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


Shields Radiation Oncology Center (SROC)



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Shields Radiation Oncology Center (SROC)


89 Forbes Boulevard

Mansfield, MA. 02048

508-261-2000

Chief Therapist: Karen Wetterhahn, R.T.(T).

karenwet@shcpo.shields.com

Website: www.whroc.com

From Boston: 93 South to 95 South via exit 1 toward Providence RI, 140 South to exit 7A toward Mansfield. Take Forbes Blvd ramp, slight right turn onto Forbes Blvd. to 89 Forbes Blvd.

Winchester Hospital Radiation Center (WHRC)


620 Washington Street

Winchester, MA. 01890

781-756-8300

Chief Therapist: Lisa Crouse, R.T.(T)

781-756-8300

site: www.srocmansfield.com



From Boston: 93 North. Take the Montvale Ave exit (#36) toward Stoneham/Woburn. Turn left onto Montvale Ave. Left onto Washington Street



Clinical Education Goals & Evaluation



Goals

1. To provide a wide range of clinical situations that will orient students to applied

radiation oncology
2. To provide an adequate background for the study of radiation oncology procedures and for the development of skill in clinical practice
3. To help the students appreciate their role as a member of the treatment team
4. To develop a genuine concern for patients and the ability to respond to this concern
5. To ensure that students reach a safe level of competence in the performance of the

calculations for and in the execution of all standard radiation therapy treatment

prescriptions
6. To develop attitudes of self criticism and scientific inquiry
7. To develop the ability to use scientific procedures for the advancement of medical

radiation therapy


8. To develop understanding of departmental and institutional expectations of the radiation

therapist as an employee.




Performance Evaluations

Two types of evaluations (clinical evaluations and competency evaluations) will be used to determine if clinical performance is satisfactory by the midpoint and end of semester rotation.


Clinical Evaluations - Evaluation of achievement of performance and conduct objectives is completed by the clinical supervisor at the completion of each rotation. The purpose of the clinical evaluation is to assess the student's professional conduct and overall performance in patient care and technical skill. During the last week of each clinical rotation the student must have the clinical supervisor(s) complete the appropriate clinical evaluation form.

Have a clinical supervisor initial the date they received the form from you. This completed evaluation must be received by the Program Director by 4:00 pm on the last day of that rotation.


Competency Evaluations - These evaluations are progressive tests of clinical achievement and are completed by the clinical supervisor. The purpose of the competency evaluation is to assess specific technical skills. It is each student’s responsibility to request time with the clinical supervisor and machine time to perform specific clinical competencies. This time must be convenient for the clinical staff and patient care delivery, and should be scheduled at least 3 days in advance and cannot be left until the day of the rotation.
Recompetencies:

In addition to the number of treatment competencies each clinical rotation, formal recompetencies will begin in the third year (second clinical year): RTT 304C seven recomps due, & RTT 305C seven recomps due. The student will be required to provide documentation of 14 recompetency procedures out of the required 22 treatment competency procedure required. No more than 7 recompetencies per clinical internship will be accepted and the student is not allowed to “bank” extra recompetency procedures.



Clinical Internship Rules

Program rules and regulations have been established to provide the student radiation therapist with a realistic guideline for professional behavior development. Rules and regulations are consistent with expectations made of practicing radiation therapists, both as professional members of the health care and treatment team, and as employees of an institution.


The professional portion of the Radiation Therapy Program educates and guides the student toward development and implementation of the knowledge, skills and attitudes necessary for assuming the responsibilities of a practicing radiation therapist. The scheduling of clinical assignments will be determined at the discretion of the Clinical Coordinator.

Infection Control Policies

Students with an infectious illness must notify the Clinical Coordinator, the Program Director, and the assigned clinical supervisor at their clinical assignment that they will be absent.


Students are reminded of the compromised status of their patients’ health and immune systems, and should not impose a health hazard on others.

Sickness Policy



Interns are required to follow the below guidelines regarding sickness. If an intern presents with the following conditions, the Clinical Supervisor may use discretion to send the intern home, or accept the intern into the clinical setting based on the examples below.


General Illnesses

Too Sick for Clinical Attendance

Fever

· No patient care until fever is gone.

Skin Conditions

Too Sick for Clinical Attendance

Hand dermatitis

· Skin is cracked and bleeding at any time prior to, during or after work shift.

Open wounds

· Wound is located on the hands or face and is draining or not healed over, and duties involve patient contact.
· Wound is located under clothing but dressings are saturated by the end of the shift and duties involve patient contact.

Rash

· Generalized rash with an unknown cause.
· Small blisters located on hands and face or a large area on body trunk.
· Rash appears like tiny broken blood vessels or bruises with mild fever.
· Rash has spots or pimples and is accompanied by a fever.

Herpes simplex
(cold sores)



· Lesion is located on hands.
· Lesions are open and draining.
· Lesions are located on face and duties include patient contact in high risk areas.

Burns

· Burn is located on the face or hands and area is weeping or blistered.

Pediculosis
(lice)

· No work until confirmed that transmission is not possible following appropriate treatment.

Impetigo

· No work until medical treatment started.

· No skin to skin contact until resolved.



Conjunctivitis

· Excessive tearing with discharge, sensitivity to light, itching, redness, or swelling. No work until discharge/drainage ceases.




Upper Respiratory Symptoms

Too Sick for Clinical Attendance

Cough

· Accompanied by a fever.
· Has a >2 week duration and accompanied by night sweats, fever, weight loss, hemoptysis or a positive PPD (tuberculosis test).
· Severe or persistent coughing spells.

Sore throat

· Accompanied by fever, white spots on tonsils, swollen glands or skin rash.

Strep throat

· Following a positive throat culture, need 24 hours of medication and feeling better clinically.

Nasal congestion

· Nasal secretions are so persistent that hands can not be washed after each tissue use.

· Accompanied by a fever, sinus pain and colored discharge.



Diphtheria

· No work until antimicrobial therapy completed and two cultures at least 24 hours apart are negative.

Influenza



· Combination of muscle aches, sore throat, cough, mild cough, runny nose, headache, light sensitivity or intestinal symptoms.

Upper Respiratory Infection

· Requires staying home until symptoms are resolved to prevent spread of disease to immunocompromised patients.

Pertussis

(Whooping Cough)



· Requires staying home and being on medication for 24-48 hours.

· May return to clinical assignment with medical permission.



Gastrointestinal Symptoms

Too Sick for Clinical Attendance

Nausea

· Present with yellowing of the skin or eyes.
· Accompanied with other general complaints (e.g. headache, fever, fatigue or yellowing of skin)

Vomiting

· Difficulty maintaining hygiene practices or sanitary conditions.
· Accompanied by other intestinal symptoms (e.g. increase flatus, nausea, vomiting or other unusual stool characteristics).

Diarrhea


· Difficulty in maintaining hygiene practices or sanitary conditions.
· An increased number of bowel movements with an acute onset due to an unknown cause (3 loose stools in 24 hour time period).
· Accompanied by a fever, headache, or fatigue.
· Accompanied by other intestinal symptoms.


Convalescent Salmonella

· No work with high risk, immunocompromised patients until documentation of 2 consecutive negative stool cultures, 24 hours apart.

Impairment

Too Sick for Clinical Attendance

Narcotics

If an intern is on narcotic prescription drugs, the intern will not be allowed to participate in clinical activities due to the potential side effects & altered mental status. Intern will not be allowed to return to clinical without medical clearance from a physician & safety concerns are eliminated.






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