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Clinical Objectives Technical and Affective Skills
 
Patient Interactions <ul><li>Interacts with the patient in a courteous, professional manner by: </li></ul>
Patient Interactions <ul><li>Treating All Patients Equally </li></ul><ul><li>does not discriminate on the basis of sex, ag...
Patient Interactions <ul><li>Communicating With Patients in a Polite and Reassuring Manner </li></ul><ul><li>addresses adu...
Patient Interactions <ul><li>Maintaining Confidentiality of Patient Information </li></ul><ul><li>only discusses patient i...
Patient Interactions <ul><li>Maintaining Patient Comfort and Modesty </li></ul><ul><li>provides patient blanket, pillow, e...
Peer Interactions <ul><li>Interacts with peers in a courteous, professional manner by: </li></ul>
Peer Interactions <ul><li>Conducting Professional and Courteous Conversations in the Work Area </li></ul><ul><li>listens a...
Peer Interactions <ul><li>Using Proper Telephone Etiquette </li></ul><ul><li>upon answering the telephone identifies self ...
Peer Interactions <ul><li>Maintaining a Positive Attitude That Is Supportive Of Other Students </li></ul><ul><li>directs c...
Initiative/Dependability <ul><li>Displays initiative and dependability by: </li></ul>
Initiative/Dependability <ul><li>Completing Assigned Tasks </li></ul><ul><li>once begun, completes examination </li></ul><...
Initiative/Dependability <ul><li>Seeking Instruction and Guidance When Necessary </li></ul><ul><li>asks for help when unsu...
Initiative/Dependability <ul><li>Performing Radiographic Examinations with Appropriate Supervision </li></ul><ul><li>has a...
Initiative/Dependability <ul><li>Performing Non-Patient Tasks On Own Initiative </li></ul><ul><li>maintains room supply of...
Initiative/Dependability <ul><li>Remaining In Vicinity of Assigned Area </li></ul><ul><li>is immediately available to part...
Initiative/Dependability <ul><li>Seeking Opportunities for Clinic Practice </li></ul><ul><li>volunteers to perform patient...
Acceptance of Constructive Commentary <ul><li>Acknowledges constructive commentary by: </li></ul>
Acceptance of Constructive Commentary <ul><li>Accepting Comments Graciously and Uses Them to Improve Performance </li></ul...
Appearance <ul><li>Maintains a proper, professional appearance by: </li></ul><ul><li>Adhering To the Uniform Policy As Out...
Appearance <ul><li>Keeping Uniforms and Shoes Clean and Neat </li></ul><ul><li>shoes are clean </li></ul><ul><li>uniform i...
Attendance <ul><li>Acknowledges the need for responsible clinic attendance by: </li></ul>
Attendance <ul><li>Minimizing Absenteeism </li></ul><ul><li>is absent no more than three days in any one semester </li></u...
Attendance <ul><li>Reporting To Clinic on Time  </li></ul><ul><li>is not late to clinical site </li></ul><ul><li>PPS grade...
Quality <ul><li>Produces radiographs of diagnostic quality by: </li></ul>
Quality <ul><li>Preparing the Radiographic Room Prior To Patient Arrival </li></ul><ul><li>has appropriate number of IRs <...
Quality <ul><li>Placing Proper Anatomic Marker and Patient Identification Information on the Film </li></ul><ul><li>right/...
Quality <ul><li>Setting Appropriate Technical Factors </li></ul><ul><li>measure SID – no “guessing” </li></ul><ul><li>mAs ...
Quality <ul><li>Following Department Protocol for the Exam Requested </li></ul><ul><li>seeks to memorize departmental prot...
Quality <ul><li>Maintaining a Repeat Rate That Is Consistent With Level of Knowledge and Skill </li></ul><ul><li>positioni...
Quantity <ul><li>Maintains a high level of active participation by: </li></ul>
Quantity <ul><li>Performing Examinations in an Organized Manner </li></ul><ul><li>takes radiographs in a logical sequence ...
Quantity <ul><li>Assisting Others When Not Busy </li></ul><ul><li>volunteers to help others </li></ul>“ But, I’m not going...
Quantity <ul><li>Performing Tasks at a Speed Consistent With Level of Education </li></ul><ul><li>speed at which successfu...
Quantity <ul><li>Seeking Opportunities for Clinic Experience </li></ul><ul><li>volunteers to assist others </li></ul><ul><...
Radiation Protection/General Safety <ul><li>Provides radiation/general protection for patients, others and self by: </li><...
Radiation Protection/General Safety <ul><li>Asking Female Patients of Child Bearing Age about the Possibility of Pregnancy...
Radiation Protection/General Safety <ul><li>Shielding Patients </li></ul><ul><li>shields all patients of childbearing age ...
Radiation Protection/General Safety <ul><li>Limiting the X-Ray Field to the Area of Interest </li></ul><ul><li>uses the sm...
Radiation Protection/General Safety <ul><li>Using Appropriate Radiation Safety Methods for Self and Others </li></ul><ul><...
Radiation Protection/General Safety <ul><li>Transporting Patients without Accident or Injury </li></ul><ul><li>locking whe...
Radiation Protection/General Safety <ul><li>Transferring Patients without Accident or Injury </li></ul><ul><li>providing s...
Radiation Protection/General Safety <ul><li>Positioning the Patient and Equipment without Causing Further Injury to the Pa...
Equipment Manipulation <ul><li>Properly and safely manipulating the radiographic and ancillary equipment by: </li></ul>
Equipment Manipulation <ul><li>Driving and Maneuvering Mobile Equipment </li></ul><ul><li>drives mobile units safely </li>...
Equipment Manipulation <ul><li>Operating Ancillary Equipment </li></ul><ul><li>turns oxygen on and off as necessary </li><...
Equipment Manipulation <ul><li>Processing Radiographs Properly </li></ul><ul><li>feeds film into the processor correctly <...
Patient Care <ul><li>Courteously provides patient care and comfort by: </li></ul>
Patient Care <ul><li>Properly Identifying the Patient </li></ul><ul><li>checks patient wristband </li></ul><ul><li>questio...
Patient Care <ul><li>Assisting the Patient </li></ul><ul><li>helps patient with clothing changes </li></ul><ul><li>assists...
Patient Care <ul><li>Collecting Pertinent Clinical Data </li></ul><ul><li>completes any required institutional forms </li>...
Patient Care <ul><li>Providing Patient Education </li></ul><ul><li>explains examination preparation </li></ul><ul><li>expl...
Patient Care <ul><li>Talking In a Voice That Is Appropriate In Tone and Volume </li></ul><ul><li>voice tone and volume are...
Senior students <ul><li>meet with me when you are ready to begin modality rotations </li></ul><ul><li>comps are completed ...
Harborview <ul><li>4 week rotations </li></ul><ul><li>parking: pay in garage, take bus, locate street parking (limited) </...
Children’s <ul><li>2 week rotations </li></ul><ul><li>parking: whale garage, lower levels (at least for first day) </li></...
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Clinical Objectives Technical Affective Skills Slide 1 Clinical Objectives Technical Affective Skills Slide 2 Clinical Objectives Technical Affective Skills Slide 3 Clinical Objectives Technical Affective Skills Slide 4 Clinical Objectives Technical Affective Skills Slide 5 Clinical Objectives Technical Affective Skills Slide 6 Clinical Objectives Technical Affective Skills Slide 7 Clinical Objectives Technical Affective Skills Slide 8 Clinical Objectives Technical Affective Skills Slide 9 Clinical Objectives Technical Affective Skills Slide 10 Clinical Objectives Technical Affective Skills Slide 11 Clinical Objectives Technical Affective Skills Slide 12 Clinical Objectives Technical Affective Skills Slide 13 Clinical Objectives Technical Affective Skills Slide 14 Clinical Objectives Technical Affective Skills Slide 15 Clinical Objectives Technical Affective Skills Slide 16 Clinical Objectives Technical Affective Skills Slide 17 Clinical Objectives Technical Affective Skills Slide 18 Clinical Objectives Technical Affective Skills Slide 19 Clinical Objectives Technical Affective Skills Slide 20 Clinical Objectives Technical Affective Skills Slide 21 Clinical Objectives Technical Affective Skills Slide 22 Clinical Objectives Technical Affective Skills Slide 23 Clinical Objectives Technical Affective Skills Slide 24 Clinical Objectives Technical Affective Skills Slide 25 Clinical Objectives Technical Affective Skills Slide 26 Clinical Objectives Technical Affective Skills Slide 27 Clinical Objectives Technical Affective Skills Slide 28 Clinical Objectives Technical Affective Skills Slide 29 Clinical Objectives Technical Affective Skills Slide 30 Clinical Objectives Technical Affective Skills Slide 31 Clinical Objectives Technical Affective Skills Slide 32 Clinical Objectives Technical Affective Skills Slide 33 Clinical Objectives Technical Affective Skills Slide 34 Clinical Objectives Technical Affective Skills Slide 35 Clinical Objectives Technical Affective Skills Slide 36 Clinical Objectives Technical Affective Skills Slide 37 Clinical Objectives Technical Affective Skills Slide 38 Clinical Objectives Technical Affective Skills Slide 39 Clinical Objectives Technical Affective Skills Slide 40 Clinical Objectives Technical Affective Skills Slide 41 Clinical Objectives Technical Affective Skills Slide 42 Clinical Objectives Technical Affective Skills Slide 43 Clinical Objectives Technical Affective Skills Slide 44 Clinical Objectives Technical Affective Skills Slide 45 Clinical Objectives Technical Affective Skills Slide 46 Clinical Objectives Technical Affective Skills Slide 47 Clinical Objectives Technical Affective Skills Slide 48 Clinical Objectives Technical Affective Skills Slide 49 Clinical Objectives Technical Affective Skills Slide 50 Clinical Objectives Technical Affective Skills Slide 51 Clinical Objectives Technical Affective Skills Slide 52 Clinical Objectives Technical Affective Skills Slide 53 Clinical Objectives Technical Affective Skills Slide 54 Clinical Objectives Technical Affective Skills Slide 55 Clinical Objectives Technical Affective Skills Slide 56 Clinical Objectives Technical Affective Skills Slide 57
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Clinical Objectives Technical Affective Skills

  1. 1. Clinical Objectives Technical and Affective Skills
  2. 3. Patient Interactions <ul><li>Interacts with the patient in a courteous, professional manner by: </li></ul>
  3. 4. Patient Interactions <ul><li>Treating All Patients Equally </li></ul><ul><li>does not discriminate on the basis of sex, age, race, creed or religion </li></ul><ul><li>cares for patients with communicable diseases </li></ul>
  4. 5. Patient Interactions <ul><li>Communicating With Patients in a Polite and Reassuring Manner </li></ul><ul><li>addresses adult patients by surname </li></ul><ul><li>maintains a positive demeanor </li></ul><ul><li>responds to patient requests and inquiries promptly </li></ul><ul><li>listens and responds to patient concerns </li></ul><ul><li>directs attention to the patient </li></ul><ul><li>answers patient questions to best of ability </li></ul>“ Hey, I only work here.”
  5. 6. Patient Interactions <ul><li>Maintaining Confidentiality of Patient Information </li></ul><ul><li>only discusses patient information in a professional context </li></ul>
  6. 7. Patient Interactions <ul><li>Maintaining Patient Comfort and Modesty </li></ul><ul><li>provides patient blanket, pillow, etc. as needed and appropriate </li></ul><ul><li>covers patient to maintain modesty </li></ul><ul><li>uses table pads, sponges, etc. as appropriate to increase patient comfort </li></ul>“ I didn’t have time.”
  7. 8. Peer Interactions <ul><li>Interacts with peers in a courteous, professional manner by: </li></ul>
  8. 9. Peer Interactions <ul><li>Conducting Professional and Courteous Conversations in the Work Area </li></ul><ul><li>listens and responds to inquiries and comments </li></ul><ul><li>addresses individuals by name and/or title </li></ul>“ No Dr., it is actually my second day here.”
  9. 10. Peer Interactions <ul><li>Using Proper Telephone Etiquette </li></ul><ul><li>upon answering the telephone identifies self and department </li></ul><ul><li>listens and responds to inquiries </li></ul><ul><li>ask permission before placing caller on hold </li></ul><ul><li>verify that transferred calls reach intended recipient </li></ul>“ I just assumed that I transferred the call to the right place.”
  10. 11. Peer Interactions <ul><li>Maintaining a Positive Attitude That Is Supportive Of Other Students </li></ul><ul><li>directs concerns to proper authority </li></ul><ul><li>complaints are of a reasonable nature </li></ul><ul><li>abides by due process guidelines </li></ul><ul><li>assists other students when not busy </li></ul><ul><li>does not talk about other students in a negative way </li></ul>“ I think that other student put barium in my soda!”
  11. 12. Initiative/Dependability <ul><li>Displays initiative and dependability by: </li></ul>
  12. 13. Initiative/Dependability <ul><li>Completing Assigned Tasks </li></ul><ul><li>once begun, completes examination </li></ul><ul><li>carries out assigned tasks expeditiously </li></ul>
  13. 14. Initiative/Dependability <ul><li>Seeking Instruction and Guidance When Necessary </li></ul><ul><li>asks for help when unsure of self </li></ul><ul><li>has radiographs checked by proper authority before releasing patient </li></ul>“ But everyone was busy!”
  14. 15. Initiative/Dependability <ul><li>Performing Radiographic Examinations with Appropriate Supervision </li></ul><ul><li>has a technologist directly supervise exams prior to competency testing </li></ul><ul><li>has a technologist indirectly supervise exams following competency testing </li></ul><ul><li>has a technologist directly supervise all repeats </li></ul><ul><li>has a technologist approve all radiographs taken regardless of the level of competence </li></ul>“ They said that I should be able to do portables alone.”
  15. 16. Initiative/Dependability <ul><li>Performing Non-Patient Tasks On Own Initiative </li></ul><ul><li>maintains room supply of accessory items </li></ul><ul><li>keeps assigned room clean and neat </li></ul><ul><li>assists in ancillary areas (i.e. film library, patient escort) when patient examinations are not available </li></ul><ul><li>does not use the internet for entertainment purposes </li></ul>“ But MySpace threatened to close my account, I have to clean up my blog!”
  16. 17. Initiative/Dependability <ul><li>Remaining In Vicinity of Assigned Area </li></ul><ul><li>is immediately available to participate in exams performed in assigned room </li></ul><ul><li>let others know when you are leaving the department </li></ul>
  17. 18. Initiative/Dependability <ul><li>Seeking Opportunities for Clinic Practice </li></ul><ul><li>volunteers to perform patient examinations </li></ul><ul><li>asks questions pertinent to examinations performed </li></ul><ul><li>practices positioning when patient examinations are not available </li></ul><ul><li>practices equipment manipulation when patient examinations are not available </li></ul>“ But, I already comped on that.”
  18. 19. Acceptance of Constructive Commentary <ul><li>Acknowledges constructive commentary by: </li></ul>
  19. 20. Acceptance of Constructive Commentary <ul><li>Accepting Comments Graciously and Uses Them to Improve Performance </li></ul><ul><li>listens politely to comments </li></ul><ul><li>allows comments to be completed before responding </li></ul><ul><li>responds to comments in a professional manner </li></ul><ul><li>consults appropriate authority for mediation of problem areas </li></ul><ul><li>notes areas needing improving </li></ul><ul><li>while in clinic attempts to improve areas of weakness </li></ul>
  20. 21. Appearance <ul><li>Maintains a proper, professional appearance by: </li></ul><ul><li>Adhering To the Uniform Policy As Outlined In the Student Handbook </li></ul>
  21. 22. Appearance <ul><li>Keeping Uniforms and Shoes Clean and Neat </li></ul><ul><li>shoes are clean </li></ul><ul><li>uniform is freshly laundered </li></ul>
  22. 23. Attendance <ul><li>Acknowledges the need for responsible clinic attendance by: </li></ul>
  23. 24. Attendance <ul><li>Minimizing Absenteeism </li></ul><ul><li>is absent no more than three days in any one semester </li></ul><ul><li>PPS grade begins to lower after 1 to 2 absences </li></ul>
  24. 25. Attendance <ul><li>Reporting To Clinic on Time </li></ul><ul><li>is not late to clinical site </li></ul><ul><li>PPS grade begins to lower after 1 to 2 tardies </li></ul><ul><li>Remember…..your attendance record is the most inquired about attribute by future employers </li></ul>
  25. 26. Quality <ul><li>Produces radiographs of diagnostic quality by: </li></ul>
  26. 27. Quality <ul><li>Preparing the Radiographic Room Prior To Patient Arrival </li></ul><ul><li>has appropriate number of IRs </li></ul><ul><li>has prepared contrast media / consent forms if applicable </li></ul><ul><li>has enough lead shielding available </li></ul><ul><li>has anatomic markers, sponges, grids, tape, etc. </li></ul>
  27. 28. Quality <ul><li>Placing Proper Anatomic Marker and Patient Identification Information on the Film </li></ul><ul><li>right/left marker is visible and not in pertinent anatomy </li></ul><ul><li>date, patient name and number are visible </li></ul>
  28. 29. Quality <ul><li>Setting Appropriate Technical Factors </li></ul><ul><li>measure SID – no “guessing” </li></ul><ul><li>mAs and kVp to produce optimum contrast and density </li></ul><ul><li>focal spot size used to produce optimum detail </li></ul><ul><li>measures patient and consults technique chart </li></ul><ul><li>selects appropriate AEC cell </li></ul>
  29. 30. Quality <ul><li>Following Department Protocol for the Exam Requested </li></ul><ul><li>seeks to memorize departmental protocols </li></ul><ul><li>correct projections are taken for each examination </li></ul>“ I don’t need to write it down.”
  30. 31. Quality <ul><li>Maintaining a Repeat Rate That Is Consistent With Level of Knowledge and Skill </li></ul><ul><li>positioning patient properly </li></ul><ul><li>aligning the x-ray tube, patient and image receptor device appropriately </li></ul><ul><li>adjusting routine protocol for patient limitations </li></ul>
  31. 32. Quantity <ul><li>Maintains a high level of active participation by: </li></ul>
  32. 33. Quantity <ul><li>Performing Examinations in an Organized Manner </li></ul><ul><li>takes radiographs in a logical sequence that minimizes patient discomfort </li></ul><ul><li>prioritizes tasks to improve efficiency </li></ul>
  33. 34. Quantity <ul><li>Assisting Others When Not Busy </li></ul><ul><li>volunteers to help others </li></ul>“ But, I’m not going to be a file room clerk when I graduate.”
  34. 35. Quantity <ul><li>Performing Tasks at a Speed Consistent With Level of Education </li></ul><ul><li>speed at which successfully tested competency exams are performed gradually increases with added practice </li></ul>
  35. 36. Quantity <ul><li>Seeking Opportunities for Clinic Experience </li></ul><ul><li>volunteers to assist others </li></ul><ul><li>continues to practice previously completed competencies to increase skill </li></ul><ul><li>with assistance, attempts exams not yet competency tested </li></ul>“ But, I already have enough comps for the semester.”
  36. 37. Radiation Protection/General Safety <ul><li>Provides radiation/general protection for patients, others and self by: </li></ul>
  37. 38. Radiation Protection/General Safety <ul><li>Asking Female Patients of Child Bearing Age about the Possibility of Pregnancy </li></ul><ul><li>completes institutional pregnancy questionnaire </li></ul><ul><li>seeks appropriate action when possibility of pregnancy exists </li></ul>
  38. 39. Radiation Protection/General Safety <ul><li>Shielding Patients </li></ul><ul><li>shields all patients of childbearing age </li></ul><ul><li>may shield all patients upon request by patient or facility </li></ul><ul><li>places shield appropriately for each projection taken </li></ul>
  39. 40. Radiation Protection/General Safety <ul><li>Limiting the X-Ray Field to the Area of Interest </li></ul><ul><li>uses the smallest IR possible </li></ul><ul><li>collimates to the part </li></ul>
  40. 41. Radiation Protection/General Safety <ul><li>Using Appropriate Radiation Safety Methods for Self and Others </li></ul><ul><li>removes all unnecessary persons from the room prior to making the exposure </li></ul><ul><li>ensures all persons, other than the patient, in the room during radiographic exposure wear protective apparel </li></ul><ul><li>wears a personnel radiation monitoring devices </li></ul><ul><li>practices the principles of time and distance to reduce exposure </li></ul>
  41. 42. Radiation Protection/General Safety <ul><li>Transporting Patients without Accident or Injury </li></ul><ul><li>locking wheels on wheelchair before assisting patient in or out </li></ul><ul><li>driving transport vehicles safely </li></ul><ul><li>checking for tubing, lines, etc. before moving the patient </li></ul>“ I’m sorry nurse, I didn’t mean to pull out that IV line that took you two hours to put in.”
  42. 43. Radiation Protection/General Safety <ul><li>Transferring Patients without Accident or Injury </li></ul><ul><li>providing step stools for the patient </li></ul><ul><li>physically assisting the patient as needed </li></ul><ul><li>obtaining sufficient lifting help to transfer stretcher patients </li></ul>
  43. 44. Radiation Protection/General Safety <ul><li>Positioning the Patient and Equipment without Causing Further Injury to the Patient </li></ul><ul><li>provides pads, cushions etc. for patient comfort and safety </li></ul><ul><li>moves x-ray tube away from the table before assisting patient on and off </li></ul><ul><li>provides hand grips for the patient when available </li></ul><ul><li>cautions patient about grasping the edges of the table </li></ul><ul><li>gives clear instructions to the patient </li></ul>
  44. 45. Equipment Manipulation <ul><li>Properly and safely manipulating the radiographic and ancillary equipment by: </li></ul>
  45. 46. Equipment Manipulation <ul><li>Driving and Maneuvering Mobile Equipment </li></ul><ul><li>drives mobile units safely </li></ul><ul><li>maneuvers mobile units in and out of patient rooms or OR suites </li></ul>
  46. 47. Equipment Manipulation <ul><li>Operating Ancillary Equipment </li></ul><ul><li>turns oxygen on and off as necessary </li></ul><ul><li>prepares suction machine for usage </li></ul>
  47. 48. Equipment Manipulation <ul><li>Processing Radiographs Properly </li></ul><ul><li>feeds film into the processor correctly </li></ul><ul><li>processes radiographs properly </li></ul><ul><li>secures film bin before leaving darkroom </li></ul><ul><li>produces copies of radiographs </li></ul><ul><li>DR/CR/PACS </li></ul><ul><li>has understanding of software, image manipulation, and exposure protocol (S#, EI, etc.) </li></ul>
  48. 49. Patient Care <ul><li>Courteously provides patient care and comfort by: </li></ul>
  49. 50. Patient Care <ul><li>Properly Identifying the Patient </li></ul><ul><li>checks patient wristband </li></ul><ul><li>questions the patient to ascertain identity </li></ul><ul><li>matches patient information to examination request </li></ul>
  50. 51. Patient Care <ul><li>Assisting the Patient </li></ul><ul><li>helps patient with clothing changes </li></ul><ul><li>assists patient on and off x-ray table </li></ul><ul><li>provides patient help with bathroom needs </li></ul>
  51. 52. Patient Care <ul><li>Collecting Pertinent Clinical Data </li></ul><ul><li>completes any required institutional forms </li></ul>
  52. 53. Patient Care <ul><li>Providing Patient Education </li></ul><ul><li>explains examination preparation </li></ul><ul><li>explains examination procedure </li></ul><ul><li>answers patient questions to best of ability </li></ul>“ Oh, it’s just a little injection, no big deal.”
  53. 54. Patient Care <ul><li>Talking In a Voice That Is Appropriate In Tone and Volume </li></ul><ul><li>voice tone and volume are adequate for hearing under normal circumstances </li></ul>
  54. 55. Senior students <ul><li>meet with me when you are ready to begin modality rotations </li></ul><ul><li>comps are completed </li></ul><ul><li>approval of rotations by site / Pima </li></ul><ul><li>no more than four weeks at a time </li></ul>
  55. 56. Harborview <ul><li>4 week rotations </li></ul><ul><li>parking: pay in garage, take bus, locate street parking (limited) </li></ul><ul><li>expectations: be aggressive, be proactive, learn to adapt to patient condition/limitations quickly </li></ul><ul><li>can earn comps </li></ul><ul><li>turn in completed trauma objectives and evaluation </li></ul>
  56. 57. Children’s <ul><li>2 week rotations </li></ul><ul><li>parking: whale garage, lower levels (at least for first day) </li></ul><ul><li>radiology is located on the 4 th floor </li></ul><ul><li>expectations: observe first day or so, earn confidence from techs, let them know that you are ready to try something </li></ul><ul><li>can earn comps: let clinical instructor know which area you want more time in (x ray, fluoro, OR) </li></ul><ul><li>no objectives or evaluations to be completed </li></ul>
  • JJStarr1

    May. 19, 2017
  • jboutelle

    Feb. 3, 2009

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