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



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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










Interacts professionally with patients and family members










Introduces self to patients & family










Interacts courteously with nurses & other medical personnel










Uses appropriate language (proper grammar, no slang, profanity, etc.)










Respects the professional knowledge/skills of nurses










Demonstrates cultural awareness and competent practice










Maintains eye contact, personal space, therapeutic touch with patient










Maintains patient confidentiality










Maintains patient modesty (draping, gowning, privacy)










Seeks clinical knowledge/skill experiences during slow periods










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










Identify patient resources & support services in the department, hospital & community & discuss if they were reviewed with the patient










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










Recognizes staging & staging work up for patient case










Recognize radiation side effects/complications related to this case & select the appropriate medical intervention










Correlates the onset of clinical symptoms with the cumulative dose










Identify patient resources & support services in the department, hospital & community & discuss if they were reviewed with the patient










Understands Kubler-Ross stages of grieving & application to patient case










Understands Maslow’s Hierarchy of Needs & application to patient case










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










Explain the dynamics of communicating with the cancer patient & family










Indentify presenting symptoms










Differentiate between pathological types of this patient’s disease










List interventions/education given to the patient










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










Assess the physical condition of the patient before, during & after treatment delivery










Assess the nutritional status of the cancer patient to provide nutritional education or intervention.










List nutritional interventions/education










Discuss any change in treatment plan applicable to this patient, breaks in treatment, progression of disease










Identify patient resources & support services in the department, hospital & community & discuss if they were reviewed with the patient










Reviews treatment prescription










The following objectives have been met in RSC 305 Patient Care in Imaging Class labs










Demonstrates proper body mechanics and patient transferring










Demonstrates proper IV insertion technique










Demonstrates proper gowning & gloving procedures










Demonstrates proper hand washing procedure & infection control










Demonstrates proper care & safety of patient with oxygen










Staff Nurse evaluator comments: ­­­­­­­­­­­­­­­­­__________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

Student comments:_____________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________



Revised 8/11

Radiation Therapy Program





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