PATIENT CARE ROTATION RTT 201C
Policy
The student will follow a patient under treatment from the first week through the last day of treatment. The patient care rotation will provide the radiation therapy student a clinical education experience which will reinforce the objectives achieved in the patient care course (RSC 305 Patient Care in Imaging). Student will demonstrate therapeutic patient communication skills, show empathy and understanding of the patient throughout the radiation therapy process, & gain understanding of patient care issues related to patients receiving radiation therapy.
Procedure
1. The student and staff will choose a patient on the treatment schedule who is being simulated during the student’s first week of clinical.
2. The student will monitor the patient’s course of radiation therapy including any changes in treatment plan, side effects, and any psychosocial issues that may arise.
3. The student will be expected to follow the patient each week with the physician & nurse for scheduled & PRN on treatment visits, and all radiation therapy treatments.
4. The student will keep a journal of such visits.
5. The student is responsible for knowing the patient’s daily schedule in the department.
6. The student will research the patient record for information that lead up to the scheduling of the simulation for radiation therapy.
7. The student will submit an outline to the Clinical Coordinator of all pertinent patient information as indicated in the RTT 201C Patient Care Rotation objectives.
PATIENT CARE ROTATION RTT 202C
Policy
The student will build upon Patient Care concepts gained in RSC 305 Patient Care In Imaging and in RTT 201C Clinical Internship patient care rotation. To provide the student with foundation concepts and competencies in assessment and evaluation of the patient for service delivery. Psychological and physical needs and factors affecting treatment outcome will be explored. Routine and emergency care procedures will be reviewed.
Procedure
1. The student and staff will schedule observation times with the nurse and physician to review and participate in the following (time can be individual cases, partial or full days).
2. The student must review schedule with the therapists to ensure that important treatment procedures are not missed.
3. The student will participate in 3 different patient consultation visits of varying pathologies
4. The student will participate in 3 different patient care on treatment visits of varying pathologies
5. The student will participate in 3 different patient care follow up visits of varying pathologies
6. The student will submit an outline to the Clinical Coordinator of all pertinent patient information as indicated in the RTT 202C Patient Care Rotation objectives.
Radiation Therapy Program
Clinical Competency Evaluation - Patient Care Rotation RTT 201C Clinical Internship
Student:__________________________________ Date:_______________________
Staff Nurse Evaluator:________________________ Clinical Site:__________________
Preceptors are asked to evaluate students’ professional behavior and communication skills by identifying how well the student met expectations of performance in each criterion.
Interpersonal Domain: Candidates should demonstrate ongoing sensitivity to and compassion for each patient’s physical and emotional well-being, interact with members of the radiation therapy treatment team in a positive and productive manner, and maintain high ethical standards.
Met Not Met N/A
Reviews clinical rotation objectives with clinical nursing staff
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Interacts professionally with patients and family members
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Introduces self to patients & family
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Interacts courteously with nurses & other medical personnel
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Uses appropriate language (proper grammar, no slang, profanity, etc.)
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Respects the professional knowledge/skills of nurses
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Demonstrates cultural awareness and competent practice
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Maintains eye contact, personal space, therapeutic touch with patient
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Maintains patient confidentiality
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Maintains patient modesty (draping, gowning, privacy)
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Seeks clinical knowledge/skill experiences during slow periods
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Examine different psychological aspects effecting the patient: change in body image, family dynamics, change in role in the family, sexual relations, financial stressors, & mortality concerns
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Identify patient resources & support services in the department, hospital & community & discuss if they were reviewed with the patient
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Cognitive Domain: As part of providing treatment, candidates should demonstrate their understanding of concepts related to patient care and reinforce the objectives achieved in the patient care course (RSC 305 Patient Care in Imaging).
Met Not Met N/A
Understands radiation side effects/complications related to this case & select the appropriate medical intervention
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Recognizes staging & staging work up for patient case
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Recognize radiation side effects/complications related to this case & select the appropriate medical intervention
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Correlates the onset of clinical symptoms with the cumulative dose
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Identify patient resources & support services in the department, hospital & community & discuss if they were reviewed with the patient
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Understands Kubler-Ross stages of grieving & application to patient case
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Understands Maslow’s Hierarchy of Needs & application to patient case
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Psychomotor Domain: Candidates should demonstrate competence performing activities such as: discussing treatment plan, therapeutic touch, assessing patient’s physical status, documenting patient care, and formulating answers to frequently asked questions.
Met Not Met N/A
Locates documentation of informed consent
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Explain the dynamics of communicating with the cancer patient & family
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Indentify presenting symptoms
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Differentiate between pathological types of this patient’s disease
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List interventions/education given to the patient
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Examine different psychological aspects effecting the patient: change in body image, family dynamics, change in role in the family, sexual relations, financial stressors, & mortality concerns
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Assess the physical condition of the patient before, during & after treatment delivery
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Assess the nutritional status of the cancer patient to provide nutritional education or intervention.
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List nutritional interventions/education
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Discuss any change in treatment plan applicable to this patient, breaks in treatment, progression of disease
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Identify patient resources & support services in the department, hospital & community & discuss if they were reviewed with the patient
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Reviews treatment prescription
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The following objectives have been met in RSC 305 Patient Care in Imaging Class labs
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Demonstrates proper body mechanics and patient transferring
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Demonstrates proper IV insertion technique
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Demonstrates proper gowning & gloving procedures
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Demonstrates proper hand washing procedure & infection control
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Demonstrates proper care & safety of patient with oxygen
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Staff Nurse evaluator comments: __________________________________________________
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Student comments:_____________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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Revised 8/11
Radiation Therapy Program
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