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



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IN PERFORMING THIS PROCEDURE,THE STUDENT:

S

US


Was obviously satisfied with an unsuccessful or incomplete result







Was awkward and lacked a coordinated approach to the procedure







Proceeded rapidly but exhibited a lack of attention to detail







Was slow and deliberate







Was well paced and thorough







Exhibited dexterity, precision, and coordination







Proceeded rapidly and skillfully








Comments:

Student’s Signature: ____

Clinical Supervisor’s Signature:

8/95


Revised: 9/99

Reviewed: 8/01, 8/07


STUDENT:____________________________ DATE:___________




CLINICAL SITE:______________________




COMPETENCY 3A: Treatment Unit Orientation & Emergency Procedures (First Clinical Year)


The student will demonstrate competency in emergency procedures and in the identification and use of equipment associated with the assigned treatment unit. This will be accomplished by the end of the second week of each clinical rotation of the first year. This will be assessed with the clinical supervisor for the treatment unit in a simulated situation.

PERFORMANCE:
PROCEDURE: S US NA

1. Locate:

a. Emergency shut-off switches in the room










b. Emergency shut-off switches outside room (incl. circuit breaker)










c. Treatment room code button










d. Code cart










e. Ambu bags










f. Suction machine









g. defibrillator










h. O2










i. fire extinguishers










j. fire alarms










k. fire exits










l. emergency pendent










2. State the emergency phone numbers:

a. medical (cardiac, respiratory, psych)










b. fire










c. security










3. List information to be provided if emergency number is contacted:

a. name, department, position










b. nature of emergency










c. location










4. Describe departmental emergency procedures:

a. code










b. fire










5. Identify and demonstrate proper use of the following components:

(beginning with third rotation)

a. standard block tray holder










b. electron cones










c. standard and custom compensators










d. wedges










e. extended range couch motion










6. Locate and demonstrate use of all controls operating

(Beginning with third rotation)

a. collimator

1. rotation

2. field sizes











b. gantry










c. couch










d. console (including manual setting of back-up timers)











STUDENT:___________________________



IN PERFORMING THIS PROCEDURE,THE STUDENT: (Check those which apply)



Was obviously satisfied with an unsuccessful or incomplete result




Was awkward and lacked a coordinated approach to the procedure




Proceeded rapidly but exhibited a lack of attention to detail




Was slow and deliberate




Was well paced and thorough




Exhibited dexterity, precision, and coordination




Proceeded rapidly and skillfully






Comments:

Student’s Signature:
Clinical Supervisor’s Signature:

8/95


Revised: 9/99

Reviewed: 8/01, 8/07





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