| HANDBOOK CONTINUED |
| STUDENT GRIEVANCE / DISCRIMINATION |
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Students are expected to follow the general rules and regulations of Coosa Valley Technical College Sonography program and each clinical affiliate. The purpose of these rules and regulations is to protect the rights of patients, employees. and students, thus allowing the student to prepare academically in a positive environment.
It is important that the student reads and understands the rules and regulations manual which explains students' rights and the code of conduct. These are listed throughout this handbook and in detail in the “General Catalog”.
Any complaints from a student must follow the correct chain of command. The student must first meet with the instructor, then to an instructional supervisor, i.e., program director, vice president of instructional services or the president. Further information may be found in the Coosa Valley Technical College General Catalog.
Clinical:
While assigned to the clinical rotation, the first step in a grievance should be directed to the clinical instructor. If unresolved, the grievance is directed to the Clinical Coordinator and then to the Program Director. If unresolved problems still exist, students may proceed with disciplinary/grievance procedures. Students should refer to his or her Coosa Valley Technical College student handbook.
Examples of violation which result in termination from the program:
1. Failure to maintain the minimum required passing grade.
2. Exhibiting behavior that is not in accordance with school or clinical site policies.
3. Failure to comply with rules and regulations in the student handbook or “General Catalog”.
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| ACADEMIC GUIDANCE AND STUDENT COUNSELING |
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Academic guidance and counseling is provided at advisement, mid-quarter and as needed throughout the quarter, by the faculty of Coosa Valley Technical College. Any student requiring special assistance for any assigned school activity is encouraged to utilize the resources available from his or her instructors. If any further assistance is necessary, please feel free to ask the program director.
Counseling with each student is performed by the Program Director and/or the Clinical Coordinator during mid-quarter. If a student's grades drop below the minimum "C" or disciplinary requirements are not met, then counseling will be provided as needed.
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| DISCIPLINARY ACTION POLICY |
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The following is a partial list of the kinds of behavior that may result in disciplinary action up to and including immediate removal. A list of other acts which may warrant disciplinary action is found in the “General Catalog”. Minor infractions of program guidelines may result in a written warning with a grade reduction. Each student is required to know and abide by all regulations contained in this handbook and other college documents. The DMS 101 course is designed to allow questions on procedures to occur prior to the beginning of clinical rotations. If you have any doubt whatsoever please contact your instructor or the program office for clarification. In all cases the student will follow the program organization chart to follow up on any and all problems.
- Conviction of a felony
- Conviction of a drug or alcohol abuse violation
- Violation of current school guidelines
- Falsification of school records
- Providing false information to school/program officials
- Cheating
- Breach of confidentiality
- Failure to follow current Student Sonographer Handbook guidelines
- Insubordination
- Improper classroom conduct
- Failure to follow clinical schedules
- Multiple clinical site dismissals
PROGRESSIVE DISCIPLINARY ACTION POLICY
In the event that a student incurs disciplinary action the punishment will progress to steadily stronger measures. The normal progression will start as follows:
step 1. a verbal warning. A second incident will cause progression to the next step.
step 2. a written warning. Then, depending on the seriousness of the offense, further written warnings, and or counseling sessions with the program director may occur.
Each written disciplinary action will result in the drop of one letter grade for the clinical evaluation grade that quarter.
step 3. The student will meet with the Director of Instructional Services and the student may be placed on suspension, further offenses may result in progression to step 4.
step 4. The student will meet with the Director of Instructional Services and the student may be placed on probation or dismissed from the program.
The student should note that the seriousness of the offense may require that some or all of the normal steps may be skipped.
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| ENERGIZED LABORATORY |
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This section deals with the laboratory sessions. The rationale, objectives, demonstration from and final examination forms are here for your guidance. There is also an example of the laboratory note forms you will receive to facilitate note taking during the laboratory lecture sessions.
ULTRASOUND LABORATORY RATIONALE
Purpose: To provide for the opportunity of student demonstration to the clinical laboratory supervisor of the mastery of the theory and practice of essential clinical skills under simulated conditions prior to assuming actual clinical responsibilities.
Procedure: Laboratory exercises in sonographic positioning skills augment the lecture portion of courses. In addition to the terminology, anatomy, physical parameters of machine settings, probable pathologic findings, performance of scanning protocols, and patient care issues related to the exam being performed. The examinations presented in lecture for each course is as follows:
DIAGNOSTIC MEDICAL SONOGRAPHY
Quarter 1: DMS 101 & DMS 102
Basic operation of ultrasound scanners
Patient care
Cross Sectional Anatomy
Basic Scanning protocols
Transducer selection
Quarter 2: DMS 120 & DMS 125
Non Pregnant Female Pelvis
Renal
Pancreas
Liver
Gall Bladder
RUQ
Quarter 3: DMS 121 & DMS 127
1st trimester OB
2nd & 3rd trimester OB
Biophysical Profiling
Endovaginal Ultrasound Paracentesis/Thoracentesis/Amniocentesis
Hysterosonography
Quarter 4: DMS 126 & DMS 122
Breast
Scrotal
Thyroid
Prostate
1st trimester OB
2nd & 3rd trimester OB
Biophysical Profiling
Neonatal Brain
Quarter 5: DMS 130:
Carotid Artery
Abdominal Vasculature
Venous Leg
Renal Transplant
Non-invasive testing
Transcranial Doppler
VASCULAR TECHNOLOGY
Quarter 1: DMS 101 & DMS 102
Basic operation of ultrasound scanners
Patient Care
Cross Sectional Anatomy
Basic Scanning Protocols
Transducer Selection
Quarter 2: VAS 100, VAS 120, DMS 103
Extremity Arterial
Extremity Venous
Quarter 3: VAS 120, VAS 130
Cerebrovascular Procedures
Vascular Quantitative & Test Measurement
Quarter 4: VAS 115,VAS 140
Abdominal & Visceral Procedures
Therapeutic & Interventional
ECHOCARDIOGRAPHY
Quarter 1: DMS 101
Basic scanning
Infection control & body mechanics
Vital signs
Tube care
Quarter 2: ECH 110, ECH 120
Patient history and preparation
Basic views
Equipment settings
Doppler, CW and color
Measurements
Report preparation
Quarter 3: ECH 115, ECH 130
Off Axis views
Transesophageal Echo
Stress Echo
Cardiomyopathies
Quarter 4: ECH 140, ECH 145
Carotid Artery & misc vascular
Pediatric Echo
Prosthetic devices
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| LABORATORY OBJECTIVES |
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General Competency: The student will be able to demonstrate knowledge of the anatomy of the part and competently perform scanning protocols related to that examination.
Competency - Based Objectives: Upon completion of the laboratory exercises the student will be able to:
1. Display knowledge and recognition of the anatomy, location, number and functions of the organs involved, as indicated by the written examination and oral discussion with 90 percent competency.
2. Know, recognize and describe in writing and orally, the position and sonographic appearance of the various organs demonstrated during each procedure with 90 percent competency.
3. Know, utilize, and be able to list the correct history required, instructions to the patient, patient preparation, patient assistance, equipment settings, patient positioning and techniques with 90 percent competence in written test, oral discussion, or skills observation by clinical laboratory supervisor.
4. Given a hypothetical situation in the laboratory, written test, oral discussion or role playing as the patient and/or the Sonographer to enhance understanding of the patients situation and condition to develop a courteous, confident empathetic attitude toward the patient.
The final evaluation of the student successfully meeting the laboratory objectives is the successful completion of Case Studies and competency clearances of the examination. If the student does not show competence in the clinical area for a particular examination, he/she will complete the laboratory skills demonstration again.
Methods of Evaluation
Laboratory demonstration checklist, laboratory quizzes, hourly, midterm, and final examinations.
Student Volunteers
Students are allowed and encouraged to scan each other during organized/scheduled lab practice sessions. Use of the Laboratory ultrasound units may only occur while an instructor is actually present in the building and aware of the practice session. All students must sign a waiver of responsibility for abnormalities found or missed. With the exception of Echocardiography students, no student may be scanned longer than 10 hours per organ site during the course of the program.
Students who are uncomfortable with having another student perform practice scanning should contact the program director to discuss possible alternatives.
Pregnant students are neither encouraged or allowed to perform fetal ultrasounds on themselves.
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| ESSENTIALS FOR GRADUATION DIPLOMA IN DIAGNOSTIC MEDICAL SONOGRAPHY |
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Graduation from the Diagnostic Medical Sonography program is dependent upon meeting the requirements of the Georgia Board of Technical and Adult Education.
Coosa Valley Technical College grants each Diagnostic Medical Sonography program graduate a diploma certifying satisfaction of the program requirements. The minimum of 111 quarter hour credits required for graduation must include:
Fundamental Diagnostic Medical Sonography Classes
Fundamental Pre-Occupational Courses are:
MAT 103 Algebra
SCT 100 Intro to Computers
ENG 101 English
PSY 101 Psychology
PHY 190 Physics or equivalent
AHS 101 Anatomy & Physiology
AHS 104 Introduction to Healthcare
Fundamental 1st quarter classes are:
DMS 101 Intro to Sonography & Patient Care
DMS 102 Sonographic Physics 1
DMS 104 Cross Sectional Anatomy
Fundamental 2nd quarter classes are:
DMS 120 Pelvic Sonography & Pathology
DMS 125 Abdominal Sonography & Pathology
DMS 103 Sonographic Physics 2
DMS 111 Clinical Sonography 1
Fundamental 3rd quarter classes are:
DMS 121 Normal Obstetric Sonography
DMS 127 Interventional Sonography
DMS 112 Clinical Sonography 2
Fundamental 4th quarter classes are:
DMS 126 High Resolution Imaging
DMS 122 Fetal & Neonatal Anomalies
DMS 113 Clinical Sonography 3
Fundamental 5th quarter classes are:
DMS 142 Case Study & Journal Review
DMS 130 Introduction to Vascular Sonography
DMS 114 Clinical Sonography 4
Fundamental 6th quarter classes are:
DMS 143 Comprehensive Registry Review
DMS 115 Clinical Sonography 5
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| ESSENTIALS FOR GRADUATION DIPLOMA IN VASCULAR TECHNOLOGY |
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Graduation from the Vascular Technology program is dependent upon meeting the requirements of the Georgia Board of Technical and Adult Education.
Coosa Valley Technical College grants each Vascular Technology program graduate a diploma certifying satisfaction of the program requirements. The minimum of 98 quarter hour credits required for graduation must include:
Fundamental Diploma Vascular Technology Classes
Fundamental Pre-Occupational Courses are:
MAT 103 Algebra
SCT 100 Intro to Computers
ENG 101 English
PSY 101 Psychology
PHY 190 Physics or equivalent
AHS 101 Anatomy & Physiology
AHS 104 Introduction to Healthcare
Fundamental 1st quarter classes are:
DMS 101 Intro to Sonography & Patient Care
DMS 102 Sonographic Physics 1
DMS 104 Cross Sectional Anatomy
Fundamental 2nd quarter classes are:
VAS 115 Extremity Arterial Vascular Procedures
VAS 105 Extr. Venous Vascular Procedure
DMS 103 Sonographic Physics 2
VAS 110 Clinical Vascular 1
Fundamental 3rd quarter classes are:
VAS 130 Cerebrovascular Procedures
VAS 120 Vasc. Quantitative & Test Measures
VAS 125 Clinical Vascular 2
Fundamental 4th quarter classes are:
VAS 100 Abd. & Visceral Vascular Procedures
VAS 135 Case Study & Journal Review
VAS 140 Therapeutic Intervention & Diagnostic Procedures for Vascular Disease
VAS 145 Clinical Vascular III
Fundamental 5th quarter classes are:
VAS 200 Comprehensive Registry Review
VAS 205 Clinical Vascular IV
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| ESSENTIALS FOR GRADUATION ASSOCIATES IN APPLIED TECHNOLOGY VT |
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Graduation from the Vascular Technology program is dependent upon meeting the requirements of the Georgia Board of Technical and Adult Education.
Coosa Valley Technical College grants each Vascular Technology program graduate a diploma certifying satisfaction of the program requirements. The minimum of 113 quarter hour credits required for graduation must include:
Fundamental AAT Vascular Technology Classes
Fundamental Pre-occupational :
MAT 191 Algebra
BIO 193 Human Anatomy 1
AHS 104 Patient Care, Medical Ethics & Law
AHS 109 Medical Terminology
PHY 190 General Earth Physics
BIO 194 Human Anatomy 2
ENG 191 Composition & Rhetoric
ENG 193 Composition & Rhetoric II
BIO 197 Micro Biology
PSY 191 Psychology
SCT 100 Intro to Micro-computers
Fundamental 1st quarter classes are:
DMS 101 Intro to Sonography & Patient Care
DMS 102 Sonographic Physics 1
DMS 104 Cross Sectional Anatomy
Fundamental 2nd quarter classes are:
VAS 115 Extremity Arterial Vascular Procedures
VAS 105 Extr. Venous Vascular Procedure
DMS 103 Sonographic Physics 2
VAS 110 Clinical Vascular 1
Fundamental 3rd quarter classes are:
VAS 130 Cerebrovascular Procedures
VAS 120 Vasc. Quantitative & Test Measures
VAS 125 Clinical Vascular 2
Fundamental 4th quarter classes are:
VAS 100 Abd. & Visceral Vascular Procedures
VAS 135 Case Study & Journal Review
VAS 140 Therapeutic Intervention & Diagnostic Procedures for Vascular Disease
VAS 145 Clinical Vascular III
Fundamental 5th quarter classes are:
VAS 200 Comprehensive Registry Review
VAS 205 Clinical Vascular IV |
| ESSENTIALS FOR GRADUATION DIPLOMA IN ECHOCARDIOGRAPHY |
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Graduation from the Echocardiography program is dependent upon meeting the requirements of the Georgia Board of Technical and Adult Education.
Coosa Valley Technical College grants each Echocardiography program graduate a diploma certifying satisfaction of the program requirements. The minimum of 114 quarter hour credits required for graduation must include:
Fundamental Diploma Echocardiography Classes
Fundamental Pre-Occupational Courses are:
MAT 103 Algebraic Concepts
EMP 100 Employability Skills
ENG 101 English
AHS 101 Anatomy & Physiology
PHY 190 Physics
CHM 191 Chemistry
SCT 100 Microcomputers
AHS 104 Intro to Health Care
AHS 109 Medical Terminology
Fundamental 1st quarter classes are:
DMS 101 Intro to Sonography & Patient Care
DMS 102 Sonographic Physics 1
ECH 100 Cardiovascular Anatomy
ECH 105 Electro & Cardiovascular Physiology
Fundamental 2nd quarter classes are:
PHR 100 Pharmaceutical calculations
ECH 110 Echocardiography 1
ECH 120 Clinical Echo 1
DMS 125 Sonographic Physics 2
Fundamental 3rd quarter classes are:
ECH 115 Echocardiography 2
ECH 130 Clinical Echo 2
ECH 135 Intro to Invasive Cardiology
Fundamental 4th quarter classes are:
ECH 140 Clinical Echo III
ECH 145 Intro to Vascular
ECH 150 Intro to Pediatric Echo
ECH 155 Case Study & Journal Review
Fundamental 5th quarter classes are:
ECH 200 Clinical Echo IV
ECH 205 Comprehensive Registry Review |
| ESSENTIALS FOR GRADUATION ASSOCIATES IN APPLIED TECHNOLOGY ECHO |
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Graduation from the Echocardiography program is dependent upon meeting the requirements of the Georgia Board of Technical and Adult Education.
Coosa Valley Technical College grants each Echocardiography program graduate a diploma certifying satisfaction of the program requirements. The minimum of 124 quarter hour credits required for graduation must include:
Fundamental AAT Echocardiography Classes
Fundamental Pre-occupational :
MAT 191 Algebra
BIO 193 Human Anatomy 1
AHS 104 Patient Care, Medical Ethics & Law
AHS 109 Medical Terminology
PHY 190 General Earth Physics
BIO 194 Human Anatomy 2
ENG 191 Composition & Rhetoric
ENG 193 Composition & Rhetoric II
CHM 191 Chemistry
PSY 191 Psychology
SCT 100 Intro to Micro-computers
Fundamental 1st quarter classes are:
DMS 101 Intro to Sonography & Patient Care
DMS 102 Sonographic Physics 1
ECH 100 Cardiovascular Anatomy
ECH 105 Electro & Cardiovascular Physiology
Fundamental 2nd quarter classes are:
PHR 100 Pharmaceutical calculations
ECH 110 Echocardiography 1
ECH 120 Clinical Echo 1
DMS 125 Sonographic Physics 2
Fundamental 3rd quarter classes are:
ECH 115 Echocardiography 2
ECH 130 Clinical Echo 2
ECH 135 Intro to Invasive Cardiology
Fundamental 4th quarter classes are:
ECH 140 Clinical Echo III
ECH 145 Intro to Vascular
ECH 150 Intro to Pediatric Echo
ECH 155 Case Study & Journal Review
Fundamental 5th quarter classes are:
ECH 200 Clinical Echo IV
ECH 205 Comprehensive Registry Review |
| TERMINAL COMPETENCIES |
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Several sources have had input into the development of terminal competencies for the Ultrasound program. Outside resources include the JRC-DMS content specifications and the program guide approved by the Georgia Department of Technical and Adult Education.
After classroom instruction and practical demonstration, the student must demonstrate mastery of the competencies under actual working conditions in the clinical affiliates. Mastery is determined by the use of written and oral tests, completion of portfolios, demonstrations, and observation of performance during clinical practice.
The following is a list of items which the student must prove competent in to qualify for graduation:
1. Utilize oral and written communication.
2. Provide basic patient care and comfort.
3. Demonstrate knowledge and understanding of gross and sectional anatomy.
4. Demonstrate knowledge and understanding of physiology, pathology, and pathophysiology
5. Demonstrate knowledge and understanding of acoustical physics, Doppler ultrasound principles, and ultrasound instrumentation.
6. Demonstrate knowledge and understanding of the interaction between ultrasound and tissue, and the probability of biological effects in clinical examinations.
7. Employ professional judgment and discretion.
8. Understand the policies, protocols, and procedures for the general function of the ultrasound labs and the fundamental elements for implementing a quality assurance and improvement program.
9. Recognize the importance of continuing education.
10. RDMS SPECIFIC
1. Demonstrate the ability to perform sonographic examinations of the abdomen, superficial structures, non cardiac chest, and the gravid and non-gravid pelvis according to protocol guidelines established by national professional organizations and employing institutions utilizing real time ultrasound, with both transabdominal and endocavitary transducers, Doppler, and color Doppler display modes.
2. Recognize and identify the sonographic appearance of normal anatomic structures, including anatomic variants and normal Doppler patterns.
3. Recognize, identify, and appropriately document the abnormal sonographic and Doppler patterns of disease processes, pathology, and pathophysiology. Modify the scanning protocol based on the sonographic findings and the differential diagnosis
4. Recognize and identify the sonographic appearance of normal anatomic structures of the female pelvis, including anatomic variants and normal Doppler patterns.
5. Recognize and identify the sonographic appearance of normal maternal, embryonic, and fetal anatomic structures during the first, second, and third trimesters.
6. Recognize, identify, and appropriately document the sonographic appearance of gynecologic disease processes, disease, pathology, and pathophysiology.
7. Recognize, identify, and appropriately document the sonographic appearance of obstetric abnormalities, disease, pathology. and pathophysiology.
11. RVT SPECIFIC
1. Demonstrate the ability to perform sonographic examinations of the arterial and venous systems to document disease of the cerebrovascular system, extremities, and abdominal vessels according to protocol guideline established by national professional organizations and employing institutions utilizing ultrasound equipment using B-Mode, Doppler, and Color Doppler display modes.
2. Recognize and identify the sonographic appearance of normal anatomic structures, including anatomic variants and normal B-Mode, Doppler and color Doppler patterns.
3. Recognize, identify, and appropriately document the abnormal sonographic, B-Mode, Doppler and color Doppler patterns of disease processes, pathology, and pathophysiology. Modify the scanning protocol based on the sonographic findings and the differential diagnosis
4. Demonstrate ability to perform indirect physiologic vascular testing including segmental pressures, pneumoplethysmography, photoplethysmography, cold tolerance testing and the application of these modalities to specific disease states.
5. Recognize the impact of various disease states on the test findings of the various indirect tests.
12. RDCS SPECIFIC
1. Demonstrate the ability to perform sonographic examinations of the heart by obtaining parasternal, apical, subcostal, and suprasternal views according to protocol guideline established by national professional organizations and employing institutions utilizing ultrasound equipment with both transthoracic and transesophageal transducers, M-mode, Doppler, and Color Doppler display modes.
2. Assist in Transesophageal, and Stress Echo examinations.
3. Recognize and identify the sonographic appearance of normal anatomic structures, including anatomic variants and normal M-Mode, Doppler and color Doppler patterns.
4. Recognize, identify, and appropriately document the abnormal sonographic, M-Mode, Doppler and color Doppler patterns of disease processes, pathology, and pathophysiology. Modify the scanning protocol based on the sonographic findings and the differential diagnosis
5. Demonstrate ability to perform electrocardiograms and basic interpretation.
6. Recognize, identify and appropriately documentation of cardiac arrhythmias and associated disease process, disease, pathology and pathophysiology.
13. Demonstrate knowledge and understanding of the role of the sonographer/vascular technologist in the use of oral and written communication and the performance of interventional invasive procedures
14. Recognize emergency patient conditions and initiating first aid and basic life-support procedures
15. Evaluate sonographic images for appropriate protocols, positioning and image quality
16. Evaluate the performance of sonographic systems. Demonstration of a knowledge of the safe operating limits of equipment, and the process of reporting malfunctions to the proper authority
17. Demonstrate knowledge and skills relating to quality assurance
18. Exercise independent judgment and discretion in the technical performance of medical procedures.
19. Students in the RDMS & RVT programs must complete a competency portfolio for each required competency before they will be allowed to graduate.
20. Students who do not achieve the required competency portfolios will be allowed to register and attend up to two additional quarters of clinical to complete the required competencies. |
| CLINICAL FOR ULTRASOUND PROGRAMS |
CLICK HERE FOR DMS CLINICAL FORMS PAGE |
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| Introduction |
CLICK HERE FOR RVT CLINICAL FORMS PAGE |
Clinical education will be arranged by Coosa Valley Technical College in conjunction with the affiliating clinical facilities. While the student is in the clinical department he/she must observe the regulations imposed by the affiliating clinical facility with regards to patient safety and welfare. Also, the assigned schedule of experience must be followed closely. In case of illness or other emergency, the student must personally notify the clinical instructor and Coosa Valley Technical College prior to the scheduled clinical period.
While performing various college and clinical duties the student is directly responsible to the staff member of the affiliating clinical facility in charge of the room to which the student is assigned. If any operational or personal problems arise, the clinical instructor should be contacted.
The clinical education experience is divided into five (5) clinical education courses for DMS & four (4) clinical education courses for RVT & RDCS. Progression from one clinical education course to another is based on completion of course requirements. Specific clinical assignments are related to clinical experiences from previous quarters and to academic courses required in specific quarters. Refer to each clinical course syllabus for prerequisites.
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| Major Clinical Affiliates |
CLICK HERE FOR CLINICAL SITE PAGE |
Clinical Sites
DMS
Cartersville Medical Center
Karen McAlister,RDMS, RVT, RDCS
RVT
Cartersville Surgical Associates
Debra Meadows RDMS,RVT
RVT
Emory Clinic Vascular Lab
Annette Gunnoud,RVT
RVT
Emory Crawford Long
Myra Wright,RVT
RVT
Erlanger Medical Center
Robin Long,RVT
RDMS
Floyd Medical Center
Jean McVicar,RDMS
Holly Barker BS,RDMS
RVT
Gadsden Regional Medical Center
Teresa Anderson,RVS
DMS
Gordon Hospital
Raina Sanford,RDMS
DMS/RVT
Hamilton Medical Center
Tiffany Riley,RDMS
DMS
Harbin Clinic
Angela Doegg,RDMS
RVT
Metro Vascular Labs Cobb
Raliegh Hazen,RVT
RVT
Metro Vascular Labs DeKalb
Robert McGrath,RVT
RVT
Northeast Georgia Vascular Lab
Bonnie Ryder,RDMS,RVT
DMS
Northeast Georgia Medical Center
Cindy Weiner,RDMS,RVT
DMS
NEGMC - Imaging Center
Cindy Weiner,RDMS,RVT
DMS
Northside Hospital Cherokee
Brenda Reece,RDMS, RVT
DMS
Northside Hospital Cherokee Outpatients
Tina Shelton,RDMS, RVT
RVT
Piedmont Hospital
Marsha Duhon,RVT
DMS
Polk Medical Center
Paige McElwee,RDMS
DMS
Promina Gwinnett - Glancy Medical Center
Dawn Dykstra,RDMS
DMS
Promina Gwinnett Medical Center
Lorie McCrary,RDMS
DMS
Redmond Regional Medical Center
Christina Sapp,RDMS,RVT
RVT
Southeastern Cardio-vascular Institute
Crista Resch,RVT
Amy Hawk,RVT,RVS
Alisa Ansley,RVT
Kimberly Moore, RVT
J.T. Jarrard,RVT
RVT
St. Joseph's Hopsital of Atlanta
Nancy Blasingame,RVT
DMS
Tanner Medical Center
Jane Hornsby,RDMS, RVT, RDCS
RVT
Vascular Diagnostic Services
Marsha Bock,RVT
RVT
Vascular Surgical Associates - Douglasville
James Sapp,RVT
RVT
Vascular Surgical Associates - Marietta
Daniel Medlin,RDMS, RVT, RDCS
DMS
Wellstar Cobb Hospital
Karen Brown,RDMS,RVT
Arleta Laughlin,RDMS
DMS
Wellstar Kennestone Hospital
Laz Diaz
Gail Brannon,RDMS
MINOR CLINICAL AFFILIATES
Clinical Sites
DMS
Associates in OB/GYN
Teresa Stone,RVT, RDMS
DMS
CHOA at Scottish Rite
Alice Spinks,RDMS
DMS
Coosa Diagnostic
Cindy Elsberry,RDMS
DMS
Promina OB GYN Clinic
Lorie McCrary,RDMS
Please refer to the Clinical Site Note Book or Clinical Sites section of the CVTC Web site for the most current information. Clinical rotational assignments occur during the first shift hours, Monday through Friday however, the clinical coordinator is ultimately responsible for determining clinical schedule including hours.
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| Clinical Assignments |
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The student enrolled in the Ultrasound curriculum will be assigned to a clinical schedule on a quarterly basis. These individual schedules are based on the clinical rotation master plan. The student will spend from sixteen (16) to forty (40) hours per week (depending on the specific quarter in which he or she is enrolled) at the designated clinical affiliate. Students will normally complete two ten week rotations through a clinical site before being rotated to a second clinical site. The 6th quarter DMS clinical site rotation may be negotiated with the program director/clinical coordinator.
It is the responsibility of the student to utilize the clinical site’s facilities to the fullest extent for his/her learning experience. The student is expected to remain in his assigned room at all times. However, if there are no patients being examined in this area, the student may involve himself or herself in another area, as directed by the clinical instructor.
If a student is asked to be removed from a clinical site, the student’s clinical grade will be negatively affected and rotation to another clinical site will be attempted on a space available basis. Other student rotations will not be adjusted to make room at a new clinical site. The new clinical site will be informed of the reason for the transfer and has the option of refusing the student.
The student is required to adhere to his or her assigned clinical schedule. No personal adjustments will be made to the assigned schedule.
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| Guidelines |
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| The starting times for clinical education will be on the schedule as distributed by the clinical coordinator. If the starting time is 8:00 a.m. that means that the student is to be in his or her assigned work area at 7:55 a.m. and not in the parking lot. Tardiness from 7:55 to 8:00 a.m. will be reflected in the work ethics grade. Tardiness after 8:00 a.m. will be dealt with according to the attendance policy. |
| Documentation of Clinical Time |
CLICK HERE FOR CLINICAL ATTENDENCE FORM |
All students are required to document clinical time. This documentation is achieved by the use of time sheets. All clinical time must be recorded on the student's time sheet. The time sheet must be initialed and signed by the clinical instructor. When a student has officially signed in, he or she is considered on duty and is to remain in the assigned area performing required duties. A spread sheet of clinical hours is maintained by the student and faculty.
It is a direct violation of the clinical time policy to alter a time sheet or to sign in or out for another student. A violation will be subject to suspension or dismissal from the program with the first offense. Please refer to the Clinical Attendance Policy and/or Clinical Assignment section of this handbook for further specifics regarding attendance. |
| CLINICAL TIME BANK |
CLICK HERE FOR CLINICAL VARIANCE FORM |
Students may go to clinical on days listed as “Extra Clinical Day” on the official DMS/RVT/RDCS quarterly calendar. These days are “Banked” and may be used at a later time for personal reasons.
1. A Clinical Variance form must be completely filled out and turned in to the CVTC Ultrasound Program Staff in advance.
2. The day that is being worked must be marked as an “Extra Clinical Day” on the official schedule.
3. The day “Banked” must be in 4 hour units.
4. If the student has scheduled himself/herself to work a banked day, it must be worked at the regular clinical hours.
5. Absence or tardiness on a scheduled “Bank Day” counts as an absence or tardiness according to the normal absence/tardiness policy.
6. The student may use the “Banked Time” at their discretion so long as a “Clinical Variance” form has been completed and turned in to the Clinical Coordinator in advance.
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| GENERAL CLINICAL RULES AND PROCEDURES |
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Student Name Badges
The students who wear the Polo shirts with embroidered names are not required to wear separate name tags unless required by the clinical site . Students who wear a lab coat over their polo shirts are required to wear a picture I.D. badge. Picture I.D. badges can be purchased through the school. A name tag whether embroidered or picture I.D. is part of the student uniform and must be worn daily. If it is lost it will be the students responsibility to replace it. Ordering information is found in the "Expenses" section of this handbook.
Clinical Supervision
If at any time a student's conduct becomes unprofessional, the Department director and/or Clinical Instructor may send the student home. The student may return only after approval from the program director and clinical site officials.
Phone Calls
Phone calls are to be kept at a minimum. No personal calls will be permitted at the clinical affiliate. Only in case of emergency should the student receive phone calls. Cell Phones are not permitted in the clinical site and should be left in the student’s vehicle.
Restricted Clinical Assignments
Students assigned to surgery, portables, and emergency room should have direct supervision.
Student Supervision
Two students may not be assigned to any area without direct technical supervision, i.e. students may not supervise students.
Parking
The student is required to park his or her vehicle only in areas assigned by the Clinical Instructor.
Lunch / Breaks
The student is permitted a sixty minutes of break/lunch time.
Break/lunch time may be 60 minutes continuous or a fifteen minute break and a 45 minute lunch.
Breaks and/or lunch time must be assigned by the onsite Clinical Instructor.
The student may take breaks in a location approved by the instructors.
Clinical Site Policy / Procedures
Students are required to know, understand, and adhere to all policies as they apply to employee and/or students assigned to each particular site. This information is normally covered during the student's orientation to new clinical sites by the onsite Clinical Instructor.
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| PATIENT PRIVACY - PATIENT RECORDS - HIPAA |
CLICK HERE FOR PATIENT INFORMATION RELEASE FORM |
In order to comply with applicable federal laws and regulations governing the use and/or disclosure of individually identifiable health information and to assist our clinical facilities in complying with the Health Insurance Portability and Accountability Act (HIPAA) of 1996, the CVTC Ultrasound Programs continue to maintain strict privacy standards. Every student in the CVTC Ultrasound Programs must keep in confidence all Protected Health Information (PHI) including medical, health, financial and social (including mental health) information pertaining to particular clients or patients. Protected Health Information is any information relating to past, present or future physical or mental health or condition of a person. Each student should use reasonable efforts to maintain the security of the Protected Health Information and to prevent unauthorized use and /or disclosure of such PHI. Students may be required to attend all or part of a clinical sites new employee orientation prior to clinical attendance.
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| CLINICAL COURSE PROGRESSION |
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Because of the progressive nature of the clinical course, each student must:
1. be able to demonstrate previously completed competencies whenever requested by the clinical faculty.
2. successfully complete enough required competencies per quarter as listed in proceeding sections of this handbook to receive a “C” clinical grade.
3. have successfully completed all courses in the previous quarter.
4. have accepted the Sonography professional values.
5. have a current grade average of "C" in all subjects before progressing to a higher level clinical course.
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| ACADEMIC RECYCLING |
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For any of the ultrasound programs a student who goes through the recycling process for academic reasons may do so only once for all ultrasound programs.
A student who drops out of the program for personal reasons may re-enter the program only if there is available space within the program to accommodate them.
Students who desire to re-enter the program, under the academic recycling process, must pass all the comprehensive final examinations for all previously completed classes, irrespective of their previous grades. No previously completed competencies may be counted for the current enrollment.
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| STUDENT RECORDS |
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Each quarter, students will be required to maintain records and complete assignments. These requirements are considered an integral part of the learning process. These records and assignments represent the student's part in determining and maintaining quality in the program and include, but are not limited to:
1. QUARTERLY OBJECTIVES - Quarterly objectives are found in the course syllabus each quarter. These must be completed and handed in the last day of the quarter.
2. QUARTERLY COMPETENCIES/PROFICIENCIES - Students are expected to obtain the minimum number of competencies each quarter in order to progress on to the next quarter.
4. TIME/ATTENDANCE RECORDS - Time sheets are to be handed in monthly. CLINICAL ATTENDANCE FORMS must be maintained and handed in if the student is at a minor clinical affiliate.
5. COMPLETED PROCEDURE LIST - The student must maintain records of procedures performed each day on the DAILY PRACTICUM RECORD OF PROCEDURES FORM. The record of these is to be documented daily and handed in monthly. A sample of this form follows.
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| CLINICAL NOTEBOOK |
CLICK HERE FOR RECEIPT OF HANDBOOK FORM |
Students are required to maintain a clinical notebook throughout their clinical experience. Included in the notebook should be:
1. Competency List - A list of the competencies, and the quarter they are taught in. Students must complete lab simulation, observation and a minimum of three assists before attempting a competency.
2. Competency Evaluation Progress Chart.
3. DAILY PRACTICUM RECORD OF PROCEDURES - Students are required to record all patients that they observe, assist or perform competencies on.
4. CLINICAL ATTENDANCE FORM - The time must be recorded on this sheet and signed by the Clinical Instructor.
5. Protocol notebook
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| EVALUATION OF STUDENTS DURING CLINICAL ROTATIONS |
CLICK HERE FOR CLINICAL EVALUATION FORM |
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| Clinical Affiliates' Rights in Student Evaluation |
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In compliance with the written agreement between Coosa Valley Technical College and affiliated hospitals (or other health care facilities), be advised that the hospital reserves the privilege of referring to Coosa Valley Technical College any student found to be lacking in ability to develop qualities essential for the Ultrasound programs in which he or she is enrolled, or for failure or unwillingness to conform to the regulations of the hospital and has the right to recommend withdrawal of any student from clinical site for reasons of unsatisfactory performance, violation of policies, or other misconduct. Any recommendations shall be presented in writing to the Clinical Coordinator at Coosa Valley Technical College. A student who is dismissed from the clinical affiliation for reasons cited above will not be allowed to return to that clinical site and is subject to grade, disciplinary or other action as appropriate.
Students will be assigned to the clinical affiliates according to the program's master plan of rotation. Students do not choose which affiliate they to attend. However, clinical sites will be arranged so that the student will be scheduled as close to their home as possible, secondary to student’s clinical needs.
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| Rationale for Clinical Performance Evaluations |
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PURPOSE: To effectively measure the performance of a student sonographer during the clinical rotation.
Objectives of a Performance Evaluation:
1. To provide feedback for the student sonographer on his/her clinical performance for each rotation including praise for noteworthy performance and analysis of deficient performance.
2. To improve individual clinical performance and satisfaction by providing communication between the Sonography staff and the student regarding the student's performance.
3. To assist the student in understanding his/her part in the achievement of clinical educational objectives and career goals.
4. To provide information for use in educational decisions, terminations, revision of curriculum or class content and student remediation.
5. to conform with the quality assurance guidelines of accrediting agencies.
Procedure
The onsite Clinical Instructor or staff member to whom the student is assigned, will complete the form at designated times. Each form will be returned to the Coosa Valley Technical College Clinical staff. The student will review and sign these evaluations after grading.
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| Clinical Evaluations |
CLICK HERE FOR CLINICAL EVALUATION FORM |
On the next several pages you will find the clinical evaluation tools to be used to determine the clinical grade. Please refer to the rationale, objectives and the evaluator notes for the forms included.
Objectives Evaluation is an ongoing process, the purpose of which is to:
1. Identify the strengths and weaknesses of the student and the clinical program.
2. Increase the competency of the student by providing feedback that may lead to self-improvement.
3. Provide a vehicle for focusing on important qualities of clinical skills in order to assess competencies achieved.
4. Provide information that will be helpful in recommending the student for a specific position.
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| Clinical Grade Determination |
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Final quarter grade is based on a formula assigned in each syllabus. Components of the clinical grade include:
1.Clinical Evaluations -
Completed 3 per quarter
A drop of one letter grade will result for each written documented disciplinary action.
2.Case Study Sessions -
1 per quarter
3.Competencies/Proficiencies -
Less than the minimum = incomplete
More than the minimum (per syllabi)
4.Punctuality -
Each un-excused absence lowers the overall clinical grade by 10%
3 tardies noted on student time card will constitute one un-excused absence
Each subsequent tardy will drop the grade by an additional 10% per tardy.
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| PROFICIENCIES |
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Some clinical sites do not have sonographers who are credentialed in all areas where examinations are commonly performed. As an example many sonographers perform Breast Ultrasounds but do not hold the ARDMS certification for Breast Ultrasound. Because of this common practice, a student who is working at a clinical site where this situation occurs may be signed off by an un-credentialed but otherwise qualified RDMS. This type of sign off is considered a proficiency and not a competency. The examination will count in the students total but can only be considered a competency if the Sonographer involved in the check-off is credentialed for the specific examination.
The specific examinations which are affected by this rule are as follows:
DMS:
Breast - competencies by RDMS (BR), proficiency by RDMS (AB,OB/GYN)
Neonatal Head - competencies by RDMS (NE), proficiency by RDMS (AB,OB/GYN)
Carotid - competencies by RVT, proficiency by RDMS (AB)
Venous Leg - competencies by RVT, proficiency by RDMS (AB)
Non-invasive vascular - competencies by RVT, proficiency by RDMS (AB)
RVT
None - All competencies must be by RVT
For DMS students the terms competency and proficiency can be interchanged where appropriate in this handbook.
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| COMPETENCIES (RDMS & RVT only) |
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| The minimum number of competencies required for each quarter and cumulatively is listed in the tables below . If the student does not meet the specified number of clearances for a quarter then an Incomplete grade will be given for clinical. Students who have received an incomplete will be given the option of doing clinical time between quarters. An incomplete which has not been corrected by the beginning of the next quarter keeps a student from progressing to the next quarter clinical class. Students who perform the minimum number of competencies in a given quarter will not receive the maximum score for clinical that quarter. Students who perform the minimum number of competencies in every quarter will not have enough competencies to graduate and will require additional quarters of clinical time. |
| DMS minimum number of competencies/proficiency required each quarter |
CLICK HERE TO GO TO DMS COMPETENCY REQUIREMENTS |
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| Diploma Vascular Technology minimum number of competencies required each quarter |
CLICK HERE FOR COMPETENCY REQUIREMENTS |
Diploma Vascular Technology minimum number of competencies required each quarter
Quarter - Clinical class
Minimum Competencies
per Quarter
Minimum Cumulative number of competencies
1st quarter - none required
2nd quarter VAS 110 Clinical Vascular 1
3rd quarter VAS 125 Clinical Vascular 2
4th quarter VAS 145 Clinical Vascular 3
5th quarter VAS 205 Clinical Vascular 4
Graduation 14
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| AAT Vascular Technology minimum number of competencies required each quarter |
CLICK HERE TO GO TO RVT cOMPETENCY FORM PAGE |
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| Diploma Echocardiography minimum number of proficiencies required each quarter |
CLICK HERE FOR COMPETENCIES PER QUARTER FORM |
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| AAT Echocardiography Minimum number of proficiencies required each quarter |
CLICK HERE FOR PROFICIENCIES PER QUARTER FORM |
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| Clinical Competency Evaluation RDMS & RVT (RDCS use “The SCAN”) |
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Competency based testing is a means of checking the progression rate of the student during his or her education by determining whether or not he or she is able to meet specified objectives, thus demonstrating competency. The student`s cognitive knowledge skills are directly evaluated in the classroom and indirectly evaluated throughout his or her educational experiences. The student's psychomotor application skills are evaluated during scheduled lab demonstration and clinical experiences in each of the clinical affiliates.
In order to properly evaluate the student's psychomotor skills, it is essential to determine the level of performance ability. Only through the use of a competency-based evaluation system can the student's level of achievement be determined.
The clinical portion of the student's activities is an integral part of the total curriculum. Each clinical affiliate will provide clinical experiences designed to bridge the gap between theory and application. This application will show progression from student observation to student assistance and finally student performance.
DMS graduation requirements:
Nineteen (19) Competencies/proficiencies are required for graduation. Seventeen(17) of the procedures must be the required exams. Two (2) may be any of the additional Competencies/proficiencies.
RVT graduation requirements:
Fourteen (14) competencies are required for graduation. Thirteen (13) of the procedures must be the required exams. One (1) may be any of the additional competencies.
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| Clinical Practicum Supervision All Ultrasound Students |
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The onsite clinical instructors are the primary supervisors of the students. In the absence of the Clinical Instructor, the assigned sonographer is the student supervisor.
Until a student achieves the program's required competency in a given procedure, clinical assignments must be performed under the direct supervision of a qualified sonographer. The following are parameters of direct supervision:
1.The sonographer reviews the request for examination in relation to the student's achievement.
2.The sonographer evaluates the condition of the patient in relation to the student's achievement.
3.The sonographer reviews and approves images prior to presentation to the Sonologist.
Once the student has achieved the program's required competency, he or she may perform the given procedure under indirect supervision. Indirect supervision is defined as that supervision provided by the sonographer immediately available to assist the student regardless of the level of the student's achievement.
In the event that a set of images produced by a student sonographer needs repeating, the following procedure will be followed. The sonographer or Sonologist will be present and will directly supervise the repetition of the images.
The student must present a check off list to the Clinical Instructor at the beginning of each quarter. The list should indicate the student’s current progress and should be updated throughout the quarter.
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| Clinical Competencies/proficiencies - Guidelines RDMS & RVT (RDCS use “The SCAN”) |
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The student is responsible for maintaining a record of specific procedure evaluations and competency tests that he or she has mastered. This should be logged in the RECORD OF COMPETENCY CLEARANCES form and the DAILY PRACTICUM RECORD OF PROCEDURES log.
Each student is responsible for completing all designated competency tests prior to graduation. Special scheduling arrangements may be made for procedures not frequently observed.
Falsification of competency evaluations will result in students suspension and/or dismissal from the program. Refer to the misconduct section of the student handbook.
Examinations presented for competency evaluation will not be accepted if:
• The sonographer assisted the student.
• The student fails to adhere to patient safety policies.
• The Sonologist requested that additional views be obtained.
• The procedure was evaluated by an unauthorized sonographer.
• Any procedure was returned or reported to the department head and/or quality assurance office.
• Any of the mandatory items listed on the front or back of the competency evaluation form do not receive a grade of "2".
The student who does not exceed the maximum number of required competencies each quarter may require an additional quarter of clinical time to graduate. Failure to obtain the minimum number of competencies will result in an incomplete and the student will not continue to the next quarter. The student is encouraged to plan his or her quarterly activities. An average of one competency should be completed each evaluation period.
6. Protocols and included information varies from hospital to hospital and may also vary from the CVTC instruction. When the examination is not a competency the site policy should be followed. When performing a procedure for a competency, procedures must meet either CVTC or the clinical sites standards, whichever are more inclusive for the following two items:
• Anatomy & structures demonstrated
• Items to be measured
Department protocols should be followed for the following items:
• Number of images
• Order of anatomy presented
CVTC standards should be followed for:
• Logical sequence of scanning
7. Only examinations listed and approved in this handbook may count for competencies. New examinations which are considered to be accepted by the sonography community may be added by the recommendation of the CVTC Ultrasound Programs Advisory Board.
8. The faculty of CVTC will periodically review the documentation including but not limited to names, dates, and exams listed on any form submitted to the student's file. This is an ongoing quality assurance tool to ensure validity of the information.
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| Steps to Complete Prior to Attempting a Competency RDMS & RVT (RDCS use “The SCAN”) |
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A clinical evaluation system is a uniform method of evaluating the performance of students. The program's competency system is structured for seven (7) steps for earning a competency:
The student must document completion of a laboratory simulation on the exam being attempted for competency.
The student must document observing the exam.
Then the student will assist with the exam in the clinical setting. This may be under direct supervision or as “Back scanning” while the sonographer is checking films or waiting for a Sonologist. Exams performed as “Back scanning” must be reviewed with the sonographer at an appropriate time (preferably the day of the exam). There is a minimum of 3 interactions before the competency can be attempted. The student and sonographer must be comfortable with completing these stages before continuing with the competency.
The student must complete the prerequisite portfolio information and competency forms.
The student will present their paper work as completed to the supervising sonographer who may or may not agree that the student is prepared.
The sonographer will review the schedule for that day and suggest a patient for attempting the competency.
With mutual agreement the competency may be attempted |
| Clinical Competency Portfolios RDMS & RVT (RDCS use “The SCAN”) |
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Sonography is a complex profession. It is not enough to obtain images of the appropriate anatomy. The student must understand the normal anatomy and physiology as well as the sonographic appearance of pathological conditions. To this end the student is required to complete a portfolio concerning the examination which they would like to obtain a competency prior to trying to obtain that competency. This information should be presented in a format which closely resembles the outline which follows. Because the amount of material for the eight below mentioned items various sections may be larger or smaller for each examination. The Portfolio will consists of the following items.
1. Identification of the exam, student, date of the lab on this topic
2. A written protocol for the procedure being performed
3. A list of the appropriate reasons for performing the examination
4. A list of the appropriate history questions
5. A description of the sonographic appearance of the anatomy to be identified
6. A list of the required images to be documented
7. A list of the anatomy which should be measured and the normal range of measurements for those organs
8. A written description of the pathology which might be expected when performing this examination and it’s sonographic appearance.
9. A list of common pitfalls
10. A list of pertinent laboratory values |
| Completion of a Competency Form RDMS & RVT (RDCS use “The SCAN”) |
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1. To assure that the student is competent to perform the examinations previously cleared, the clinical instruction staff and student will mutually agree that the student appears to be ready to be signed off.
2. The evaluator must be an RDMS/RVT sonographer who will directly observe the student perform the examination without aid.
3. Following the competency check off form the sonographer will score the student’s performance and note scores for each item.
4. Items listed as requiring 100 percent accuracy will be scored as a 2 or a 0.
5. Items which are listed as having lower than 100 percent accuracy may receive a score of 0, 1 or 2 based on the evaluator's observations.
6. The student and sonographer must evaluate the images.
7. A different competency form has been prepared for each procedure listed. Scores must be documented on the correct form.
8. In the event that the sonographer must intervene or repeats are necessary the student should not receive the competency. The student may attempt another competency for this exam for a different patient.
9. The evaluator has the right to terminate any attempt on a specific procedure in his/her opinion the student is not performing in a competent timely manner or the images would need to be repeated due to a technical error by the student.
10. If the score sheet is satisfactory the sonographer will sign the competency form.
11. The student will present all of the completed paperwork including the competency form along with the images from the competency to the CVTC staff for review. If all items are in order and the CVTC staff agree with the onsite clinical staff the competency will be initialed and the competency can be checked off.
1. If the faculty member denies or rejects the competency then the following sequence is to be followed.
1. The student must return the failed competency form to Coosa Valley Technical College faculty.
2. The student must repeat the cycle of an observe and assist for the exam if the exam is a required competency for graduation
12. Successful completion of this evaluation means that the student is competent to perform the examination with indirect supervision. This is a pass or fail competency.
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| Case Studies All Students |
click here for case study eval form |
Rationale for Case Study Sessions
PURPOSE: The Case Study sessions are to provide the opportunity for continual review and reinforcement of theoretical concepts with an evaluation of the same.
Objectives of the Case Study
1. To provide the opportunity for the student/instructor to correlate didactic and clinical education.
2. To review sonographic procedures and images with specific emphasis on:
1. Manipulation of equipment parameters to ensure satisfactory images
2. sonographic protocols/routines at each hospital
3. Sonographic procedure/image evaluation
4. methods of patient care in the respective rotation
5. Sonographic pathology as compared to normal findings
3. To provide all students assigned at the respective affiliate to share in the information gained by other students in their rotations.
4. To provide information for use in educational decisions, revision of curriculum or class content and student remediation.
5. To confirm with the quality assurance guidelines of the accrediting agencies.
Procedure
1. The scheduling of the Case Studies will be handled quarterly for each affiliate.
1. An average of one will be scheduled for each affiliate per quarter.
2. The Case Study evaluation sheet will be completed for each student when it is his/her turn to present a case.
3. The Case Study procedure sheet will be followed closely.
Procedural Steps for Case Studies All Students
1. Give patient demographics.
2. Give a case history for this examination.
3. Discuss the available sonographic history including pertinent laboratory and ancillary study reports/data.
4. Report the nine portfolio items for the procedure.
5. Describe the equipment which was used. Include transducer selection, gain settings, pre & post processing, depth and focus.
6. Describe the findings for this examination.
7. Demonstrate the anatomy identified.
8. Describe follow up procedures findings, including other imaging studies, surgical findings and/or pathology reports for this case.
9. It is recommended that the above information be prepared before the critique sessions and may be used during the evaluation process.
10. With progression of clinical experience, students should rely less on reading from prepared Case Study fact sheets. Additional Case Study assignments will be altered according to clinical progression at the discretion of the faculty.
Case Study Grading All Students
1. Case History
a. The student should report the patient’s age, symptoms, referral route, physical findings, and laboratory findings.
2. Sonographic History
a. The student should report all other pertinent ultrasound examinations. Other ancillary physical findings or imaging procedures should also be reported
3. Portfolio items
a. The student should describe the protocol for the procedure being performed
b. The student should describe the appropriate reasons for performing the examination
c. The student should describe the appropriate history questions and the importance of each
d. The student should describe the normal sonographic appearance of the anatomy to be identified
e. The student should describe the list of the required images to be documented
f. The student should describe the anatomy which should be measured and the normal range of measurements for those organs
g. The student should discuss the pathology which might be expected when performing this examination and it’s sonographic appearance
h. The student should discuss common pitfalls of this procedure
i. The student should report any pertinent lab values and their norms
4. Equipment
a. The student should discuss the transducer options and the relative merits/disadvantages of each
b. The student should discuss the machine settings and their affects:
5. Physics Review
a. The student should be prepared to discuss in detail whatever physics questions/concepts that instructor may ask.
6. Patient care issues
a. The student should discuss follow up procedures, surgeries and treatments for this patient including the prognosis, treatment options.
7. Demonstration of Anatomy
a. The student should describe all relevant anatomy shown on this examination
8. Attitude/Value Objectives
1. Presentation of Examination - did the student follow the Case Study presentation steps, were the films presented in an orderly fashion, was the presentation done promptly.
2. Team Participation - has the student participated in other presentations by asking questions and offering information, does the student interact well with the other students, Sonography staff.
3. Punctuality - did the student arrive on time and prepared for the Case Study session.
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Copyright CVTC 2003. All Rights Reserved.