Faculty of Health Sciences

Faculty of Health Sciences MRSC5028 This unit of study outline MUST be read in conjunction with the information published on the Faculty of Health Sciences Coursework Student Information site: http://sydney.edu.au/health-sciences/current-students/coursework/index.shtml. The site provides essential information about common policy and procedures that apply to all units of study offered by the Faculty, and key processes such as assessment, Special Consideration, and appeals. When considering applications and appeals relating to these matters, it will be assumed that each student has taken the time to familiarise themselves with these key policies and procedures. 2. Unit of Study Information Welcome to the unit of study Clinical Studies Radiography 3. This unit of study is aimed at providing the student with a structured program of clinical experiences that will develop their skills, attributes and knowledge of the Diagnostic Radiography clinical environment. This unit of study is the third of four units in clinical education in which students are placed in the clinical environment. The unit will consolidate the students’ competence in routine diagnostic radiography procedures and allow a broadening of knowledge and experience in more MRSC5028 Clinical Studies Radiography 3 Page 2 of 8 specialised procedures and modalities. The development of lifelong learning and professional skills is encouraged. 2.1 Aims and context This unit of study is one of the clinical units that relates directly to your understanding and practice as a radiographer. The unit is based on 6 weeks of clinical experience, 5 days per week. Briefing classes are conducted prior to the placement to assist students in preparation for placement. Debrief classes will be conducted on campus at the conclusion of the placement to assist in analysing the group’s experience, thereby learning from each other by participating in large group discussions.. The UoS aims to develop your practical skills in the workplace, with an emphasis on effective communication and teamwork in the workplace with appropriate behaviour and professionalism. 2.2 Prerequisites and assumed knowledge MRSC5027 Clinical Studies Radiography 2 2.3 Attendance Requirements It is expected that all students attend the compulsory clinical briefing in this subject in order to commence clinical placement. Students should also be attending the clinical debriefing class to consolidate your clinical experience. 3. Learning Outcomes At the completion of this unit students will be able to: 1. Demonstrate effective verbal, non-verbal and written communication in the workplace including interactions with staff, other health practitioners, patients and accompanying persons (MRPBA Domain 2.1a, 2.1b) 2. Recognise communication barriers and apply strategies to facilitate effective communication, particularly with individuals from culturally and linguistically diverse backgrounds (MRPBA Domain 2.1e, 2.1f) 3. Demonstrate an ability to work effectively as a member of the interdisciplinary team, including applying the principles of self-directed learning in the work place (MRPBA Domain 2.2a) 4. Demonstrate the ability to confirm the appropriateness of clinical procedures including understanding clinical indicators and radiation risks, and identifying factors which may affect the patient’s’ capacity to undergo a procedure (MRPBA Domain 5.4a, 5.5a) 5. Apply a system that ensures the correct identification of patients and correct matching of patients with their intended procedure (MRPBA Domain 4.2a) 6. Demonstrate the ability to provide each patient with an appropriate level of care and dignity, including respecting socio-cultural differences and behaving in a nondiscriminatory manner (MRPBA Domains 1.2a, 1.2b) 7. Assume responsibility, and accept accountability, for professional decisions, including recognising and responding appropriately to unsafe or unprofessional practice and adhering to departmental policies and guidelines (MRPBA Domain 1.3a, 1.3b) 8. Demonstrate an understanding of when it may be appropriate to advocate on a patients’ behalf during a radiographic procedure, and begin to develop the ability to advise other members of the health care team regarding the appropriateness of a radiographic procedure (MRPBA Domain 1.4b, 1.4c) 9. Demonstrate an understanding of the principles of Work Health and Safety, and apply these principles to the radiographic work place (MRPBA Domain 4.2c, 4.2d, 4.4g) 10. Demonstrate an awareness of procedures for reporting and rectifying equipment MRSC5028 Clinical Studies Radiography 3 Page 3 of 8 faults and safety hazards in the radiographic work place (MRPBA Domain 4.3c, 4.4b) 11. Demonstrate knowledge of medical terminology as relevant to the role of a radiographer (MRPBA Domain 5.1b) 12. Identify and respond to a patient/client’s deteriorating condition, or inability to undergo a procedure or treatment, consistent with duty of care and statutory requirements (MRPBA Domain 5.6b) 13. Demonstrate the ability to use patient information management systems appropriately (MRPBA Domain 5.3b, 5.3c) 14. Apply knowledge of standard specialised projections, exposure factors, image criteria and safe radiation practice for all general radiographic examinations (MRPBA Domain 5a.1a, 5a.1c) 15. Apply knowledge of patient preparation, care and aftercare, delivery systems, image criteria and safe radiation practice for fluoroscopic examinations (MRPBA Domain 5a.2b, 5a.2c) 16. Apply clinical reasoning and reflective thinking skills to determine diagnostic acceptability of own work (MRPBA Domain 3.2b, 3.2c, 3.2d) 17. Demonstrate an understanding that patient cases can involve a number of complicating factors, both physical, psychosocial and cultural, and use this knowledge to treat patients holistically (MRPBA Domain 5.5a, 5.5b, 5.5c, 5.5d, 5.5e) 4. Learning and Teaching Resources 4.1 Required Textbook / Resources Students will be provided with readings and resources on the LMS (Blackboard) site which aim to complement your learning in this unit of study. 4.2 Learner Preparation Prior to attending clinical placement, all students must have received a complete compliance check from NSW Health. Students will not be allowed on any clinical site if they have not reached the minimum vaccination requirements. Compulsory requirements for undertaking clinical placement include: ? A national police check clearance letter ? A complete vaccination record card ? CPR certificate ? Complete the NSW Health Code of Conduct module ? Have full clinical uniform ? Have a current PRM (provided by the University) ? Have a complete set of lead markers (students are to purchase these at their own expense) 4.3 Learning Management System (LMS) A Learning Management System (LMS) supports teaching in this unit. Material presented in lectures will be posted after the lecture on the LMS site, as will announcements and updates. You should go to the site at least twice a week. You will access online learning activities that complement the seminar program through the LMS site. MRSC5028 Clinical Studies Radiography 3 Page 4 of 8 5. Assessment 5.1 Assessment schedule Assessment Item Individual/ Group Assessment Conditions Length Weight Due Unit / Accreditation Outcomes Assessed 1. Clinical Supervisor Final Assessment Individual N/A N/A 50%* Monday 27th July 2015 LO 1-17 MRPBA Domains 1.2a, 1.2b 1.3a, 1.3b, 1.4b, 1.4c, 2.1a, 2.1b, 2.1e, 2.1f, 2.2a, 3.2b, 3.2c, 3.2d, 4.2a, 4.2c, 4.2d, 4.3c, 4.4b, 4.4g, 5a.1a, 5a.1c, 5.1b, 5a.2b, 5a.2c, 5.3b, 5.3c,5.4a, 5.5a, 5.5b, 5.5c, 5.5d, 5.5e, 5.6b 2. Individual Case Study Assignment Individual See further information below 2000 words 50% Monday 27th July 2015 LO 4, 6, 11, 17 MRPBA Domains 1.2a, 1.2b, 5.1b, 5.4a, 5.5a,5.5b, 5.5c, 5.5d, 5.5e 3. Competency Manual Individual Compulsory, formative assessment only N/A 0% Monday 27th July 2015 LO 1-7, 9, 11-16 MRPBA Domains 1.2a, 1.2b, 1.3a, 1.3b, 2.1a, 2.1b, 2.1e, 2.1f, 2.2a, 3.2b, 3.2c, 3.2d, 4.2a, 4.2c, 4.2d, 4.4g,5a.1a, 5a.1c, 5a.2b, 5a.2c, 5.1b, 5.3b, 5.3c, 5.4a, 5.5a, 5.6b Total 100% *A pass in this assessment task is required in order to pass the unit of study MRSC5028 Clinical Studies Radiography 3 Page 5 of 8 5.2 Assessment details Assessment Item 1: Clinical Supervisor Final Assessment Task description This is the final assessment that makes up 50% of your mark for this unit of study. It is your responsibility to ensure that your supervisor completes it prior to the end of your placement block. You must obtain a pass in the departmental assessment to pass the unit of study. You will be assessed on your clinical skills at the end of the placement based on what is expected for a Year 2 student. However, you will need to consistently demonstrate your clinical skills throughout the placement. Remember your attributes will be assessed constantly, in other words your attitude to learning, eagerness to participate, and willingness to fit in and be a team player are all important to your final assessment. Clinical practice is about demonstrating an applied knowledge (theory to practice) of Diagnostic Radiography, and to have the necessary attributes of a health care professional. Task length N/A Links to unit’s intended learning outcomes LO 1-17 Assessment criteria The clinical supervisor final assessment can be found in the ‘Clinical Studies 3 Assessment forms and policies 2015’ document available on the LMS site Dates and times due Hardcopy to be submitted Monday 2nd March 2015 in diagnostic radiography assignment box, Level 2 J block Assessment Item 2: Individual Case Study Assignment Task description The individual case study is designed to allow you to demonstrate your depth of understanding regarding a complex patient case. Students are required to write a 2000 word assignment based on the supplied patient case below. The case study should be written using whole sentences and paragraphs. You are encouraged to use the headings supplied in the marking rubric in order to structure your writing. Task length 2000 words Links to unit’s intended learning outcomes LO 4, 6, 11, 17 Assessment criteria Please refer to the information supplied (including marking rubric) under ‘Assessment Item 2: Individual Case Study Assignment’. Dates and times due Monday 27th July 2015 by 5pm. Submission via Turnitin assignment drop box on LMS site. MRSC5028 Clinical Studies Radiography 3 Page 6 of 8 Assessment Item 3: Competency Manual Task description The competency manual is assessed as a pass/fail component of the overall clinical assessment scheme. The focus is to ensure you are competent to perform a whole range of examinations that you will be expected to perform when you qualify. These records are required to be satisfactorily completed before you can graduate. For the purpose of this assessment, competence may be considered to be: the ability of the student to successfully undertake an examination (to the satisfaction of the supervising radiographer) at the standard of a newly qualified member of staff Task length N/A Links to unit’s intended learning outcomes LO 1-7, 9, 11-16 Assessment criteria Please refer to the information supplied under ‘Assessment Item 3 – Competency Manual’ Dates and times due Monday 14th December by 5pm. Submission via Blackboard (LMS) site in ‘Clinical Competency Submission’ dropbox Further Information Regarding Assessment Item 2 – Individual Case Study Assignment: Case Presenting Signs and Symptoms: 25 year old male presents to the emergency department after high speed MVA (head on collision). He has been trapped in the vehicle for 1 hour, with his legs trapped under the dashboard. The vehicle is not equipped with airbags, and his chest has impacted the steering wheel. He has an obvious compound fracture of the mid-shaft of the right femur, with significant blood loss, and a suspected flail chest. On arrival at emergency, he has a GCS of 12. Symptoms of hypovolaemic shock. Imaging Findings: Comminuted fracture of the mid-shaft of the right femur. Flail segment right side anterior chest wall. Sub-dural haematoma. Post-Surgical Complications: 2 days post op presents with heat, swelling and redness of femoral fracture site. Also chest pain and extreme shortness of breath. Symptoms suggestive of post-op infection, and fat pulmonary embolism. Social History: Patient’s personal beliefs prohibit blood transfusions. He is slightly overweight, and has a poor diet. He lives alone, and has no family or friends who are immediately contactable. Sedentary lifestyle. Medical History: Previously well, but quite unfit. No past history of surgery or drug use. Non-smoker, social drinker. MRSC5028 Clinical Studies Radiography 3 Page 7 of 8 INDIVIDUAL CASE STUDY - MARKING CRITERIA Main issues of case discussed, including the rationale for why these issues need to be considered /10 What examinations/imaging protocols would be required for the given clinical history, taking into account the issues from Criteria 1 /10 Involvement of other health professionals. Who are they? Why are they involved? What are they going to do for the patient? /10 Prognosis/follow up. Treatment for PE, ORIF#femur, rehab/physio outcomes etc. /10 Conclusion /4 Referencing demonstrates broad reading and depth of understanding /6 TOTAL /50 MRSC5028 Clinical Studies Radiography 3 Page 8 of 8 Further Information Regarding Assessment Item 3 – Competency Manual: The competency manual is assessed as a pass/fail component of the overall clinical assessment scheme. The focus is to ensure you are competent to perform a whole range of examinations that you will be expected to perform when you qualify. These records are required to be satisfactorily completed before you can graduate. For the purpose of this assessment, competence may be considered to be: the ability of the student to successfully undertake an examination (to the satisfaction of the supervising radiographer) at the standard of a newly qualified member of staff. It is your responsibility to ensure these competency records are correctly completed. Please have them signed by your clinical supervisor as soon as the examination has been performed. To gain a competency you should have, firstly, observed qualified staff perform the procedure. You should then have assisted qualified staff to perform the procedure. The next step is to perform the procedure unaided several times under the observation of an authorised clinical supervisor. You may then attempt a competency for that particular examination, subject to the approval of your supervisor. This supervisor should use the supplied competency checklist to assess your competency. There is a separate checklist for each category in your book. A supervisor can be any radiographer who is not an NPDP. If you do not achieve the competency at first do not worry, as it is all good practice. Be mindful of the feedback received and try again. You should continue to perform and record these examinations after the competency has been gained to provide evidence of clinical currency. Competency classification: Stage A – the patient is mobile and cooperative Stage B – the patient is not as mobile but still cooperative and may require modification of technique. Examples may include a chest x-ray carried out on a trolley patient, an extremity in plaster, or an erect and supine abdomen on a patient who cannot stand Stage C – the patient may be uncooperative due to their condition, and requires modification of technique, such as decubitus abdomen. This may include victims of major trauma (patient’s injuries preclude co-operation), individuals with a cognitive impairment, individuals under the influence of drugs and/or alcohol and uncooperative children. Further Information Regarding Mid Clinical Assessment: It is your responsibility to ensure the mid placement assessment form is completed by your supervising radiographer. You should give the form to the supervisor PRIOR to the end of week 3 of placement so they can provide you with feedback. If you are unclear about their impressions of your performance, make sure you ask questions to help you to clarify what you need to do to improve. You do not need to submit this form unless you are marked ‘Unsatisfactory’ in any area, or have specific concerns about it. If this is the case, contact the university clinical educator immediately so a plan can be put in place to avoid failure. Clinical supervisors may fill out the mid clinical assessment form as many times as they choose, at their discretion.