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In document DE QUÉ TRATAN LAS LECCIONES (página 62-68)

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ADMINISTRATIVE PROCEDURE 4.408

__

References Board of Trustees Policy: EP: 1

Subject: Appeal

Adopted: August 23, 2010

Amended: August 21, 2013

Review: This procedure will be reviewed by the Vice President for Teaching, Learning, and

Student Development by June 30 of every even-numbered year.

Following an informal disposition of a complaint or adjudication of a complaint (Administrative

Procedure 4.401 Complaint Procedure), a dissatisfied student may appeal the decision of the Academic

Dean or Student Affairs Committee and Dean of Student Services and Development by following the

appropriate process:

Appeal:

The student has the right to appeal the decision to the appropriate vice president. The student must

submit the appeal in writing within ten (10) school days of receiving his/her Hearing outcome. The

written appeal is to be submitted to the Dean of Students who will forward it to the appropriate vice

president. The responsible vice president will inform the student of his/her decision in writing. This

decision is final.

The following special appeals must follow the appropriate procedures outlined in Elgin Community

College catalog, curriculum handbooks, or Administrative Procedures. Students may contact the Dean

of Student Services and Development or Associate Dean for assistance in locating the specific appeal

procedure.

1. Types of Appeals

Commonly, an appeal involves meaning, interpretation or application of established procedures,

difference of treatment. Appeals may be categorized as follows:

a. Program Admission to Health Care programs with selective admission processes

b. Financial Aid Suspension (Satisfactory Academic Progress Policy for Financial Aid)

c. Refunds for Credit and Non-Credit Courses (Administrative Procedure 2.102)

d. Placement Test Appeals (Administrative Procedure 4.404)

e. Academic Integrity (Administrative Procedure 4.407)

f. Standards of Academic Progress (Administrative Procedure 1.102)

g. Appeal of Final Grade (Administrative Procedure 4.403)

Appendix 11

Health Professions

Policy/Procedure Name

Social Media Conduct

Developed By

HP Program Directors

Adopted/Revised

June 2013

In exchange for the educational opportunities provided to me by the clinical agencies, I agree to comply with

all state, local, and federal requirements governing the privacy of medical information. Those privacy

requirements have been explained to me, and I have had training in complying with these requirements. I

agree to uphold all HIPPA and other privacy requirements during my clinical rotations.

I understand that I am bound to comply with all privacy requirements when I am not at the clinical rotation,

including in my conversations with family, friends, and peers. I will be held accountable for maintaining the

privacy of any information I obtain, see, or am given during my clinical rotations. To uphold the privacy of

such information, I agree to not post or discuss any clinical experience or information regarding my

experience with the clinical agency, its staff, or its clients/patients on any internet social media. I will be

prohibited from returning to the clinical site if I violate any privacy requirement in any regard. Video/audio

recording is only permitted with faculty/staff approval. If not approved, students are prohibited from

all forms of video/audio recordings. Video/audio recording is also prohibited from being shared with

individuals or any internet social media. Such violation may also result in a delay in completing my

degree requirements or in further disciplinary action against me by Elgin Community College.

Appendix 12

Advanced Medical Imaging students will be required to maintain documentation of procedures using

the online tool described below by the ARRT, It will be the student’s responsibility to provide copies of

this document periodically and at the end of each rotation through a clinical site.

Elgin Community College’s Magnetic Resonance Program is considered a “Primary Pathway” for

certification purposes. As such, the following outlines the requirements needed to qualify to sit for the

ARRT Magnetic Resonance Imaging certification examination.

Appendix A

PRIMARY CERTIFICATION

DIDACTIC AND CLINICAL COMPETENCY REQUIREMENTS EFFECTIVE JANUARY 2014

1 COPYRIGHT © 2014 BY THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS® ALL RIGHTS RESERVED.

Magnetic Resonance Imaging

1. Introduction

Candidates for certification and registration are required to meet the Professional Education Requirements specified in the ARRT Rules and Regulations. ARRT’s Magnetic Resonance Imaging Didactic and Clinical Competency Requirements are one component of the Professional Education Requirements.

The requirements are periodically updated based upon a practice analysis which is a systematic process to delineate the job responsibilities typically required of staff MRI technologists. The result of this process is a task inventory which is used to develop the clinical competency requirements (see section 4 below) and the content specifications which serve as the foundation for the didactic competency requirements (see section 3 below) and the examination.

2. Documentation of Compliance

To document that the Didactic and Clinical Competency Requirements have been satisfied by a candidate, the program director (and authorized faculty member if required) must sign the ENDORSEMENT SECTION of the Application for Certification and Registration included in the Certification and Registration Handbook.

Candidates who complete their educational program during 2014 or 2015 may use either the 2011 Didactic and Clinical Competency Requirements or the 2014 requirements. Candidates who graduate after December 31, 2015 must use the 2014 requirements.

3. Didactic Competency Requirements

The purpose of the didactic competency requirements is to verify that individuals had the opportunity to develop fundamental knowledge, integrate theory into practice and hone affective and critical thinking skills required to demonstrate professional competency. Candidates must successfully complete coursework addressing the topics listed in the ARRT Content Specifications for the Magnetic Resonance Imaging Examination. These topics would typically be covered in nationally-recognized curricula published by organizations such as the ASRT or SMRT. Educational programs accredited by a mechanism acceptable to ARRT generally offer education and experience beyond the minimum requirements specified here.

4. Clinical Competency Requirements

The purpose of the clinical competency requirements is to verify that individuals certified and registered by the ARRT have demonstrated competency performing the clinical activities fundamental to a particular discipline. Competent performance of these fundamental activities, in conjunction with mastery of the cognitive knowledge and skills covered by the magnetic resonance imaging examination, provides the basis for the acquisition of the full range of procedures typically required in a variety of settings. Demonstration of clinical competence means that the candidate has performed the procedure independently, consistently, and effectively during the course of his or her formal education. The following pages identify the specific procedures for the clinical competency requirements. Candidates may wish to use these pages, or their equivalent, to record completion of the requirements. The pages do NOT need to be sent to the ARRT.

4.1 General Performance Considerations 4.1.1 Patient Diversity

Demonstration of competence should include variations in patient characteristics such as age, gender, and medical condition.

4.1.2 Simulated Performance

The ARRT requirements specify that certain clinical procedures may be simulated as designated in the specific requirements below. Simulations must meet the following criteria:

• The candidate must competently demonstrate skills as similar as circumstances permit to the cognitive, psychomotor, and affective skills required for performing the procedures on patients; • The program director must be confident that the skills required to competently perform the

simulated task will generalize or transfer to the clinical setting, and, if applicable, the candidate must evaluate related images.

Examples of acceptable simulation include: demonstrating CPR on a mannequin; performing venipuncture by demonstrating aseptic technique on another person, but then inserting the needle into an artificial forearm or grapefruit.

4.1.3 Elements of Competence

Demonstration of clinical competence requires that the program director or the program director’s designee has observed the candidate performing the procedure independently, consistently, and effectively during the course of the candidate’s formal educational program.

4.2 Magnetic Resonance Imaging Specific Requirements

As part of the education program, candidates must demonstrate competence in the clinical activities identified below. These clinical activities are listed in more detail in the following sections.

1. Seven mandatory general patient care activities; 2. Eight mandatory MRI safety requirements;

3. 18 mandatory MRI procedures and 10 electives to be selected from a list of 24 MRI procedures; and 4. Seven mandatory quality control tests.

4.2.3 MRI Procedures

Candidates must demonstrate competence in the 18 mandatory procedures listed in the following table. For the mandatory procedures, candidates must be evaluated while scanning actual patients. Candidates are also required to demonstrate competence for 10 of 24 elective procedures. Elective procedures should be performed on patients; however, up to one-half of the elective procedures may be performed on volunteers, as long as your institution has a policy that assures the protection of both the volunteer’s and the institution’s interests.

When performing the MRI procedures the candidate must demonstrate appropriate: Patient skills including:

• Evaluation of requisition or medical record; • Patient identification;

• Documentation of patient history including allergies; • Safety screening; patient assessment;

• Explanation of procedure;

• Appropriate MRI safety procedures; and

• Patient discharge with post-procedure instructions. Technical and procedural skills including:

• Selection of imaging coil;

• Patient positioning; protocol selection; • Parameter selection;

• Image display; filming (if applicable); • Networking; archiving; and

• Documentation of procedure and patient data in appropriate records. Evaluation skills including:

• Analysis of the image for technical quality; • Demonstration of correct anatomic regions; • Recognition of relevant pathology; and  Proper labeling.

MRI Procedures

Mandatory

Elective

Date

Completed

Verified By

Head and Neck

Brain

IAC

Orbit

Pituitary

Head MRA

Face/Soft Tissue

Neck (e.g., Parotids

Thyroid)

Neck MRI

Spine

Cervical

Thoracic

Lumbar

Sacrum/Coccyx

Brachial Plexus

Thorax

Chest

Breast

Thoracic MRA

Abdomen & Pelvis

Abdomen

MRCP

Abdominal MRA

Male Pelvis

Musculoskeletal

Elbow

Hand/Wrist

Finger/Thumb

Hip

Bony Pelvis

SI Joints

Ankle/Hind Foot

Shoulder

Scapula

Sternum/SC

Forefoot

Humerus

Forearm

MRI Procedures

Mandatory

Elective

Date

Completed

Verified By

Femur

Lower Leg

Knee

TMJ

MR Arthrography

Special Imaging

Procedures

MRV

Imaging Post-

Processing

Extremity MR Angio

Spectroscopy

Appendix 13

https://www.arrt.org/pdfs/Disciplines/Clinical-Experience/CT-Clinical-Experience.pdf

Computed Tomography

Candidates for certification and registration are required to meet the Professional Requirements

specified in the ARRT Rules and Regulations. ARRT’s Computed Tomography Structured Education

and Clinical Experience Requirements describe the specific eligibility requirements that must be

documented as part of the application for certification and registration process.

Successful completion of at least 16 hours of structured education and performance of the clinical

procedures specified, in combination with demonstration of the cognitive knowledge and skills

covered by the certification examination, provides the basis for the acquisition of the full range of

clinical skills required in a variety of settings. ARRT encourages individuals to obtain education and

experience beyond these minimum requirements.

The ARRT periodically conducts a practice analysis to delineate the job responsibilities typically

required of staff computed tomography technologists. This results in a “task inventory.” An advisory

committee then determines the number of clinical procedures required to demonstrate adequate

candidate experience in performing the tasks on the inventory.

Structured Education Requirements

Beginning January 1, 2016, candidates for post-primary certification and registration are required to

document completion of structured education related to the content specifications

.

Educational activities must meet the following requirements:

•the educational activities must be distributed among the current ARRT content specifications for this

discipline;

•the total number of hours must equal at least 16; and

•at least one hour of structured education must be related to each of the following content areas:

A.Patient Care and Safety

B.Imaging Procedures

C.Physics and Instrumentation

Activities must meet the same standards as CE activities [i.e., approved by a Recognized Continuing

Education Evaluation Mechanism (RCEEM or RCEEM+)] or must meet the definition of an approved

academic course]. An approved academic course is a formal course of study that is relevant to the

radiologic sciences and/or patient care as it relates to the radiologic sciences and is offered by a post-

secondary educational institution accredited by a mechanism recognized by ARRT.

Structured educational activities that are only approved by state licensing agencies will not satisfy

these requirements.

Clinical Experience Requirements

Candidates must document performance of a minimum of 125 repetitions of computed tomography

procedures according to the criteria noted below. Procedures are documented, verified and submitted

when complete via an online tool accessible through an R.T.’s My ARRT Info account on arrt.org

.

Completion of each procedure must be verified by a Registered Technologist, supervisor or

physician. The verification process is described within the online tool.

Specific Procedural Requirements

The Clinical Experience Requirements for CT consist of 59 procedures in seven different categories:

A. Head and Neck

B. Spine and Musculoskeletal

C. Chest

D. Abdomen and Pelvis

E. Special Procedures

F. Image Display and Post Processing

G. Quality Assurance

Candidates must document the performance of complete, diagnostic quality procedures according to

the following rules:

• Choose a minimum of 25 different procedures out of the 59 procedures on the following pages.

• Complete and document a minimum of three and a maximum of five repetitions of each chosen

procedure; less than three will not be counted toward the total.

• No more than one procedure may be documented on one patient. For example, if an order requests

chest, abdomen and pelvis scans for one patient, only one of these may be documented for clinical

experience documentation.

• Computed Tomography procedures performed in conjunction with a PET or SPECT procedure or

Radiation Therapy planning procedure must be of diagnostic quality.

• A minimum total of 125 repetitions across all procedures is required.

General Guidelines

To qualify as a complete, diagnostic quality CT imaging procedure, the candidate must demonstrate

appropriate:

• evaluation of requisition and/or medical record

• preparation of examination room

• identification of patient

• patient assessment and education concerning the procedure

• documentation of patient history including allergies

• patient positioning

• protocol selection

• parameter selection

• patient discharge with post-procedure instructions

• standard precautions

• radiation safety

• preparation and/or administration of contrast media

• initiate scan and evaluate the resulting images for:

• image quality (e.g., motion, artifacts, noise)

• optimal demonstration of anatomic region (e.g., delayed imaging, reconstruction spacing, algorithm,

slice thickness)

• exam completeness

Attention CT Certification Candidates: Your certification process has requirements to complete clinical

procedures including activating actual CT scans, known as “initiating the scan” or “making the

exposure.” You are responsible for ensuring state laws allow you to complete this requirement.

Examples

Candidate A: This person who works in a specialized setting wanted to complete the minimum

number of procedures and chose 25 procedures from the seven categories. To complete 125

repetitions, each of the 25 procedures was performed five times each.

Candidate B: This person works in a facility that does most types of CT scans, so completing a wide

variety of procedures was quite feasible. A total of 30 procedures from all seven categories were

completed and documented. Although most of these procedures were performed three times (the

minimum), several of them were performed four or five times each until the candidate reached at least

125 procedures.

Computed Tomography

Clinical Experience Requirement Procedures

A. Head and Neck

1. head without and/or with contrast

2. sinuses

3. facials (orbits, mandible)

4 temporal bones/IACs

5. trauma head

6. vascular head (CTA)

7. soft tissue neck

8. vascular neck (CTA)

B. Spine and Musculoskeletal

1. lumbar

2. cervical

3. thoracic

4. spinal trauma

5. upper extremity

6. lower extremity

7. pelvic girdle; hips

8. musculoskeletal trauma

9. vascular extremity (CTA)

C. Chest

1. chest without and/or with contrast

2. HRCT

3. vascular chest (e.g., PE, CTA, Aorta)

4. chest trauma

5. lung nodule study

6. heart (e.g., calcium scoring, coronary angiography)

D. Abdomen and Pelvis

1. abdomen without and/or with contrast

2. liver (multi-phase)

3. kidneys (multi-phase)

4. pancreas (multi-phase)

5. adrenals

6 enterography study

7. appendicitis study

8. renal stone protocol (without IV contrast)

9. abdominal trauma

10. vascular abdomen (CTA)

11. CT intravenous urogram/IVP

12. pelvis without and/or with contrast

13. bladder

14. pelvic trauma

15. vascular pelvis (CTA)

16. colorectal studies (rectal contrast)

E. Special Procedures

1. biopsies

2. drainage

3. aspirations

4. CT arthrography

5. diskography

6. myelography

7. colonography or virtual colonography

8. brain perfusion

9. radiation therapy planning

10.transplant studies

F. Image Display and Post Processing

1. geometric or distance measurements

2. region of interest measurement (ROI)

3. retrospective reconstruction

4. multiplanar reconstruction (MPR)

5. 3D rendering (MIP, SSD, VR)

G. Quality Assurance

1. calibration checks

2. CT number and standard deviation (water phantom)

3. linearity

4. spatial resolution

5. contrast resolution

Appendix 14

CLINICAL EXPERIENCE REQUIREMENTS EFFECTIVE JULY 1, 2015 1 COPYRIGHT © 2015 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS . ALL RIGHTS RESERVED.

Mammography

Candidates for certification and registration are required to meet the Professional Requirements

specified in the ARRT Rules and Regulations. ARRT’s Mammography Clinical Experience

Requirements describe the specific eligibility requirements that must be documented as part of

the application for certification and registration process.

The purpose of the clinical experience requirements is to verify that candidates have completed a subset of the clinical procedures within a discipline. Successful performance of these fundamental procedures, with mastery of the cognitive knowledge and skills covered by the examination provides the basis for the acquisition of the full range of clinical skills required in a variety of settings.

The job responsibilities typically required of staff mammography technologists are delineated through a periodic practice analysis. This results in a “task inventory.” An advisory committee then determines the number of clinical procedures required to demonstrate adequate candidate experience in performing the tasks on the inventory.

Candidates for Mammography certification and registration must document performance of a minimum of 75 repetitions of mammography procedures according to the criteria noted below. Procedures are documented, verified and submitted when complete via an online tool accessible through My ARRT Info account on arrt.org. ARRT encourages individuals to obtain education and experience beyond these minimum requirements.

Completion of each procedure must be verified by a supervising mammography technologist or a MQSA qualified interpreting physician. The verification process is described within the online tool.

Specific Procedural Requirements

Mandatory Procedures

A. Initial MQSA (Mammography Quality Standards Act)

The candidate must meet initial MQSA requirements including, among other provisions, completion of 25 supervised mammography examinations. Documentation of completion is required by MQSA. ARRT requests confirmation that you completed these initial MQSA requirements.

B. Mammographic Examinations

The candidate must perform mammographic examinations (screening and/or diagnostic) on 75 patients addressing the following tasks in each examination. These 75 examinations are in addition to the 25 examinations that are required by the initial MQSA mammography requirements. All examinations must be performed on patients (not phantoms or simulations).

Patient Preparation/Education

Provide for patient comfort and cooperation by familiarizing patient with the equipment and procedure, stressing the need for compression, and by providing general psychological support.

Solicit and record patient clinical history relevant to the performance and interpretation of the mammographic examination.

Document location of lumps, scars, moles, etc. by means of radiopaque markers on breast and/or diagram on clinical information sheet.

Respond to patient questions on BSE, CBE, patient dose, possible need for additional projections, ACS guidelines for screening mammography, and other breast imaging procedures.

Mammographic Procedure

Select equipment appropriate to the patient and the examination to be performed (e.g., image receptors, grids, compression plates).

Select exposure factors based upon breast tissue density, patient’s age, numerical compression scale and equipment characteristics.

Document breast imaged and projection used.

Position patient and equipment to provide projections specified by department protocol or requisition.

Evaluate the images to assure that they contain proper identification and are of diagnostic quality.

C. Quality Control (QC)

The candidate must participate1 in the performance, evaluation and recording of all the QC tests.

Manufacturer’s QC recommendations for date intervals should be followed.

If there are any Quality Control requirements that are not available due to the type of equipment in your facility, an exemption must be granted prior to submission of the application for certification and registration. Please see the

Exemption section at the end of this document for further detail. If you have questions, please call the Clinical Experience Requirements Department at 651-687-0048, ext. 8570.

QC Documentation

Laser Imager QC (10)

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