Massachusetts college of pharmacy & health sciences radiation therapy program school of Medical Imaging & Therapeutics Contact Information


**Students are responsible for the maintenance of clinical skills



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**Students are responsible for the maintenance of clinical skills

throughout the program.

The student enrolled in any clinical internship course must complete all objectives assigned to them for that particular semester or session (see Radiation Therapy Student Handbook/Clinical Course Guide). This policy will be strictly adhered to with the exception of the following instances:




  • Extended Machine Shutdown

  • Personal Emergency

  • Assignment to a Machine that does not fulfill required Competencies needed (in the event of this situation, notify clinical supervisor and /or Program Director).

  • Any Substantiated Situation as approved by the Program Director that prevents you from completion of Clinical Objectives

Failure to complete competencies in a timely manner will result in a failure for clinical internship course.



Revised 8/04, Reviewed 8/07, 8/11

Direct Supervision Policy

As student members of the treatment team, radiation therapy students must follow MCPHS RTT program rules for direct supervision as outlined by the Joint Review Committee on Education in Radiologic Technology (JRCERT). All radiation therapy procedures are performed under direct supervision of a qualified practitioner.


Students are never to administer radiation without the direct supervision/approval of a registered, licensed radiation therapist and will be supervised in and out of the treatment room at all times.
Radiation therapy procedures requiring direct supervision include brachytherapy, simulation, and treatment. The JRCERT defines direct supervision as supervision by a qualified practitioner who: reviews the procedure in relation to the student’s achievement; evaluates the condition of the patient in relation to the student’s knowledge; is present during the conduct of the procedure; and reviews and approves the procedure. JRCERT.org 8.4 12/09
Reviewed 8/11

Time Out Policy


RIGHT PATIENT – RIGHT PROCEDURE

Policy

The MCPHS Radiation Therapy program “Time-Out” policy follows the National Patient Safety Goals of The Joint Commission on the Accreditation of Healthcare Organizations (JCAHO).

All MCPHS students must be supervised by a registered, licensed Radiation Therapist while working with patients in the clinical setting. The purpose of this policy is to establish a safe, accurate, and consistent identification process for verifying the right patient & right procedure in the radiation therapy clinical setting.

Procedure
1. This procedure applies to all MCPHS radiation therapy students while working in a clinical educational setting.

2. The student will identify the correct patient by asking their name, & date of birth and/or following the identification policy of the clinical institution (verify digital face photo, scan patient demographic identification card, verify this information from the e-chart navigator page in IMPAC).

3. The Time Out procedure will be completed daily for each patient before initiation of treatment.

4. Students who are at the treatment unit console must do a “Time-out” prior to running the beam.

5. This procedure ensures that you have identified the correct patient, consent, prescription, dose/mu, treatment field, & beam energy prior to the start of treatment for each treatment field.

6. The student is prohibited from turning on the beam without first completing a verbal time-out including the above parameters

7. The student is prohibited from turning on the beam without verifying permission from a registered, licensed Radiation Therapist to beam on.

8. It is the responsibility of the student to ensure that the therapist is standing next to the student within site of the console and monitor while the beam is running.

9. If the clinical staff are not verbally doing a time-out check they will still be expected to have the student verbalize all parameters of the time-out policy/right patient right procedure policy.

Clinical Competency Schedule 2011-2012


RTT 201 C

14 weeks T & TH

2 Treatment Competencies

3 Log Ins per Competency

1 Patient Care Rotation

4 simulation observations

Daily Conference Attendance 2 X per week

Patient Care Assignment

Warm-up Observation


RTT 202 C

14 weeks T & TH

5 Treatment Competencies

3 Log Ins per Competency

Daily Conference Attendance 2 X per week

Patient Care Assignment

4 simulation observations

Warm-up Observation
RTT 203 C

6 weeks M-F (2 weeks sim, 4 weeks tx unit)

5 Treatment Competencies

3 Log Ins per Competency

1 Simulation Procedure (cannot be on phantoms)

Minimum 3 X week Conference Attendance

Warm ups
RTT 304 C



14 weeks M, W,F (10 weeks tx. unit, 4 weeks sim)

5 Treatment Competencies

1 Log In per Competency

3 Simulation Procedures (cannot be on phantoms)

7 Recompetencies

Dosimetry Lab (non clinical hours)

Daily Conference Attendance

Warm ups
RTT 305 C



14 weeks M, W,F (10 weeks tx unit, 4 weeks sim)

5 Treatment Competencies

1 Log In per Competency

3 Simulation Procedures (cannot be on phantoms)

7 Recompetencies

Dosimetry Lab (non clinical hours)

Mould Room Rotation

Brachytherapy Rotation

Warm ups

Daily Conference Attendance Revised 8/11




CLINICAL POLICIES & FORMS


Massachusetts College of Pharmacy and Health Sciences

School of Medical Imaging & Therapeutics

Radiation Therapy Program

CLINICAL COMPETENCY KNOWLEDGE ASSESSMENT

The knowledge assessment must be completed before the log ins are attempted.




The descriptions used should be in medical terminology
Name:____________________________ Date:_______________
Clinical Site:_______________________ Treatment Unit_______
Set-up Procedure:__________________

1. Identify the patient’s primary disease and histology (if metastatic disease indicate primary as well as metastatic site)


2. Stage of disease to include staging system used (include reference and rational for stage)
3. Describe the patient position during treatment. List and explain why immobilization, positioning or any accessory devices are used in the treatment set-up.
4. Name the anatomic borders of the treatment field or fields.

5. Identify the critical organs within or adjacent to the treatment field or fields. What are the normal tolerance doses of these organs? Cite reference used for tolerance doses.

Student_______________________________
6. Name the possible acute side effects the patient may experience during treatment. List the instructions and

give rational for the recommendations you would give to the patient concerning side effects and skin care.


7. Name the possible long-term (chronic) side effects from treatment.

Student Signature:_____________________________


Clinical Supervisor Signature:___________________________
1/01, rev. 1/03, 8/03, 1/05, 8/07, 8/11 reviewed 8/10, 8/11




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