governs and influences theproduction of the radiographic image on the radiographic film. To demonstrateclinical applications of the theoretical principles and concepts.8. To provide the student with knowledge of equipment routinely utilized to producediagnostic images. To discuss various recording media, techniques and imagingequipment.9. To provide the student with the knowledge to process radiographic film. To identifyrequirements for the processing area. To discuss film, film holders and intensifyingscreens. To describe processing procedures and artifacts. To stress the role of thedarkroom in patient radiation protection.10. To provide the student with the knowledge to evaluate radiographic examinations, toidentify and recognize diagnostic quality. To correlate knowledge and skill frommultiple didactic units, laboratory assignments and clinical education. To presentthe various components of the curriculum that influence evaluation of a radiograph.4


11. To provide the student with the knowledge of basic physics. To discuss thefundamentals of radiation production. To provide information on x-ray productionbeam characteristics and units of measurement.12. To provide the student with the principles of radiation protection. To present theradiation protection responsibility by the radiographer to patients, personnel, and thepublic. To discuss maximum permissible dose and regulatory involvement.13. To provide the student with the principles of cell radiation interaction. To presentradiation effects on cells and factors affecting cell response. To discuss acute andchronic effects of radiation.14. To provide the student with an introduction to the concepts of disease. To discusspathology and disease as it relates to various radiographic procedures.15. To provide the student with an introduction to the evaluation of radiographicsystems to assure consistency in the production of quality images. To identify thecomponents involved in the radiography system. To discuss tests and proceduresutilized to evaluate these components. To describe state and federal impacts.16. To introduce to the student fundamental principles of computer technology.Discussing computer concepts and terminology. To identify computer applicationsin radiology.17. To provide the student with the knowledge of highly specialized procedures inradiography. To discuss the equipment and the general indications of theseprocedures.18. To provide the student with a thorough knowledge of basic diagnostic principles.To reinforce fundamental concepts and assess competency in practical applicationsof basic knowledge in a variety of areas.19. To provide an educational experience to qualified students so that they enter theprofession of radiologic technology as competent individuals.20. To engender a professional attitude, emotional maturity, and pride in themselves aswell as in their work.21. To provide the finest quality of instruction in both theory and practice of radiologictechnology.22. To continually meet and exceed the standards of training for <strong>Radiologic</strong>Technologists set by the American Registry <strong>Radiologic</strong> Technologist and the JointReview Committee on Education in <strong>Radiologic</strong> Sciences23. To provide factual information and experiences that will help in the development ofintellectual as well as the professional growth of the student.24. To provide on-going evaluation of the instructional program and its personnel, andcorrect any deficiencies or weaknesses which may exist.5


Program Goals (2009-2013)Data is collected, assessed, and analyzed on the program goals listed below• Student will demonstrate critical thinking, problem solving and communication skills.• Students will be clinically competent.• <strong>The</strong> Program will graduate entry-level technologists.• Students will know the importance of growth and development within the field ofRadiology.ADA Criteria for Essential Job FunctionMust have visual acuity and manual dexterity to work with a computer keyboard andmonitor, to perform essential job functions.Must be able to hear and verbally communicate with the telephone, for essential dutiesinvolving receiving and giving information.Must be able to lift, push, or pull a weight to a maximum of 50 pounds in order toperform essential job functions. Proper ergonomic positioning and ergonomictools will be used as available.6


<strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>Radiology Program<strong>School</strong> Calendar<strong>2011</strong>-2012July 11, <strong>2011</strong>September 2, <strong>2011</strong>September 30, <strong>2011</strong>November 24 & 25, <strong>2011</strong>November 18, <strong>2011</strong>December 23, <strong>2011</strong>December 26, <strong>2011</strong>-January 1, 2012December 26, <strong>2011</strong>January 2, 2012February 10, 2012February 20, 2012March 9, 2012April 9, 2012- April 13, 2012May 4, 2012May 4, 2012May 28, 2012June 1,2012July 2, <strong>2011</strong>-July 6, 2012July 4, <strong>2011</strong>Program Begins (<strong>Hospital</strong> Orientation)1 st Quarter Ends-Seniors1 st Quarter Ends- JuniorsThanksgiving Holiday2 nd Quarter Ends- Seniors2 nd Quarter Ends - JuniorsWinter class break (Clinic only)Christmas Holiday observedNew Years Day observed3rd Quarter Ends- SeniorsPresidents Day3 rd Quarter Ends- JuniorsSpring Class Break (Clinic only)4 th Quarter Ends- SeniorsSenior Graduation (Tentative)Memorial Day Holiday4 th Quarter Ends- JuniorsSummer Class Break (Clinic only)Independence Day ObservanceC losing Policy Due to Inclement WeatherIn accordance with the medical profession and its mission, <strong>The</strong> <strong>School</strong> of <strong>Radiologic</strong><strong>Technology</strong> does not close during inclement weather. <strong>The</strong> program will followMontgomery county public schools inclement weather announcements. In the case ofschool closings, students have the option of not attending for the day. However, the timemissed shall be deducted from the students PTO. In the case of delayed openings,students are required to punch in at <strong>Holy</strong> <strong>Cross</strong> in accordance with the delay ofMontgomery county schools. This time is also deducted from the students PTO. Anystudent failing to punch in by the delayed time will be considered tardy and receive onedemerit. Students must call as stated in the “Tardiness Policy” 30 minutes prior to thestart of day if they are going to be late or absent. This will prevent students fromreceiving demerits.8


C ode of EthicsPrinciple One<strong>Radiologic</strong> Technologists shall conduct themselves in a manner compatible with thedignity of their profession.Principle Two<strong>Radiologic</strong> Technologists shall provide services with consideration of human dignity andthe uniqueness of the patient, unrestricted by considerations of age, sex, race, creed,social or economic status, handicap, personal attributes or the nature of their illness.Principle Three<strong>Radiologic</strong> Technologists shall make every effort to protect all patients from unnecessaryradiation.Principle Four<strong>Radiologic</strong> Technologists should exercise and accept responsibility for independentdiscretion and judgment in the performance of their professional services.Principle Five<strong>Radiologic</strong> Technologists shall judiciously protect patients right to privacy and shallmaintain all patient information in the strictest of confidence.Principle Six<strong>Radiologic</strong> Technologists shall only apply methods of technology founded upon ascientific basis and not accept those methods that violate this principlePrinciple Seven<strong>Radiologic</strong> Technologists shall not diagnose, but in recognition of their responsibility tothe patient, they shall provide the physician with all information they have relative toradiologic diagnosis or patient management.Principle Eight<strong>Radiologic</strong> Technologists shall be responsible for reporting unethical conduct and illegalprofessional activities to the appropriate authorities.Principle Nine<strong>Radiologic</strong> Technologists should continually strive to improve their knowledge and skillsby participating in educational and professional activities and sharing the benefits oftheir attainments with their colleagues.Principle Ten<strong>Radiologic</strong> Technologists should protect the public from misinformation andmisrepresentation.9


Description of the ProfessionImaging examinations performed by, and accompanying responsibilities assigned to, aradiographer shall be at the direction of the physicians qualified to request and/orperform radiologic procedures. Upon completion of the program the radiographer shallbe able to:1. Apply knowledge of anatomy, physiology, and positioning and radiologic techniquesto accurately demonstrate anatomical structures on a radiograph or other imagingreceptor.2. Determine exposure factors to achieve optimum radiographic techniques withminimum exposure to the patient.3. Evaluate radiographic images for appropriate positioning and image quality.4. Apply the principles of radiation protection for the patient, self, and others.5. Provide patient care and comfort.6. Recognize emergency patient conditions and initiate life saving first aid and basiclife support procedures.7. Evaluate the performance of radiologic systems, know the safe limits of equipmentoperation, and report malfunctions to proper authorities.8. Exercise independent judgment and discretion in the technical performance ofimaging systems.9. Participate in <strong>Radiologic</strong> quality assurance programs.Description of Facility<strong>The</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is located in the east wing of the first floor of<strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>. It is comprised of a dedicated classroom and offices of theDirector and Clinical Coordinator.<strong>The</strong> Laboratory/Clinical Facilities are located in the east wing of the first floor of <strong>Holy</strong><strong>Cross</strong> <strong>Hospital</strong>. <strong>The</strong> wing is comprised of all medical imaging equipment, which will beutilized by the student technologist. <strong>The</strong> total of both areas equals approximately 24,888square feet.<strong>School</strong> Equipment<strong>The</strong> schools equipment involves the Radiology department of <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> andincludes:2- Mammography Units 7- C-Arms1- Mini C-Arm 1- Cath Lab1- Stereotactic Unit 3- Nuclear Medicine Units3- Fluoroscopy Units 2- Angiography Suites4-Routine Units 3- CT Units6-Portable Units 1- MR Unit3- Ultrasound Units 1- Picture Archival System (PACS)10


<strong>The</strong> <strong>School</strong>’s Classroom Contains:ChalkboardCassette PlayerIlluminatorsBody PhantomSkull PhantomKnee PhantomSlide ProjectorOverhead ProjectorSkeletonPC w/c instructional softwareElbow PhantomTeaching Film FilesFacultyProgram DirectorStaci M. Smith, RT (R), MHA<strong>The</strong> American Registry of <strong>Radiologic</strong> Technologists certified Ms. Smith in 1999. Sheobtained a Bachelors of Science degree in Organizational Management in 2002. Ms.Smith has been involved with the school since 2000. She currently devoted full time tothe educational program of both didactic and clinical instruction.She teaches the following classes:• Evaluation of Radiographs• Radiographic Procedures• Introduction to Radiology• Introduction to Radiation Protection• Medical Ethics and Law• Radiographic Imaging w/ exposure, processing & digital imaging• Basic Principals of CT• Patient Care• Clinic/ Equipment classClinical CoordinatorNisha Beal, B.A. R.T. (R)Ms. Beal graduated from Prince Georges Community College with a degree inRadiography and was certified by the ARRT in 2000. Ms. Beal has worked as a stafftechnologist at <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> since 2001 and has been cross-trained inmammography and CT scan. Additionally, working with students as a clinical instructorsince 2004. Ms. Beal earned her Bachelors degrees from UMBC in 2008.She teaches the following Classes• Radiographic Anatomy & Physiology• Medical Terminology• Patient Care w/Pharmacology (part 2)• Special Procedures• Radiographic Pathology• Radiographic Film Critique11


Medical AdvisorStuart B. Karr, M.D.<strong>The</strong> American Board of Radiology certifies Dr. Karr. He works in consultation with theProgram Director in developing goals and objectives of the program and implementingthe standards for their achievement. Dr. Karr also works with students on a regular basis.Medical Imaging StaffStaff TechnologistFariba GirmafarScott HomewoodSara George Devin Newsome Kristen KurtzBrandon Curtis Johan Chin Lori PeaseSusie Thompson Brenda Henry Jenn GarnettNorma Wright Leon Locke Pam CourtneyEric Horowitz Jerome Nacpil Shannon McGuireKevin FloresFarbria EslamipourCT Technologist Interventional US TechnologistMaria Broussard Technologist Dare LefevreGlenda Foster Erin Swank Barbara CouchMelissa Siler Sean Maxwell Thuy NguyenDouglas VinesBill BowenZemta KhasayKristen LaueMark KurtzJonelle HenryNuclear Medicine MRI TechnologistRadiology Technologist Clement ThomasNurse Amy DePaul Nicole JohnsonJoyce Murphy Marius Dymerski David AjoseDerege Gizaw13


Prerequisite Course Descriptions(Course titles and numbers vary among different colleges)General Biology w/ lab (minimum of 3 required credits)Usually a prerequisite for A&PWith lab this class normally will be a 4 credit courseIntroduction to biology discusses cells and cell processes, tissues, microorganisms andgenetics. Basic anatomy and physiology will be introduced.Anatomy & Physiology with lab (minimum of 3 required) depending on coursedescription part 1 and part 2 may be requiredWith lab this class normally will be a 4 credit courseUsually requires a general biology prerequisiteStructure and function of human body systems with emphasis on cells and tissues,transport mechanisms and skeletal, muscular, circulatory, respiratory, digestive, urinary,reproductive, endocrine and nervous systems.Basic Microsoft word or PC/Windows equivalent (minimum of 1 credit required)Introductory course that demonstrates proper procedures to create documents suitable forprofessional and personal purposes. Procedures include creating, entering, saving,printing and saving text.English Composition (minimum of 3 credits required)This course demonstrates the fundamentals of prose writing, including essays &research.Math-Finite/College (minimum of 3 credits required)General overview of college level math with emphasis on application of various fields.Use of function of probability, statistics, graphing, basic algebra and problem solving.English- Communication/Speech (minimum of 3 credits required)Oral communication theory and practice of focusing on interpersonal, small group andpublic speaking skills.14


Application ProcessApplications are accepted from October 1 st to February 1 st . Applications postmarkedafter February 1 st will not be accepted. Applicants must be a High <strong>School</strong> Graduate orhave successfully completed a standard equivalency test (GED). As well as completecollege prerequisite requirements (information below). Applicants will be scheduled foran entrance examination. Entrance exams are conducted several times throughout thefall and spring with the final one in February. Applicants have the opportunity to take theexam, as many times as one likes, however each test after the first there is a $15 fee.Applicants must score in the 25 percentile or higher for Total Academic Aptitude to beconsidered for an interview. Those Applicants who do not score in the acceptable rangewill be notified in writing for failure to qualify. Those who pass will then be scheduledfor an observation day that will include hands on review of the equipment. Alldocuments and transcripts must be submitted by April 1 st to continue acceptance processonce the aptitude test is passed.Interview ProcessThose applicants who have scored in the 25 percentile or higher for Total AcademicAptitude will be scheduled for an interview with the Program Director, ClinicalInstructor, and possible other member of the hospital.Applicants granted an interview must provide documentation of official high school andor college transcripts, if applicable to the Program Director at no later than March 15th.Three Character reference letters, must also be provide at that time. Character referencesmust be from individuals not related to the applicant.Send Correspondences to:Program Director<strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong><strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong>1500 Forest Glen Rd.Silver Spring, MD 20910Admission ProcedureStudents will be selected based on the following criteria:1. 25 Percentile for Total Academic Aptitude achieved on the PSB Testing2. Overall interview with Faculty and Staff.3. 3 Letters of Recommendation4. 8 hour observation day/clinic test5. High <strong>School</strong>/ college transcripts• With required prerequisite college credits6. 500 word essay (“Why I want to be a <strong>Radiologic</strong> Technologist”)*All documentation must be submitted by March 15th. Unless enrolled in springsemester prerequisites, which are due upon completion of the course.15


Applicants will be notified in writing of their acceptance in May/June. <strong>The</strong>re will be anorientation in June at which time the prospective students will be directed to the studenthandbook (available on line), enrollment agreement, and all pertinent informationpertaining to the <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong>. <strong>The</strong> prospective student will havethe opportunity to ask questions and interact with present students and current staff whileorientating. After the applicant has been given the policies and procedures they will havetwo weeks to consider the program and sign the enrollment agreement. <strong>The</strong> enrollmentagreement must be returned by the deadline given at the orientation.Once the applicant agrees to participate in the Radiography Program they must:1. Pass the physical examination provided by the student’s physician prior tothe start date of the program.2. <strong>The</strong> student must also pass the drug-screening test provided by <strong>Holy</strong> <strong>Cross</strong><strong>Hospital</strong>.3. Have clearance from the hospital obtained back round checkFailure to pass either the physical exam or the drug-screening test or back round checkwill disqualify the student from the program.Once a student has been dismissed for unsatisfactory progress, he or she must reapplyfor the program according to the application, interview, and admission procedure asstated in the student handbook. Advanced placement policies are not recognized as partof the reapplication process.Advanced Placement/ Transfer of Credit PolicyPolicy <strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> does notOverview offer an advanced placement classification for students applying to theprogram. <strong>The</strong> components of the didactic and clinical education arevery structured and coordinated; therefore, advanced placement wouldbe detrimental to the goals and objectives of the program.FeesApplication FeeA $30.00 application fee is sent with the application at the time the student applies. Allapplication fees are non-refundable.Book FeeStudents are responsible for purchasing their own books, cost of which is approximately$750.00.Tuition Fee<strong>The</strong> total two-year program tuition is $2000.00. Made payable to <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> infour installments of $500.00. Uniforms are approximately $200.00Other Fees- Students must provide their own room, board while in the program.16


Refund PolicyPolicyoverview<strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> Technologic <strong>Technology</strong>(HCHSRT) policy will help ensure student tuition refunds arecompleted accurately and timely to students in the event ofwithdrawal or termination.All tuition fees paid by the student will be refunded if the studentchooses not to enroll in, chooses to withdraw, or is terminated fromthe program (see table below). Subsequent to the seven daycancellation period, refunds shall be based on the total contractprice for the program of $2,000Proportion of total course or programtaught by date of withdrawalWithin 7 days of signing agreementLess than 10%10% up to but not including 20% 80% refund20% up to but not including 30% 60% refund30% up to but not including 40% 40% refundTuition Refund100% refund90% refund40% up to 50% 20 % refundmore Less than 50%NoneNote: Calculations of amount of refund due shall be based uponthe last date of attendance before termination or withdrawal andshould be paid within 30 days of last date of attendance.Additionalmaterials andsuppliesAdditional fees and items (including, but not limited to: applicationfee, books, uniforms, school supplies) are non refundable andremain the property of the student.Community ServiceAll students are required to complete 8 hours of community service each year.Community service can be completed by participating in hospital or non-hospitalsponsored events. (Students must provide documentation). Students must completeservice hours during non-school time.17


Graduation Requirements<strong>The</strong> student must:1. Complete all clinical competencies2. Complete all performance objectives3. Return all clinical rotations evaluations4. Complete all academic courses5. 16 hours of community service6. Complete the required clock hours as published7. Meet all financial obligations to <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> of Silver Spring8. Demonstrate a sound moral character9. Use oral and written medical communication10. Demonstrate knowledge of human structure, function and pathology11. Anticipate and provide basic patient care and comfort12. Apply principles of body mechanics13. Perform basic mathematical functions14. Operate radiographic imaging equipment and accessory devices15. Position the patient and imaging system to perform radiographic examination andprocedures16. Modify standard procedures to accommodate for patient condition and othervariables17. Process radiographs18. Determine exposure factors to obtain diagnostic quality radiographs with minimumradiation exposure19. Adapt exposure factors to obtain diagnostic quality radiographs with minimumradiation exposure20. Practice radiation protection for the patient, self and others21. Recognize emergency patient conditions and initiate first aid and basic life supportprocedures22. Evaluate radiographic images for appropriate positioning and image quality23. Evaluate the performance of radiographic systems, know the safe limits ofequipment operation, and report malfunctions to the proper authorities24. Demonstrates knowledge and skills relating to quality assurance25. Exercise independent judgment and discretion in the technical performance ofmedical imaging procedures<strong>The</strong> above requirements are measured according to the curriculum on page 18 & 19.<strong>The</strong> students are expected to complete the requirements through their assignments ofvarious kinds in many of their classes.Lab hours are specified in which all students participate in simulation assignments usingphantoms, testing equipment, etc.Clinical hours are specified hours in which all students participate in clinicalassignments supervised by a registered technologist involving direct patient contact.18


ClassHours InstructorYear OneFirst Quarter July-OctoberClinic Class (equipment & clinical practices)11 SmithIntroduction To Radiology (Fundamentals, ethics& radiation protection)22 SmithPatient Care w/ pharmacology I33 Murphy/BealRadiographic Anatomy11 BealMedical Terminology11 BealClinic Lab11 Smith/BealClinical Experience 341Total class hours 88Second Quarter October- JanuaryRadiographic Procedures I33 SmithPatient Care II (with pharmacology)33 BealRadiographic Anatomy11 BealMedical Terminology11 BealClinic Lab11 Smith/BealClinical Experience 341Total class hours 88Third Quarter January- MarchRadiographic Procedures II33 SmithImage Production I (exposure)33 SmithRadiographic Anatomy11 BealMedical Terminology11 BealClinic Lab11 Smith/BealClinical Experience 341Total class hours 88Fourth Quarter March- MayRadiographic Procedures III33 SmithImage Production II (film processing)33 SmithRadiographic Anatomy11 BealMedical Terminology11 BealClinic Lab11 Smith/BealClinical Experience 381Total class hours 88Year 1 class hours 352Year 1 clinical experience hours 1364Year 1 clinical lab hours 4419


ClassHours InstructorYear TwoFirst Quarter May- AugustRadiographic Procedures IV22 SmithImage Production III (Digital Processing)11 SmithRadiographic Anatomy11 BealMedical Terminology11 BealRadiographic Physics I22 CampbellClinic Lab11 Smith/BealClinical Experience 352Total class hours 77Second Quarter August- OctoberRadiographic Procedures V22 SmithQuality Assurance6 SmithBasic Principals of Computed Tomography11 SmithRadiographic Anatomy11 BealMedical Terminology11 BealRadiographic Physics II (Biology)22 CampbellClinic Lab11 Smith/BealClinical Experience 346Total class hours 83Third Quarter October- JanuaryRadiographic Special Procedures VI22 SmithNorthwestern Testing9 SmithFilm Critique/ Analysis11 BealRadiographic Pathology33 BealRadiographic Physics III (Radiation Protection)22 CampbellClinic Lab11 Smith/BealClinical Experience 332Total class hours 97Fourth Quarter February- MayNorthwestern Testing12 SmithFilm Critique/ Analysis22 BealRadiographic Pathology11 BealRadiographic Physics IV11 CampbellARRT Review Class22 Smith/BealClinic Lab11 Smith/BealClinical Experience 351Total class hours 78Year 2 class hours 335Year 2 clinical experience hours 1381Year 2 clinical lab hours 44**Note: Each year of Training will also include three 40-hour weeks of clinic only as aclass break period. This total adds an additional 240 clinic hours to the abovecurriculum, the actual total clock hours for the program is 3,760<strong>The</strong> didactic student/instructor ratio is 9 to 1<strong>The</strong> clinical student/instructor ratio is 1 to 120


Weekday Schedule (subject to change)Junior StudentMonday7:00-3:30 ClinicLunch assigned by Clinical InstructorTuesday7:00-9:00 Clinic9:00-11:30 Class11:30-12:00 Lunch12:00-3:30 ClinicSenior StudentMonday7:00-3:30 ClinicLunch assigned by Clinical InstructorTuesday7:00-8:00 Class8:00-12:30 Clinic12:30-1:00 Lunch1:00-3:30 ClassWednesday7:00-8:30 Lab8:30-11:30 Class11:30-12:00 Lunch12:00-3:30 ClinicThursday7:00-9:00 Clinic9:00-11:30 Class11:30-12:00 Lunch12:00-3:30 ClinicFriday7:00- 3:30 ClinicLunch assigned by Clinical InstructorWeekend ScheduleSaturday7:00-3:30 ClinicLunch assigned by supervisorWednesday7:00-8:30 Lab8:30-12:30 Clinic12:30-1:00 Lunch1:00-3:30 ClassThursday7:00-8:00 Class8:00-12:30 Clinic12:30-1:00 Lunch1:00-3:30 ClassFriday7:00-3:30 ClinicLunch assigned by the Clinical InstructorWeekend ScheduleSaturday7:00-3:30 ClinicLunch assigned by supervisorStudents are scheduled for clinical education at various times during the two-yeartraining period. <strong>The</strong>se times will include some weekend and evening hours. <strong>The</strong> timesare varied and are composed of eight hours. Some of these periods are as follows: 7:00am - 3:30 pm (these hours are subject to change). No one will be in attendance morethan forty hours per week. <strong>The</strong> schedule is determined alphabetically, on a rotatingbasis. Students are responsible for transportation when scheduled in off site clinicalrotations.21


Course DescriptionsClinic ClassThis class has been developed to orientate students into the clinical setting. This classlasts approximately eight weeks. During this class students are taken into eachDiagnostic and Fluoroscopy room in the Medical Imaging Department. Students havethe opportunity to become familiar with all equipment in the rooms. Each student isrequired to perform simulations and testing experiment exercises during this class.Introduction to RadiographyThis unit provides the student with an overview of radiography and its role in health caredelivery. Program philosophies, goals, and objectives will be discussed. Studentresponsibilities will be outlined. Students will be oriented to academic andadministrative structure, key departments, and personnel, and to the profession as awhole. An appreciation of <strong>Radiologic</strong> <strong>Technology</strong> will be established through anunderstanding of medical history, the evolution of <strong>Radiologic</strong> <strong>Technology</strong>, and theprofessional organizations. Basic principles of radiation protection will be introduced.<strong>The</strong> general intent is to set the pace for the students’ professional growth in <strong>Radiologic</strong><strong>Technology</strong>.Medical Ethics & LawThis unit will provide the student with a definition of ethical and legal practice. <strong>The</strong>ethical and legal responsibilities of the professional relative to health care delivery arepresented. <strong>The</strong> radiographer’s moral and ethical responsibilities to increase effectivecommunication and empathy for the patient are stressed. <strong>The</strong> medico-legalconsiderations will assist the student regarding ethical principles and legalresponsibilities.Communication<strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> offers developmental communication classes for all staff. Eachstudent is required to attend three communication classes. Classes are designed to helpimprove in communication skills.Medical TerminologyFor radiographers to function intelligently and interact effectively with healthprofessionals in the clinical environment, they must be able to read, write, and speak themedical language. Thus, effective communication will enhance the radiographer’sability to select technical factors and supplement various positions to fit appropriateneeds of the patient. This unit will provide the student with the elements of medicalterminology. <strong>The</strong> origins of medical terminology are set forth. A word building systemis introduced and specific terminology for the body is related. Abbreviations andsymbols are addressed. Understanding radiographic orders and diagnostic reports arediscussed.22


Methods of Patient Care with Pharmacology<strong>The</strong> primary aim of this entire curriculum is to prepare for employment an individual,educated in the professional, medical, technical, and patient care components ofradiography. Patient care should be the practitioners foremost concern. This unit willprovide the student with concepts of patient care including considerations of physicaland psychological conditions. Routine and emergency patient care procedures will bedescribed. <strong>The</strong> role of the radiographer in patient education will be identified. Aspectsof death and dying will be discussed.Radiographic Anatomy & PhysiologyA Radiographer cannot be expected to perform radiographic examinations withoutdetailed knowledge and understanding of the human body, its structure and function.Students are expected to have completed college level anatomy courses and be familiarwith the human body’s structure and function. This class will focus primarily on humanbody anatomy and its relationship to radiographic images.Radiographic Procedures<strong>The</strong> emphasis of the radiographer’s time is spent in performance of radiographic andfluoroscopic examinations. In order that this is accomplished in an effective manner, thestudent must be thoroughly familiar with radiographic procedures. This includes notonly routine examination methods, but also an overview of supplementary techniques.This unit will provide the knowledge to perform these techniques. Consideration relatedto the production of quality radiographs will be discussed. Laboratory materials will beutilized to demonstrate clinical applications and theoretical principles and concepts.Image Production (3 parts)Radiographic Film ProcessingThis unit includes discussion of radiographic film characteristics, film artifacts, filmstorage, film handling, film holders, processing room design and function methods,principles and chemistry of contemporary processing systems, silver recovery andlaboratory experiments to investigate and demonstrate the phenomena explained duringclass sessions. <strong>The</strong> specific instructional intent for the unit is to provide the student thenecessary knowledge to maintain or troubleshoot malfunctions found in processingsystems, evaluate radiographic films to determine diagnostic inadequacies resulting fromfilm artifacts and to correct or compensate for the cause.Radiation ExposureThis unit will provide the student with the knowledge of factors that govern andinfluence the production of the radiographic image on radiographic film. Laboratorymaterials are utilized to demonstrate clinical applications of the theoretical principles andconcepts. It is also imperative the student understand the importance of utilizingeffective radiation protection methods such as; beam restricting devices and shielding inan attempt to not only limit radiation exposure, but to also improve image quality.23


Digital ImagingContent is designed to impart an understanding of the components, principles andoperation of digital imaging systems found in diagnostic radiology. Factors that impactimage acquisition, display, archiving, and retrieval are discussed. Guidelines forselecting exposure factors and evaluating images within a digital system assist studentsto bridge between film-based and digital imaging systems. Principles of digital systemquality assurance and maintenance are presentedIntroduction to Radiation ProtectionThis unit will provide the student with the principles of radiation protection. Radiationprotection responsibility by the radiographer to patients, personnel and the public ispresented. Principles and concepts explaining basic interaction with matter, and theeffect of measurement, maximum permissible dose, and exposure monitoring areincluded. <strong>The</strong> intent is to instill awareness and create positive behaviors exhibited byindividual review and interpretation of dosimetry reports by participants and the properapplication of radiation limiting devices and techniques.Evaluation of RadiographsThis unit will provide the student with the knowledge to evaluate radiographicexaminations, to identify and recognize diagnostic quality. Film evaluation bringstogether knowledge and skills from multiple didactic units, laboratory assignments, andclinical education. <strong>The</strong> diverse components of the curriculum that influence evaluationof radiographers will be presented.Radiographic PathologyThis unit will provide the student with an introduction to the concepts of disease. <strong>The</strong>basic knowledge of the disease processes will enable the student to produce optimumdiagnostic radiographs and insure effective patient care. Pathology and disease as itrelates to various radiographic procedures will be discussed.Radiation PhysicsThis unit will provide the student with knowledge of basic physics. Fundamentals ofradiation production will be discussed. Information on beam characteristics and units ofmeasurement are provided. X-radiation is the tool of radiography, and the radiographermust have constant awareness as to the potential hazards inherent with each exposure.An overview of CT physics is included.Principles of Radiation Biology/ProtectionIn recognition of the professional obligation the radiographer has for practicing radiationsafety measures, the specific intent of this unit is to provide each participant withawareness and knowledge relating to the effects of ionizing radiation on biologicalsystems. Radiation effects cells and factors affecting cell response are presented. Acuteand chronic effects are discussed.Special Radiographic ProceduresThis unit will provide the student with the basic fundamental concepts of some of themore commonly performed special procedures. Specialized equipment utilized duringthese procedures will be presented.24


Basic Principals of Computed TomographyContent is designed to provide entry-level radiography students with principles related tocomputed tomography (CT) imaging.Imaging Equipment and Quality AssuranceImaging is the key primary responsibility of a radiographer. <strong>The</strong> student mustcomprehend the principles of the various imaging modalities available to the profession.<strong>The</strong> relationships of imaging systems are intertwined and overlap almost all systems.<strong>The</strong> student should be cognizant of the commonalities that exist in the production of aradiographic image regardless of the system used. This unit will provide the studentwith the knowledge of equipment routinely utilized to produce diagnostic images.Various recording media and techniques are discussed. Students are introduced to theevaluation of radiographic systems to assure consistency in the production of qualityimages. Tests and procedures to evaluate these components will be discussed. State andfederal impacts will be described.Northwestern Development TestingThis unit provides the student with a thorough knowledge of basic diagnostic principles.Fundamental concepts will be reinforced and competency in practical applications ofbasic knowledge in a variety of areas will be discussed.Registry ReviewAll graduates of programs accredited by the Joint Review Committee on Education in<strong>Radiologic</strong> Science are required to pass a certification examination set by the AmericanRegistry of <strong>Radiologic</strong> Technologists. Since students are tested on knowledge gainedthroughout the two-year duration of their training, a series of lectures and discussionsessions have been incorporated into the eighth quarter of the course to guide studentsthrough an organized review of the didactic courses.SeminarDuring the second year of training, students are able to attend a 40-hour seminarorganized by a professional group of radiologic technologists, such as the MarylandSociety of <strong>Radiologic</strong> Technologists. <strong>The</strong>se seminars are specifically for students andthey provide an opportunity for our students to interact formally and informally withstudents and instructors from other institutions. Students are then able to compareknowledge and educational experiences with others in the field.Lab<strong>The</strong> junior and senior students will work together weekly practicing positioning. <strong>The</strong>seniors use this as a review and a test to their knowledge, and junior student begin tobuild their positioning skills in a simulation/laboratory environment.25


Grading PolicyPolicy <strong>The</strong> <strong>Of</strong>fice of the Program Director maintains grade records on alloverview students who have been accepted into the <strong>School</strong> of <strong>Radiologic</strong><strong>Technology</strong>.A grade report is given to each student at the end of each quarter.(Quarter dates are stated on the school calendar.) At the same time, theProgram Director and the Clinical Instructor conduct a verbalevaluation of student’s performance.<strong>The</strong> grading scale for the <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> is asfollows100-93……………………………A92-85……………………………..B84-77……………………………..C76-70……………………………..D69-0………………………………FStudents must maintain a “C” academic grade point average in EACHcourse per quarter and a “B” clinical average per quarter to remain inthe program.Once a student is dismissed for unsatisfactory progress, he or she mustreapply to the program according to the application, interview andadmissions procedures previously mentioned. Advanced placementpolicies are not recognized as part of the reapplication process.Over each quarter students must pass each unit test to move forward inthe program. If a student fails a test, the failing grade stands but thestudent must take a repeat exam to assure that the material is retained.Only one repeat test is permitted per unit. If a student fails a retest, he/she will be dismissed.Make-Up Test PolicyPolicy One make-up test per course is allowed. Any make-up test must beoverview taken on the first day that the student reports back to school. In theevent that a student misses more than one test per course, a score ofzero will be assigned for each subsequent test missed.26


Clinical Education Philosophy<strong>The</strong> role of the Radiographer has grown in complexity with the development of moresophisticated procedures and equipment in the field of Radiology. It is the philosophy ofthe Program faculty to provide the radiography students with the optimum clinicalexperience and to insure that the students have the opportunity to perform all types ofradiographic procedures in the appropriate proportions. <strong>The</strong> philosophy of the ProgramFaculty is to provide demonstration, supervision, observation, counseling, and evaluationin the clinical setting whereby the student, upon successful completion of the programwill effectively:1. Apply knowledge of anatomy, physiology, positioning, and radiographic techniqueto accurately demonstrate anatomical structures on a radiograph or other imagingreceptor.2. Determine exposure factors to achieve optimum radiographic techniques withminimum exposure to the patient.3. Evaluate radiographic images for appropriate positioning and image quality.4. Apply principles of radiation protection for the patient, self, and others.5. Provide patient care and comfort, with high regard for patient rights and dignity.6. Recognize emergency patient conditions and initiate life saving first aid and basiclife support authority.7. Evaluate and maintain the performance of radiographic systems, know the safelimits of equipment operation, and report malfunctions to the proper authority.8. Exercise independent judgment and discretion in the technical performance ofmedical imaging procedures.9. Actively participate in radiologic quality assurance programs and continuingeducation programs.10. Educate the patient as to the ordered procedure; instruct the patient in any neededprecautions or preparations for the scheduled procedure, and provide other healthinformation so that the patient understands and follows instructions to obtainoptimum results.<strong>The</strong> clinical experience is systematic and correlates with didactic objectives of clinicaleducation. During the class “Introduction to Radiography”, the students are presentedwith a notebook containing performance objectives for each clinical rotation along withthe corresponding performance evaluation forms. Each radiographic room has postedindividual clinical performance objectives, which correlate to the performance evaluationforms.This competency based performance evaluation form enables both the Program Facultyand the individual students to identify the student’s strengths and weaknesses.Performance evaluations also allow us to determine the progression rate of studentsduring their clinical education as to whether they are able to meet specified predefinedclinical performance objectives. Each radiographic room is equipped with techniquecharts. <strong>The</strong>re are positioning manuals located in various locations in the radiologydepartment. <strong>The</strong>se student aids corresponds to didactic objectives in RadiographicProcedures and Exposure Courses.27


<strong>The</strong> student’s psychomotor skills are evaluated not only by their clinical rotationexperience but also through simulated laboratory conditions, clinical competencyevaluation, and individual film critique sessions.<strong>The</strong> student’s cognitive skills are directly evaluated in the classroom and indirectlyevaluated throughout their training in the clinical setting. It is of the utmost importancethat all knowledge and skill be reinforced and evaluated in the clinical setting in order toallow the student to achieve maximum clinical effectiveness. In-services are given tothe Staff Technologists on the needs of the student performance objectives and the needfor the staff radiographer to adequately supervise, observe, and evaluate the student’sperformance of those objectives. Staff radiographers play an integral role in thestudents’ clinical experience by directly supervising and giving initial and reinforcedclinical instruction in the following areas:1. Patient care evaluation2. Professional adjustment3. Radiation protection4. Positioning skills5. Equipment manipulation and technique6. Remedial clinical instruction7. Critical thinking8. Problem solving<strong>The</strong> primary goal of the <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong>’s clinicalphase of education is to design a program whereby the student will be able to correlatehis clinical experience with the didactic portion of the program. <strong>The</strong> correlation is basedon a solid foundation of fundamental principles and procedures developing into superiorperformance and knowledge as well as rounded proficient Radiographers.Evening and Weekend RotationsIn keeping with the educational philosophy that one of the goals of the RadiographyProgram is to prepare the student Radiographer, upon graduation, to be able to assumethe duties and responsibilities of a Staff Radiographer at the entry level competency, theProgram Faculty, therefore, assigns the student to clinical education experience onweekend and evening rotations.This experience allows the student to gain additional radiographic experience andconfidence in performance capabilities while also allowing the student to have valuableemergency room experience and a variety of clinical education. By allowing thestudents to experience the variety of radiographic cases, as encountered in this clinicalsituation, the students are directed into being able to adjust to constantly differenttechniques, patient care, radiation protection, and interpersonal adjustments. This typeof scheduling causes students to become more adaptable and capable, while gaining anappreciation for the need and function of radiology personnel as will be encounteredupon graduation, as an employed staff radiographer.28


Students are provided with clinical performance objectives for this clinical educationexperience and the supervising staff radiographer evaluates the student’s performancebased on those objectives.Students are assigned evening and Weekend clinical education hours as part of theirplanned curriculum. <strong>The</strong> assigned time will be compensated for by time off during theweekday clinical portion of the program. <strong>The</strong> compensating time off must be taken atthe designated times and cannot be changed.*<strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> reserves the right to alterWeekend clinical rotations in order to meet the objectives of the program. Any changesmade to the above statements will made in writing 30 days prior to.Student Supervision PolicyPolicy Medical imaging will ensure that the radiologic technology students,overview from the <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong>, are directly superviseduntil they are competent to perform an exam under indirectsupervision.Definitions Direct Supervision in relation to student supervision will concurunder the following parameters:• A qualified radiologic technologist reviews the procedures inrelation to the student’s achievement• A qualified radiologic technologist evaluates the condition of thepatient in relation to the student’s knowledge• A qualified radiologic technologist is present during the conductof the procedure• A qualified radiologic technologist reviews and approves theprocedure• A qualified radiologic technologist is present during studentperformance of any repeat of any unsatisfactory radiograph• All portable exams must be done with a qualified radiologictechnologist.Indirect Supervision - Supervision provided by a qualifiedradiologic technologist immediately available to assist studentsregardless of the level of student achievement. Immediatelyavailable is interpreted as the presence of a qualified radiologictechnologist adjacent to the room or location where the student isperforming a radiographic procedure.Note: This availability applies to all areas where ionizing radiationequipment is in use.Students will not take responsibility or the place of qualified staff.A ratio of no more than one student to a radiographer during all clinical assignments willbe considered appropriate.29


Competency Based Education: An OverviewCompetency Based Education (CBE) is directed toward preparing individuals to performpre-specified tasks of an occupation or profession under “real world” conditions and toperform these tasks at a level of accuracy and speed commensurate with the standards ofthe profession. <strong>The</strong> goal of such education, therefore, is to allow students to achievecompetence in the duties of an occupation before leaving their education program.<strong>The</strong> content of our competency-based curriculum is founded upon a set of tasks that arerecommended by the American Registry of <strong>Radiologic</strong> Technologists (ARRT). We havedesigned the implementation of these tasks to ensure that there is no question as to theexact behavior to be performed. For each task performed there is a certain knowledgeand attitude that a student must have and use to demonstrate that he/she is competent.<strong>The</strong>refore, competency is not just a manipulative skill but includes cognitive andeffective development.Evaluation Process<strong>The</strong> criteria used to assess competency is based upon actual demonstration ofperformance of each task identified. <strong>The</strong> performance evaluation process is divided intothree levels.Level One- Lab and SimulationAll the requirements for each task are performed up to, but not including, the energizingof the x-ray tube. Students who receive a “satisfactory” rating at this level proceed tolevel two. <strong>The</strong> student earning a minimum of 77% in the practical unit exam simulationdetermines Satisfactory. Students earning less than 77% must complete two practicescomps before being permitted to achieve a passing competency exam. (Academic 5% ofgrade)Level Two- Competency EvaluationThis phase is conducted by the Clinical Instructor, Program Director or by designatedstaff technologists. In this phase of the CBE program, the student is observed inperforming each task on the patient. <strong>The</strong> student determines the timing of competencyevaluation for each task after observing the assisting technologist in the performance oneach task. <strong>The</strong> CBE program is based upon student learning rather than on teaching,therefore, it is reasonable to have the student make the determination of timing on his/her evaluation. Prior to comping the exam, the student must complete one documentedpractice, which is essentially a practice comp. <strong>The</strong> practice comp must score a minimumof 85% for the student to go on to the comping step.Students will then advance to level three (proficiency evaluation) upon successfulcompletion of level two competency evaluations. <strong>The</strong> skills analysis form used at thislevel is the clinical education form.30


Level Three- Proficiency EvaluationProficiency by definition is an advancement of skill. One gains proficiency throughrepeated experience. Proficiency is only achievable after competency has been attained.In this phase of the CBE program, the Clinical Instructor or Program Director selectsfive exams at random to evaluate the students’ performance. <strong>The</strong>se exams (3 of 5 mustbe completed) will include:• Spine• Chest/ Abdomen• Portable• Extremity (Lower or Upper)• FluoroscopySuccessful completion of level three certifies that the student can perform tasks at thelevel required of graduates from the program. For each unsuccessful level evaluation,the student must return to level two and repeats the relevant evaluations at that level.<strong>The</strong> proficiency evaluation form is used for skill analysis at this level.Clinical Competency ProgramLevel One:Level Two:Level Three:Lab/SimulationEvaluationPractice & CompetencyEvaluationsProficiencyEvaluationsProgram Director/Clinical coordinator reserve the right to deny or require duplicatecompetency exams to be performed if not satisfied with any exams performed.31


Personalized Markers PolicyPolicy overview Students will be issued personalized lead markers upon enteringthe program.<strong>The</strong>se markers are the only ones permitted to be used by thestudent when performing radiographic procedures at <strong>Holy</strong> <strong>Cross</strong><strong>Hospital</strong>.Personalized markers are not to be loaned to other students orstaff radiographers.If a student loses or misplaces their markers it must be reportedto the program director immediately.Students are responsible for replacing their own lost markers.<strong>The</strong> student will order markers immediately upon the loss of theoriginals.Student ConductProfessionalconductProfessional conduct is expected from students at all timesaround patients, visitors, classmates, staff, and administration.This includes, but is not limited to:• Students are expected to remain in their assignedMedical Imaging modality and not visit otherdepartments/modalities except on business.• Students must always inform their immediatesupervisor (Program Director, Clinical Coordinator,Clinical Instructor, or Staff Radiographer) prior toleaving the clinical or didactic area.• All students should remember that an atmosphere ofquietness should prevail in and around the hospital atall times. Note: this includes all areas of the school(locker room, classroom, hallway)• No eating/drinking, in-patient care areas, or food inareas where patients are present (walking throughholding area with lunch).• Students are not to congregate around the front deskarea or holding area unless assigned there for clinicaleducation.• All offices (including the Radiologists, ProgramDirector, Clinical Coordinator, and Administrative) areprivate. Students are not permitted in these areas unlessotherwise instructed.• Personal conversations with technologists and otherdepartment employees are not permitted while in thecompany of patients.32


Professionalconduct, cont.Confidentiality• Students are given a clinical education schedule by theProgram Director. Any changes to this schedule requirepermission from the Program Director or ClinicalCoordinator.• Students are not permitted to smoke.• Students are not permitted to hold a patient during anx-ray exposure.• When calling a patient to a radiography examinationroom, verify the patient’s full name and date of birth ormedical record number before escorting the patient tothe exam room.• Students will follow the dress code policy at all times.• <strong>The</strong> locker room and classroom must be kept clean andfree of personal belongings at all times. All personalbelongings must be kept in assigned lockers.<strong>The</strong> students follow the HCH policy on confidentiality whichincludes:• <strong>The</strong> students will limit the patient information to patientcare issues and among staff who have a need to know.• Those who have a need to know must discuss patientinformation only in private, confidential places.• Every patient at <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> has the right to theutmost privacy, which the students are expected torespect.33


Dress Code for Radiology StudentsPolicy overview Uniforms must be worn at all times except during surgery andspecials rotations. Uniforms must conform to the exact navyblue scrub wear prescribed by the school. <strong>Hospital</strong> scrub wearmust be worn during surgery and specials rotations.Lab coats- white full length lab coats bearing the schools nameon the upper left chest must be worn at the following times:Whenever the student leaves the departmentAt all times with hospital scrubs outside of the operating roomor specials labSolid white socks of cotton material only.All uniforms must be properly laundered.While in the operating room or during angiography rotationshospital scrubs will be worn by the student. When the student isnot in these settings, they will be expected to change back intotheir uniform. <strong>Hospital</strong> scrubs are not permitted outside thehospital.Polished white clinic shoes should be worn at all times. Whiteathletic shoes of leather with white rubber soles are permitted.<strong>The</strong> accent trim on the shoes must be approved. <strong>The</strong>se shoesshould be used exclusively in the clinical setting. Proper shoecare is mandatory.Hair should be kept neat.• Hair longer than collar length will be tied back.• Beards and mustaches should be well trimmed.Makeup should be worn conservatively.Excessive jewelry is not permitted.• Engagement rings and wedding bands may be worn.• Excluding the above ring combinations that may be worntogether, only one small ring per hand is permitted.• No bracelets, ankle or wrist, are permitted.• No necklaces are permitted.• Only post type earrings are permitted and will not exceedthe earlobe (no dangling or hoop earrings are permitted).Fingernails shall be trimmed and kept clean, fingernail polish isnot permitted.Nametags and film badges will be worn on uniform when onduty (at collar level).If a student does not comply with the above criteria they will besent home for the day, with the loss of PTO.34


Drug Free WorkplacePolicy overview <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> inconjunction with <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> maintains a drug andalcohol-free workplace. <strong>The</strong> program/hospital prohibits theunlawful manufacture, distribution, possession, or use ofcontrolled substances by employees in and on hospital owned orcontrolled property or offsite non-HCH clinical locations.Prohibited Students are not allowed to use, possess, transport, sell, orconductdistribute unauthorized drugs or drug accessories or alcoholwhile on hospital premises (this includes smelling of alcoholicsubstance while on duty). HCHSRT also prohibits use of alcoholunless authorized for special hospital-sponsored functions.Over the countermedicine andprescribed drugsDidactic &clinicalperformanceDrug and alcoholtestingproceduresStudents may not be on HCH premises or report for school whileunder the influence of unauthorized drugs or alcohol.Unauthorized drugs or alcohol are considered to be in a students’system if the results of drug or alcohol testing are positive.Students who take over-the-counter or prescribed medicationmust report possible adverse effects to Program Director andemployee health services. Students may be reassigned, forbiddento perform certain tasks, or prohibited from attending school(with loss of PTO) if they are unable to perform job duties safelywhile taking medications.Note: It is a policy violation for students to use over-the-counteror prescribed medication improperly.Students are always responsible for behaving appropriately atschool and performing their duties even if they acknowledge asubstance abuse problem or participate in treatment programs.HCHSRT may take disciplinary action, up to and includingtermination, when a student’s performance or behavior isunacceptable or violates this policy.<strong>The</strong> program has the right to require students to take drug oralcohol tests if it suspects students are under the influence ofalcohol, an unauthorized drug, or have violated this policy or thelaw.<strong>The</strong> program has the right to randomly drug test students atanytime.Failure to submit to a drug or alcohol test may result indisciplinary action, up to and including termination.35


Reasonablesuspicion<strong>The</strong> following circumstances are presumed to give rise to alegitimate business reason or reasonable suspicion that anemployee may be under the influence of drugs or alcohol:Direct observation of the use, possession, or sale of illegal drugswhile at work, and will result in terminationInappropriate behavior observed by a manager or supervisorsuch as: slurred speech, poor coordination, irrational behavior,alcohol odor, red eyes, and unsteady gaitA documented pattern of performance problems which might bethe result of substance abuseFrequent, unauthorized absence from the work area during workhoursMood swings or abnormal behaviorSuspected drug diversion from hospital or patient suppliesAccidents caused by human errorViolations of safety precautionsViolations of traffic laws while conducting business or onhospital timeReview of controlled substance audit reportsPolicy violationsNote: This list is not exhaustive. HCHSRT reserves the right torely on other circumstances that give rise to a legitimate businessreason or reasonable suspicion.When student or receive positive test results, the program willgive them:A copy of the laboratory record with the test resultsA copy of this policyWritten notice of termination from the program36


Demerit SystemPolicy overviewDemeritsA system of demerits is employed to penalize behavior, which isinconsistent with professional student conduct. Any demeritreceived will result in one to five points being deducted from thestudent’s overall clinical grade.Failure to observe/practice any of the following responsibilitieswill result in students being given demerits.• Promptness to report to assigned areas. (3)• Clean pressed uniform. (1)• Clean well-groomed fingernails. (1)• Clean white shoes. (1)• Appropriate jewelry. (1)• Name tag/film badge in proper place. (1)• Hair above collar or pulled back. (1)_• White hose, no runs. (1)• Remains in assigned area. (3)• Exchanged film badge. (1)• 10 minute breaks only. (1)• Informs supervisor when leaving assigned area. (3)• Tardiness (1)• Lab coat not worn outside of department. (1)• Failure to report the need to be absent. (5)• Failure/improper marking of films. (1)• Improper demographics sent to PACS in (excessive) (3)• Failure to go to lunch at scheduled time (1)• Takes breaks in the correct areas (1)• Smoking at anytime on campus (3)• Chewing gum in clinic (1)• Cell phone in clinic (1)• Neglect of policy & procedure as determined by staff(1)• Inappropriate behavior (1)•37


Probationary/Disciplinary PolicyProbation A student appointment is conditional until 90 calendar days ofprogram participation have been satisfactorily completed.Separation will be affected during this period by <strong>Holy</strong> <strong>Cross</strong><strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> <strong>Technology</strong> officials fordemonstrated lack of qualifications, inability to absorbinstructions or generally determined unsuitability for theposition.Disciplinary In order to assure fair and equitable treatment of all students, itactionmay become necessary to impose Disciplinary Action.Disciplinary Action includes probation, suspension, and/ordismissal from the program. <strong>The</strong> Program Director has the rightto discipline for just cause.Disciplinary Action includes probation, suspension, and/ordismissal from the program. <strong>The</strong> Program Director has the rightto discipline for just cause.If a student has been placed on probation, suspended, ordismissed and the student believes that he/she has been treatedunjustly, the student may follow the Due Process Policy.Separate degrees of disciplinary action may be applied whenmeasure must be taken:1. Probation:a. All new students automatically serve a 90day probationary period, however, theProgram Director may for just cause,extend the original probationary period,not to exceed 180 days.b. <strong>The</strong> Program Director for reasons ofdisciplinary action may elect to place astudent, regardless of length of time in theprogram, on probation for a period not toexceed 90 days.38


2. Suspension:a. A student may be suspended for a periodof time up to ten days according to thegravity of the offense, and the previousrecord of the student. Such suspensionmay be applied in cases of first seriousoffense or repeated minor offenses when,in the judgment of the Program Director,proper conduct can be secured withoutresorting to dismissal. Any clinical oracademic assignments missed due to thesuspension will be completed prior tograduation from the program.3. Dismissala. Dismissal shall be effected through theProgram Director in all cases of flagrantor willful violation of program rules,policies, standards of accepted behavior,or performance and where a thoroughinvestigation proves the student concernedto be in clear violation of policy.Prior WrittenWarningsMerit PolicyPolicy overviewMeritsWritten warnings on conference forms will be given to thestudent when the Program Director feels the nature of theoffense requires such action. Such warnings shall become a partof the student’s file unless review of the case by all partiesinvolved, causes them to be removed. Dismissal may beimposed for offenses after two (2) written warnings have beengiven to the student.Merit points will be awarded to the student when he/she exceedsthe standard actions outlined in the student handbook. Meritswill not exceed a total of 12 per quarter.Merit points awarded1. Unusual case study2. No days missed per quarter3. No tardies in a quarter4. Written acknowledgment of thanks from a patient,physician, staff member, etc.5. Exceeding the required competencies per quarter.6. Others at the instructors’ discretion.Note: One Merit = One Hour Compensatory Time (not toexceed 12 per quarter)39


Due Process PolicyPolicy overview Students in need of a resolution of a complaint shall use the“Steps for Due Process” appeals process outlined within thispolicy.Steps for Due Step one: In order to minimize the possibility of aProcessmisunderstanding, you are required to discuss your problems orcomplaints with the Program Director within five days of theoccurrence of the problem creating the grievance. <strong>The</strong> ProgramDirector will investigate and obtain all pertinent factualinformation and provide a solution or explanation within fiveworking days accompanied with a decision and rationale. Inmost cases, grievances can be settled at this level with mutualsatisfaction to all concerned. (If the grievance is with theProgram Director, please go immediately to step two of theprocess).Steps for DueProcess, cont.TimelineStep two: If student is not satisfied with the solution in stepone, you may submit a grievance in writing to the Director ofMedical Imaging within three working days of receivingdecision from step one. <strong>The</strong> Director will request a meeting ofthe student, Program Director, and Medical Advisor within fiveworking days after the grievance is received. <strong>The</strong>se individualswill review all facts involved pertaining to the grievance and theMedical Imaging Director will respond in writing with adecision within five working days upon receiving the grievance.Step three: If the response in step two is unsatisfactory, thestudent may submit the grievance in writing to the VicePresident of Clinical Support Services within three working daysof receiving decision of step two. <strong>The</strong> Vice President will thenreview the grievance in detail and will write a response withinten working days.Step four: In the case the student has exhausted the school’sgrievance procedure and still feels aggrieved, the student has theright to appeal to the Human Resources Department of <strong>Holy</strong><strong>Cross</strong> <strong>Hospital</strong> within three working days of receiving decisionof step three. <strong>The</strong> Vice President or designee of the Humanresources department will review the grievance and report thefindings of their investigation and decision to the student and theProgram Director. This decision is final and will be resolvedwithin ten days of receiving the complaint.<strong>The</strong> grievance process should not exceed thirty-nine days.Students remaining in the program are responsible for makingup all class work, and clinical time to meet graduationrequirements.40


Contacting theJRCERT/MHEC<strong>The</strong> student has the option to contact the JRCERT or MHECwith any concerns of due process including allegations ofprogram non-compliance with JRCERT standards at thefollowing address: 20 North Wacker Dr. Suite 2850, Chicago, IL60606-3182 or phone at 312-704-5300 or e-mail www.JRCERT.org. MHEC at the following address: 839 Bestgate Rd suite 400,Annapolis MD 21401 or phone 410-260-4500 or email http://www.mhec.state.md.us/Holiday PolicyPolicy overviewStudents are entitled to the following seven holidays:• New Year’s Day,• Washington’s Birthday,• Memorial Day,• Fourth of July,• Labor Day,• Thanksgiving Day, and• Christmas Day.Note: Students will not be scheduled for clinical education onholidays.41


Attendance Policy –PTOPolicy overview <strong>The</strong> total length of the program is 94 weeks. Each student isallowed 22.5 days (180 hrs.) or 10% of the total days, forpersonal time off. Use of this time will be at the studentsdiscretion, and may be used for as vacation, sick, or any otherreason the student deems necessary to be absent from theprogram.Additionally, all time missed due to tardiness or early departurewill be deducted from the PTO bank. Students must report theneed to be absent by 6:30am the day of school by calling theschool line 301.754.7367.Attendance in the clinical area must be for a minimum of 4hours. If four hours are not completed, the student will not bepermitted to the clinic that day.To facilitate students who may wish to schedule extendedvacation times a certain period will be set aside each year whenthere will be no classroom instruction scheduled. See schoolcalendar for more information.Punctual and regular attendance is essential and is expected ofall students. Absences totaling in excess of the school’sstandards (22.5 days) will be cause for dismissal.Exceptions to this rule will be based upon the nature andseverity of the circumstances, and will be addressed inaccordance with the leave of absence policy.Note: Students who are absent more than three school days dueto illness, are not permitted back to <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> oraffiliate clinical site until health clearance has been given by theEmployee Health Department.Jury duty policyPolicy overviewLocker PolicyPolicy overviewIn the event a student is selected for jury duty the student will beexcused from class and clinic.Students must submit proof of attendance to the courthouse tothe Program Director within three days of their return. Studentsare responsible for making up the hours missed after graduation.PTO hours will be deducted if proof of attendance is notprovided. Students may elect to use PTO hours for this time off.To outline the <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong>Technologic <strong>Technology</strong> (HCHSRT/the program) policy forlockers assigned to radiology students. Each student is assignedone locker and one combination lock.42


UpkeepStudents must:• Keep lockers and locker area clean and orderly• Not deface or damage lockers• Not store food in lockers, except for lunches, which must beremoved dailyValuablesInspections<strong>The</strong> hospital/program is not responsible for items lost or stolenfrom lockers.Lockers are hospital/program property. <strong>The</strong> hospital/programhas the right to inspect lockers at any time without notice toemployees. Only designated hospital/program representativemay conduct locker inspections (i.e. Program Director, ClinicalCoordinator, Medical Imaging Director, Security, etc). Note:Students are responsible for any items present in their assignedlocker during an inspection.Withdrawal from the ProgramOverview Students may withdraw at any time from the program. Awithdrawal becomes official only after written notice has beenreceived by the Program Director. At the time withdrawal thefollowing items should be returned to the Program Director:1. Student identification badge2. Parking permit3. Combination lock for student lockerStudents remain responsible for all outstanding financialobligations to <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong><strong>Technology</strong> even after withdrawal.43


Leave of Absence PolicyPolicy overview <strong>The</strong> student must present all leave of absence requests in writingto the Program Director as far in advance as possible. Approvalof the request will depend on the reason for the request.• Leaves of absence may be considered for the followingreasons:1. Military- for enlistment during national emergencies.2. Health, including maternity- provides the student maybe expected to return to the program at he end of theleave.3. Extenuating personal circumstances.• All leaves of absence must be approved by the ProgramDirector.• All leaves of absence must not exceed a total of 90 days.This in accordance with Section 13b.01.01 of the code ofMaryland Regulations on the leaves of absence policy.• Unusual circumstances which merit extending the leavemust be submitted in writing to the Program Director. Twoweeks advance notice is required if possible.• Failure to return at the expiration of the leave will result inimmediate dismissal from the program.• Students, who have taken a leave of absence, will have tomake up their time in accordance with the requirements ofgraduation. Both didactic and clinical time must be madeup.DefinitionsNote: <strong>The</strong> program is under no obligation to offer clinical ordidactic education outside the normal hours of operation.A leave of absence is defined as an authorized absence from theprogram for an extended period of time as outlined below.Smoking PolicySmoking is not permitted under any circumstance44


Pregnancy PolicyPolicy overviewPolicy overview,cont.Student technologists who are pregnant may continue with theirtraining in the <strong>Radiologic</strong>al <strong>Technology</strong> Program. <strong>The</strong> studentshould use the standard and approved procedures for protectionof the patients and personnel from radiation.<strong>The</strong> following guidelines must be followed:• Declaration of pregnancy is voluntary and must be inwriting.• Student declaring pregnancy, are encouraged to notify theProgram Director as early as possible, so that full radiationprotection measures are employed• <strong>The</strong> pregnant student technologist will be informed of theeffects of radiation to the fetus and proper radiation safetyduring the gestation period.• <strong>The</strong> student technologist will be required to sign consentacknowledging that she has received proper safetyinstructions.• In accordance with the American Society of <strong>Radiologic</strong>Technologists position state, the following is available to thepregnant student:1. NCRP report #39, section 2402. <strong>The</strong> Pregnancy Disability Law (PL95-555)3. EEOC “Guidelines on Sex Discrimination, Questions andAnswers”, April 20 1979.• <strong>The</strong> pregnant student will wear a fetal monitoring device onthe abdomen along with a monitoring device at the collarlevel.• <strong>The</strong> student must wear these badges at all times while inclinical education areas. <strong>The</strong>se badges will be processedmonthly.• During the entire gestation period the maximum permissibledose equivalent to the embryo-fetus from occupationalexposure to the student technologist will not exceed 0.5rem(500 mrem), (report #52 NCRP, March 1, 1977).• <strong>The</strong> student technologist may at any time have full access totheir radiation monitor badge records.• <strong>The</strong> pregnant student will be required to complete alldidactic assignments and clinical rotations missed duringpregnancy to meet graduation requirements.• <strong>The</strong> pregnant student technologist will continue all phasesof her training, as expected of any student.• All students will be given a copy of the Radiation ExposureReport upon initial orientation into the program at which atest will be given to make sure the student is knowledgeableon the dangers of Radiation. This will be documented andkeep in the student’s permanent record.45


Compensatory Time PolicyPolicyIn the event a student elects to remain in a didactic or clinical areaoverview to complete an assignment, to witness a rare procedure beingperformed, etc., the student will be issued compensatory time.This is designed to compensate for experiencing instructionbeyond the designated eight-hour education period.This policy is utilized to maintain a forty-hour school week asdirected by the Standard Guidelines of an Accredited EducationalProgram for the Radiographer.<strong>The</strong> student will complete a comp slip; have it verified by theinstructional staff whom they were assigned. <strong>The</strong> student will givethe completed form to Program Director for placement in thestudents file.Compensatory time is accumulative only within the effectiveschool year. Compensatory time is not transferable from oneeffective school year to another.Tardiness PolicyPolicy overview Excessive tardiness is not permitted and will result inAcceptableTardinessArrival followingtardinessReportingtardinessDeducted time/PTO bankDisciplinaryactiondisciplinary action.Students are allowed 5 scheduled tardies per quarter (for anygiven reason). <strong>The</strong> need to be tardy is to be scheduled no laterthan 30 minutes prior to the start of school day. When reportingscheduled tardiness, the student must state the expected arrivaltime.Students reporting the need to be tardy must use a full day ofPTO if they will not be in the clinic for a minimum of 4 hours,however coming in for class time is permitted resulting in a lossof only clinic time PTO.Note: Demerits will be given for each tardy thereafter andpoints will be deducted from the student’s clinical average.Upon arrival in the radiology department, each student willreport to their assigned area.Note: Normal hours of operation are from 7:00am-3:30pm. <strong>The</strong>Clinical Coordinator, based on clinical instruction needs, willdetermine evening and weekend rotation schedules.A Student, who is going to be tardy, you must call the <strong>School</strong> at(301) 754-7367 to report tardiness.Note: <strong>The</strong> Clinical Coordinator will verify student attendanceeveryday.All time missed due to tardiness will be deducted from thestudent’s PTO bank.Failure to report that you will be tardy or exceeding theallowable amount of occurrences per quarter will be reflected inthe number of demerits received.46


Student ServicesPolicy overviewParkingEmployee HealthLost and FoundGift ShopEmployeesActivitiesCommittee(EAC)Pastoral Careand Counseling<strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong> <strong>School</strong> of <strong>Radiologic</strong> Technologic<strong>Technology</strong> (HCHSRT/the program) students are eligible toutilize several services that are available to HCH employees.This policy will help ensure that each student is aware what isavailable.Free parking is provided for all students on designated off-sitelocations. A hospital vehicle will transport students to and fromthe hospital. Failure to comply will result in disciplinary action.Students are able to pay for parking on campus by utilizing thepaid visitor parking. Note: Students are not eligible to validateparking tickets for this lot.Employee Health evaluates and makes treatment referrals forany hospital related injury or illness. Your private physicianshould provide follow-up care. If you are without a personalphysician locally the Employee Health Staff will be happy toassist you in finding one. Control of contagious illness is animportant function of Employee Health at <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>.If you develop a fever, rash, cold sores, cough, persistentdiarrhea, persistent sore throat, or any illness that might becontagious, contact Employee Health.<strong>The</strong> Safety and Security Department is responsible forsafekeeping and disposing of lost and found items. Contact theDirector of Safety and Security to report items lost or found.<strong>The</strong> <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>’s auxiliary, a voluntary organization,operates the gift shop on the main floor of the hospital. Throughthe sale of a wide variety of toys and gifts the auxiliary raisesmoney for the individual needs of <strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>.<strong>The</strong> Employees Activities Committee (EAC) is made up ofemployees, students, and volunteers throughout <strong>Holy</strong> <strong>Cross</strong><strong>Hospital</strong> who plan social, recreational, and educational activitiesfor the benefit of employees. Softball teams, the summer picnic,and the annual holiday party are just a few of the activitiessponsored by this committee. <strong>The</strong> EAC welcomes yourparticipation and encourages you to submit your ideas forconsideration. You may contact the committee by calling theHuman Resources Department.<strong>The</strong> Department of Clinical Pastoral Care and Counseling helpspatients, their families, and healthcare professionals use theresources in their lives to promote health and wholeness. Thisincludes physical, mental, and emotional resources, as well asspiritual, in the belief that all are important to the healingprocess.<strong>The</strong> Chaplaincy staff provides pastoral care, counseling worship,and sacraments to patients, families, students, and staff. <strong>The</strong>department offers information, education, consultation, andprograms for continuing education of clergy, laity, otherministers, and healthcare professionals.47


Jack F. Tolbert Memorial Grant Program<strong>The</strong> Jack F. Tolbert Memorial Student Grant Program is a Scholarship programof the State of Maryland, which exists to assist residents of Maryland who attend privatecareer schools in Maryland. <strong>The</strong> scholarship honors the memory of Jack F. Tolbert whowas a respected leader in the private career school industry and a school owner. <strong>The</strong>Maryland State Scholarship Administration works in partnership with private careerschools to identify recipients and award this grant. Participating <strong>School</strong>s have agreed toadvertise the program to all eligible students to encourage as many as possible toparticipate. See program director for details.48


DefinitionsARRT- American Registry of <strong>Radiologic</strong> Technologists is the only national certifyingagency for <strong>Radiologic</strong> Technologists.ASRT- American Society of <strong>Radiologic</strong> Technologists is the national professionalorganization responsible for the development of the curriculum guide for the Radiologyprograms.Buckley Amendment- <strong>The</strong> law-protecting student’s confidentiality.Cassette- An x-ray film holder.Clinical Education- Practical instruction conducted in the Radiology Department.Clock Hours- Actual number of hours that the student spends in the program.Code of Ethics- a set of principles governing professional conduct.Cognitive- pertaining to that operation of the mind, which includes all aspects ofperceiving, thinking, and remembering.Demerit- each accounts as a negative offense, one percentage will be deducted fromclinical grade for each demerit receivedDidactic- Classroom instructions.Employee Health- conducts some pre-admission health examinations, evaluates, ormakes referrals for treatment of injuries sustained as a direct result of trainingprocedures.Film Badge- Device used for recording radiation dose to the technologist and student.Markers- Symbols used on a radiograph to identify the left and right sides of a patient.Philosophy- Study of the principles pertaining to conduct.Psychomotor- pertaining to the performance of physical functions based on applicationof knowledge.Radiation- Pertaining to X-rays.Radiographer- Individual engaged in the use of x-ray imaging techniques to performradiologic procedures.<strong>Radiologic</strong> Procedures- X-ray examinations performed on patients to assist physicianswith diagnoses.49


Registered Technologist- Graduate of an accredited program who has passed the ARRTexamination.Rotation- Scheduled period of time spent by students in a specific area.Sound Moral Character- Traits, status, and reputation consistent with the code of ethicsfor the profession.50


REVISED / JUNE <strong>2011</strong><strong>Holy</strong> <strong>Cross</strong> <strong>Hospital</strong>1500 Forest Glen RoadSilver Spring, Maryland 20910(301) 754-7367

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