YAVAPAI COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM ASSOCIATES IN APPLIED SCIENCE DEGREE INFORMATION AND ADMISSIONS PACKET FALL

Transcription

1 YAVAPAI COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM ASSOCIATES IN APPLIED SCIENCE DEGREE INFORMATION AND ADMISSIONS PACKET FALL 2015 Yavapai College Sciences & Health Division Radiology Department 1100 E. Sheldon Street Prescott, Arizona Rev. 6/30/2014

2 Radiologic Technology Radiologic technology is a health care profession involving the use of ionizing radiation to generate diagnostic images in the diagnosis and treatment of disease. The radiographer is a critical member of the health care team who is called upon to render compassionate patient care, insure safe radiation protection practices and apply technical knowledge in the operation of specialized imaging equipment. An imaging professional must be, above all, a caring individual who possesses the ability to work independently, exercise sound judgment and employ critical thinking skills. The field offers high growth opportunities and is constantly evolving through the application of computers and emerging technologies. Employment Outlook Employment of radiologic technologists is expected to grow by 21 percent between 2012 and 2022, faster than the average for all occupations. An increasing aging population will have more medical conditions, such as breaks and fractures caused by osteoporosis, which require imaging to diagnose and treat. Radiologic technologists will be needed to maintain and use the diagnostic equipment. Although hospitals will remain the main employer of radiologic technologists, a number of new jobs will be in physicians' offices and in imaging centers. Employment in these healthcare settings is expected to increase because of the shift toward outpatient care whenever possible. Outpatient care is encouraged by third-party payers as a cost-saving measure and is made possible by technological advances, such as less expensive equipment, which allow for more procedures to be done outside of hospitals. 1 Job prospects: Radiologic technologists with multiple certifications will have the best job prospects. 1 In addition to job growth, job openings also will arise from the need to replace technologists who leave the occupation. Those with knowledge of more than one diagnostic imaging procedure such as CT, MR, and mammography will have the 2

3 best employment opportunities as employers seek to control costs by using multicredentialed employees. Demand for radiologic technologists and technicians can tend to be regional with some areas having large demand, while other areas are saturated. Technologists willing to relocate may have better job prospects. CT is continuing to become a frontline diagnosis tool. Instead of taking x rays to decide whether a CT is needed, as was the practice before, it is often the first choice for imaging because of its accuracy. MR also is increasingly used. Technologists with credentialing in either of these specialties will be very marketable to employers. Students often receive offers for employment from the same health care organizations where they completed their clinical rotations. In Arizona, entry-level salaries range from about $19.00-$25.00 per hour, depending on the type of practice, benefits, and other considerations. 1 Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, Edition, Radiologic Technologists, on the Internet at (visited December 04, 2014). 3

4 Mission Statement The mission of the Yavapai College Radiography Program is to provide quality education that will develop competent, caring and ethical entry level radiographers who value lifelong learning and adapt to continuous changes in the health care system. Goals 1. To graduate students who possess the clinical competency of an entry-level radiologic technologist. 2. To graduate students who communicate effectively. 3. To support students in the development, application and integration of critical thinking and problem solving in the practice of radiography. 4. To graduate students committed to professional growth. Program Description The Associate of Applied Science Degree in Radiologic Technology is a 24-month program (six sequential semesters including summers) that prepares students for entry-level positions as radiographers. The program starts once per year in the fall semester. Students must complete 20 credit hours of pre-entry courses, and 58 credits of major core courses. The curriculum is designed in accordance with the Radiography Curriculum established by the American Society of Radiologic Technologists. Academic courses include anatomy and physiology, radiographic positioning, radiation physics, principles of radiographic exposure, and other specialized topics. The program is designed around a model of classroom and laboratory instruction integrated with hands-on experience in a clinical setting that provides a thorough educational foundation and professional preparation to enter the workforce as an independent practitioner upon graduation. The Radiologic Technology Program is a demanding experience and involves a full-time commitment of up to 40 hours per week plus homework. Students must maintain a minimum 2.5 GPA in all radiologic technology courses and a minimum of 2.0 GPA in all 4

5 General Education courses to remain in the program. Students must be adequately prepared to meet the challenge and establish priorities prior to the start of classes. Graduates of the program are eligible to: 1. Receive an AAS degree in Radiologic Technology 2. Sit for the American Registry of Radiologic Technologists examination (ARRT) 3. Apply for an Arizona license to practice radiography-crt (Certified Radiologic Technologist) Locations Offered The Radiology Program is only offered at the Prescott campus. The college does not offer radiology courses in other district locations. Students are required to provide their own transportation to off-campus clinical assignments. Confidentiality of Student Records The program maintains a file for each applicant and student. The file contains documentation related to admission and progression in the program. Yavapai College Radiology Program follows the college guidelines for confidentiality of student records as required by the Family Educational Rights and Privacy Act of 1974 (FERPA). Articulation and Transfer The A.A.S. degree in Radiologic Technology may transfer to a Bachelor of Applied Science at universities in Arizona. Please check with an Academic Advisor for more information. Technical Standards This statement of the Technical Standards of the Radiology Program at Yavapai College identifies the functional abilities deemed by the radiography faculty to be essential to the practice of radiography. The Technical Standards are reflected in the radiography 5

6 program s performance-based outcomes, which are the basis for teaching and evaluating all radiography students. Students with disabilities who think they may require accommodation in meeting the Technical Standards of the radiography program should contact the Office of Disability Services to discuss the process of identifying reasonable accommodations. Students should seek accommodation advising as soon as possible so that a plan for accommodation can be in place at the beginning of the program. Applicants seeking admission to the radiography program who may have questions about the Technical Standards and appropriate reasonable accommodations are invited to discuss their questions with the Office of Disability Services. Reasonable accommodation will be directed toward providing an equal educational opportunity for students with disabilities while adhering to the standards of radiography practice for all students. Standards The practice of radiography requires the following functional abilities with or without reasonable accommodations. Visual acuity sufficient to assess patients and their environments and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect changes in skin color or condition. Collect data from recording equipment and measurement devices used in patient services. Detect a fire in a patient area and initiate emergency action. Draw up the correct quantity of medication into a syringe. Hearing ability sufficient to assess patients and their environments and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: 6

7 Detect audible alarms within the frequency and volume ranges of the sounds generated by mechanical systems that monitor bodily functions. Communicate clearly in telephone conversations. Communicate effectively with patients and with other members of the health services team. Olfactory ability sufficient to assess patients and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect foul odors of bodily fluids or spoiled foods. Detect smoke from burning materials. Tactile ability sufficient to assess patients and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect changes in skin temperature. Detect unsafe temperature levels in heat-producing devices used in patient services. Detect anatomical abnormalities, such as infiltrated intravenous fluid. Strength and mobility sufficient to perform patient services activities and emergency procedures. Examples of relevant activities: Safely transfer patients in and out of bed or wheelchair. Turn and position patients as needed to prevent complications due to bed rest. Hang intravenous bags at the appropriate level. Accurately read the volumes in body fluid collection devices hung below bed level. Perform cardiopulmonary resuscitation. Transport patients using stretchers or wheelchairs. Fine motor skills sufficient to perform psychomotor skills integral to patient services. 7

8 Examples of relevant activities: Safely dispose of needles in sharps containers. Manipulate small equipment and containers, such as syringes, vials, and ampules, in preparation for contrast media administration. Physical endurance sufficient to complete assigned periods of clinical practice. Ability to speak, comprehend, read, and write English at a level that meets the need for accurate, clear, and effective communication. Emotional stability to function effectively under stress, to adapt to changing situations, and to follow through on assigned patient services responsibilities. Cognitive ability to collect, analyze, and integrate information and knowledge to make clinical judgments and manage decisions that promote positive patient outcomes. 8

9 Radiologic Technology Program Sequence-AAS Degree Course Credit Hours Pre-requisite Pre-Program Entry Course Requirements AHS 130 Medical Terminology for 3 None Patient Care Staff ENG 101, English Composition I 3 English skills assessment, or ENG 100 ENG 102, English Composition II 3 ENG 101 MAT 152 College Algebra (preferred) OR any mathematics course for which MAT152 is a prerequisite BIO 201 Human Anatomy (1) & Physiology I (1) BIO 202 Human Anatomy (1) & Physiology II (1) 3 See college catalog for prerequisites to Math courses 4 BIO 156(1) preferred or BIO 181(1) 4 BIO 201 (1) Total credit hours-pre-entry 20 Apply for Admission RADIOLOGY PROGRAM COURSES First Semester-Fall Credit Hours Pre-requisite RAD 100 Foundations of Radiologic Science 2 Admission to Radiology program Must take concurrently with RAD 110, RAD 120 & RAD 170 RAD 110 Radiographic Positioning & Image Analysis I 4 Must take concurrently with RAD 100, RAD 120, & RAD 170 RAD 120 Radiographic Technique I 3 Must take concurrently with RAD 100, RAD 110 & RAD 170 RAD 170 Radiology Patient Care 2 Must take concurrently with RAD 100, RAD 110, & RAD 120 PSY 245 Human Growth & 3 None Development* Total Credit Hours-1 st Semester 14 Second Semester-Spring Credit Hours Pre-requisite RAD 135 Radiation Physics & Equipment 3 Pre-requisite: RAD 170 Must take concurrently with RAD 140, RAD 150, and RAD 160 RAD 140 Radiographic Positioning & Image Analysis II 4 Pre-requisite: RAD 170 Must take concurrently with RAD 135, RAD 150, and RAD 160 9

10 Second Semester-Spring-cont. Credit Hours Pre-requisite RAD 150 Radiographic Technique II 3 Pre-requisite: RAD 170 Must take concurrently with RAD 135, RAD 140, & RAD 160 RAD 160 Radiology Clinical Education I 3 Prerequisite: RAD170. Must take concurrently with RAD 135, RAD 140, & RAD 150 Total Credit Hours-2 nd Semester 13 Third Semester-Summer Credit Hours Pre-requisite RAD 180 Radiology Clinical Education II 3 Pre-requisite: RAD 160 Must take concurrently with RAD 220 RAD 220 Radiobiology & Radiation Protection 3 Pre-requisite: RAD 160 Must take concurrently with RAD 180 PHI 204 Ethical Issues in Health Care 3 ENG 101 or ENG 103 Total Credit Hours-3 rd Semester 9 Fourth Semester-Fall Credit Hours Pre-requisite RAD 200 Radiology Clinical Education III 7 Pre-requisite: RAD 220 Total Credit Hours-4 th Semester 7 Fifth Semester -Spring Credit Hours Pre-requisite RAD 230 Radiology Pharmacology 1 Pre-requisite: RAD 200 Must take concurrently with RAD 240, RAD 250, and RAD 260 RAD 240 Radiology Clinical Education IV 3 Pre-requisite: RAD 200 Must take concurrently with RAD 230, RAD 250, and RAD 260 RAD 250 Radiographic Pathology 2 Pre-requisite: RAD 200 Must take concurrently with RAD 230, RAD 240, and RAD 260 RAD 260 Advanced Imaging Systems 3 Pre-requisite: RAD 200 Must take concurrently with RAD 230, RAD 240, and RAD 250 Total Credit Hours-5 th Semester 9 Sixth Semester-Summer Credit Hours Pre-requisite RAD 270 Radiology Registry Review 3 Pre-requisite: RAD 260 Must take concurrently with RAD 280 RAD 280 Radiology Clinical Education V 3 Pre-requisite: RAD 260 Must take concurrently with RAD 270 Total Credit Hours-6 th Semester 6 Total Program Hours 78 10

11 *Denotes a Program General Education Requirement it is recommended that you consider completing this course prior to admission to the Program. (1) Math and science course work must be completed within the last ten years. Course work transferred from other colleges must be evaluated for equivalency. The radiology program requires time and dedication on the part of the student. The program requires a 40 hour per week daytime commitment, excluding study time. The program consists of six consecutive semesters. It should be noted that clinical rotations associated with the 2nd, 3rd, 4th, 5th, and 6th semesters begins earlier than the Yavapai College semester start dates in order to satisfy the clinical time requirements for program completion. Time off for vacation during the semester will not be approved. Schedule vacations during the time between semesters. Steps to Apply for Admission Students must apply to and be admitted to Yavapai College prior to applying to the Radiologic Technology Program. Please go to and complete the college admission procedure. Radiologic Technology Program applications will be accepted from January 5, 2015 through February 6, Applications must be postmarked by midnight Friday, February 6, Only applications submitted by U.S. mail will be accepted. If you would like confirmation that your application has been received, please send your application via certified mail, and request return receipt delivery confirmation. All applications will be considered received as of the date of their postmark. Applications for admissions must include the following: 1. Radiologic Technology Application for Admission form. This form is provided in this packet. 2. All relevant official transcripts of completed pre-entry and post entry General Education courses must be received in the Yavapai College Registrar s office. Transcripts must be official transcripts sent directly from your previous institution(s) to the Yavapai College Registrar. Official transcripts are sent directly from one Registrar s office to another Registrar s office. Hand carried transcripts are not official transcripts. 11

12 3. Two letters of recommendation-preferably from a current or previous employer or educator. 4. Healthcare Provider Signature form. This form is provided in this packet NEGATIVE TB skin test OR a chest X-ray diagnostic report stating no tuberculosis present. 6. CPR for Healthcare Providers (must be current) 7. Immunization and Documentation Cover Sheet (see attached) and copies of documents supporting immunization status due no later than June 1, If immunization documentation is not received by June 1, 2015, the applicant will forfeit their admission to the next qualified applicant on the alternate list. Important: Students that forfeit their conditional acceptance or are dropped from the program must reapply at the next application cycle. 8. Five hundred (500) word essay explaining your interest in Radiologic Technology, typed and double-spaced. 9. Advisor Pre-Entry Check sheet Form for the Radiologic Technology Program. You will receive this form at your appointment with your advisor and your advisor should attach copies of your unofficial transcripts for this application. Please call to reach the academic advising department for the Prescott Campus and for the Verde Valley Campus. 10. Arizona Department of Public Safety Fingerprint Clearance Card. Fingerprinting is available through the Yavapai College Campus Safety/Police office on the Verde Valley and the Prescott campuses. The Campus Safety/Police office will provide you with a card of your fingerprints and the Arizona DPS Fingerprint Clearance Card application. Students must mail their fingerprints, the application and the required fee to the Department of Public Safety for processing. Processing may take 6-13 weeks. Copies of both sides of the card are required as part of the application. The program will accept a copy of the Fingerprint Card application and a copy of the money order submitted for payment to the Arizona Department of Public Safety with the application until the actual card is received. Acceptance to the program will be conditional until receipt of the actual Fingerprint Clearance card which must be received no later than June 1, 2015, or the applicant will forfeit their admission to the next qualified applicant on the alternate list. Important: Students that 12

13 forfeit their conditional acceptance or are dropped from the program must reapply at the next application cycle. 11. There is a $ (one-hundred dollar) non-refundable application fee due at the time of application. Payment must be made at either a Yavapai College cashier/business office or online at yc.edu/radiology by clicking on The Marketplace: Pay Radiology Fee ONLINE. You must include a copy of your receipt as part of the Program Application. 12. Students must go to and review the information pertaining to waiver of licensure and/certification guarantee. Important! Your application must contain all of the required documents and be legible to be considered for admission to the program. Applicants should keep their original documents and submit only copies with their application. Please use the attached checklist to ensure that you are submitting everything that is required. Please submit your application via the U. S. Postal Service. Thank you. 13

14 Advising Students seeking admission to the Radiologic Technology Program must see an academic advisor to confirm completion of all of the pre-entry courses, and to review all transcripts after they have been evaluated. Transcripts must be official transcripts sent directly from your previous institution(s) to the Yavapai College Registrar. Once the transcripts are received, it is your responsibility to contact Advising and request to have them evaluated. You may contact Advising at for the Prescott campus or at for the Verde campus. Admissions Enrollment is limited and the selective admission process is highly competitive. Students must meet the minimum admission requirements of the program and those required for admission to Yavapai College. Admission to the program is based on a point value system. Points are calculated by a formula related to grade point average, completed Radiologic Technology Program pre-entry and General Education credits, residency, and other criteria as listed. Achieving a high level of success in the preentry courses will improve a student s chance for admission to the program. If an applicant is still in the process of completing pre-entry course work, they may still apply to the program. However, all pre-entry course work must be completed prior to Fall admission. Readmission to the Program The Associate of Applied Science Degree in Radiologic Technology is a 24-month program (six sequential semesters including summers). The program accepts applicants once per year in the Fall Semester. Students that are unable to complete the semester or fail to successfully complete a course will be dropped from the program. Students may apply for readmission to the program. Readmission is based on availability and is not guaranteed. Following acceptance for readmission, students will start the program from the first semester in the program sequence. Students will not start the program in the semester that they were last enrolled in. 14

15 Estimated Cost for the Radiologic Technology Program for (Based upon Arizona Resident Student Status) Tuition-pre-entry + program courses $150.00/credit X 52 credits PLUS $7, $ 83.00/credit X 8 credits PLUS $ $ 72.00/credit X 18 credits Total &1, $9, Liability Insurance Varies Textbooks -if estimated at $ per course, with 17 courses within $1, the radiology program (approximately $1, is due for the initial book purchase before the start of the program) Clinical Tracking Module - Trajecsys (payment is due during the middle $ of the 1 st semester of the program) Background check & Immunization Tracker $69.00 Drug Screen $59.00 Uniforms and shoes Estimated $ Physical Exam and Immunizations Varies by provider $ Lab fee - Ziltron $40.00 Fingerprint Clearance card $65.00 The above information is provided to give students, parents and advisors an approximate cost of the program. The actual costs may be higher or lower. Financial Aid Financial aid may be available to you. Please contact the financial aid office at for the Prescott campus or for the Verde campus. Interviews Students that submit completed applications must be available to interview with the Radiology Applicant Interview Panel between March 16, 2015 and March 19, Final determination for admittance to the Fall 2015 cohort will be made during the first two weeks of April 2015 with notification to applicants by the 3 rd week of April. Please watch for further updates. Applicants that fail to show up for their interviews will not be considered for admission to the program for the current application cycle. 15

16 Radiologic Technology Program Selection Criteria Admission to the program is based on a point system, utilizing the criteria listed below. Students will be required to provide proof of residency (residency, for tuition purposes, is defined by the Arizona State Legislature and is outlined in the Yavapai College catalog), military status, grade point average, and registration at Yavapai College. Proof of coursework and registration history will be established by the records on file in the Registrar s office. Selective Admissions Point System (This system is based on a total of 100 possible points.) Residency Residency within Yavapai County 10 pts Residency within the state of Arizona 5 pts Residency outside state or country 0 pts Cumulative Grade Point Average (General Education & Pre-requisites) pts pts pts Total required General Education Credits Completed Pre-Program Entry and Program General Educations Credits earned equal 1 point each (up to 20 possible points) and must be completed with the letter grade C or better based on transcripts evaluated by the YC registrar. Military Veteran 2 pts Current Yavapai College Students (completion of courses at YC) 9 12 credits 3 pts 5 8 credits 2 pts 1 4 credits 1 pt 500 Word Essay please write a 500 word essay addressing the following: Describe what you know about the profession of Radiologic Technology at this point in time. Describe why you want to become a radiologic technologist. Discuss how you plan to use your radiologic technologist certification. Explain your plan for successfully completing this program. Typed 1 pts Spelling 1 pts Double spaced 1 pts 500 words 1 pts Content 6 pts Admission Interview 30 pts Work Experience in Healthcare Field (subject to verification) 16 5 pts

17 Zero Tolerance Guidelines The Yavapai College Radiologic Technology Program supports a Zero Tolerance Policy. Any Radiologic Technology Program student engaging in the following behaviors is subject to immediate dismissal from classes and disciplinary action as described in the Yavapai College Student Handbook, the Yavapai College Radiology Student Handbook and the Yavapai College Code of Student Conduct. 1. Intentionally or recklessly causing physical harm to any person on the campus or at a clinical site, or intentionally or recklessly causing reasonable apprehension of such harm. 2. Unauthorized use or possession of any weapon or explosive device on the campus or at a clinical site. 3. Unauthorized use, distribution, or possession of any controlled substances or illegal drug for any purpose (i.e., distribution, personal use) on the campus or at a clinical site. 4. Any misconduct covered by the Yavapai College Code of Student Conduct. Health Declaration It is essential that radiologic technology students be able to perform a number of physical activities in the clinical portion of the program. At a minimum, students will be required to lift and/or reposition patients, stand for several hours at a time, and perform bending and twisting activities. Students will be required to transport patients on gurneys and in wheelchairs, move heavy equipment throughout the clinical site, and must be physically capable of performing CPR in an emergency situation. A standard guideline assigned to weight lifting capability is 50 pounds; however, students will encounter situations requiring them to lift and manipulate greater than 50 pounds. It is advisable that students consult with their physicians prior to the start of this program, and determine their ability to perform the necessary job 17

18 requirements. Students who have a chronic illness or condition must be capable of implementing safe, direct patient care, while maintaining their own current treatments or medications. The clinical experience also place students under considerable mental and emotional stress as they undertake responsibilities and duties impacting patients lives. Students must be able to demonstrate rational and appropriate behavior under stressful conditions. Individuals should give careful consideration to the mental and physical demands of the program. Radiology students must submit a Health Care Provider Declaration form signed by a licensed practitioner. The form can be found at the end of this application document or at: Please also note that a doctor s release may be required to enter or continue in the Program as illness or injuries occur. Immunizations Students should submit copies of their immunization records, and retain the originals for their own files. The Radiology Department is unable to provide copies of these records to replace lost originals. Students are responsible for remaining in compliance with all mandated immunizations, immunization records, and students must adhere to all deadline requirements. Copies of updates to immunization records must be submitted to the Radiology Department Administrative Assistant for the student files as mandated by the Division in order to continue in the program. All immunization records must include your name and the name and signature of the healthcare provider giving the immunization and the date. 18

19 Required Immunizations 1. MMR (measles/rubeola, mumps, rubella) Options to meet this requirement: a. Attach a copy of proof of two previous MMR vaccinations to the health declaration form. OR b. If you have had all three illnesses OR you have received the vaccinations but have no documented proof, you must have a titer drawn for each illness. i. If the titer results are POSITIVE, attach a copy of the results to the health declaration form. OR ii. If the titer results are NEGATIVE, you must get two MMR vaccinations (each 30 days apart) and attach documentation to the health declaration form. 2. Varicella (chicken pox) Options to meet this requirement: a. Attach a copy of proof of a POSITIVE IgG titer for Varicella. OR b. If the titer is NEGATIVE, attach a copy of proof to the health declaration form that you received two Varicella vaccinations (each 30 days apart) and attach documentation to the health declaration form. 3. Tetanus/Diphtheria and Pertussis (Tdap) immunization within the past 10 years. Attach a copy of proof of Tdap vaccination to the health declaration form. 4. Tuberculosis Options to meet this requirement: a. Attach a copy of proof of a recent TB skin test (PPD), TB skin test must be current. Records for PPD (skin testing for tuberculosis) require name and signature of the healthcare provider and findings. OR b. If you have a POSITIVE TB skin test you must submit a chest x-ray diagnostic report stating negative for TB and must be current. 19

20 5. Hepatitis B In order to apply to the Program, you must complete at least one injection and stay on track with the subsequent two injections according to the timeline set forth in c, below. Options to complete this requirement: a. Attach a copy of proof of completion of three Hepatitis B injections to the health declaration form. OR b. Attach a copy of proof of a POSITIVE HbsAB titer to the health declaration form. OR c. If you have not received the injections in the past, you must obtain the first injection and attach a copy of proof of the injection to the health declaration form. Then, you must receive the 2 nd injection in one month and the 3 rd injection five months after the second injection. Submit documentation to Radiology Administrative Assistant. Background Check All students are required to obtain a background check. Information regarding how to obtain the background check will be provided to the student upon provisional acceptance to the program. The cost of this background check is at the student s expense. Due to clinical agency contracts, any negative results will be reviewed to determine admission or continuation in the program, on a case-by-case basis by the Radiology Program Director. Arizona DPS Fingerprint Clearance Card Fingerprinting is available through the Yavapai College Campus Safety/Police office on the Verde Valley and the Prescott campuses. The Campus Safety/ Police office will provide you with a card of your fingerprints and the Arizona DPS Fingerprint Clearance Card application. Students must mail their fingerprints, the application and the required fee to the Department of Public Safety for processing. Processing may take 6-20

21 13 weeks. Copies of both sides of the card are required as part of your documentation. Fingerprint clearance cards can be obtained from the Yavapai College Campus Safety Department. Fingerprinting can be done during the hours of 9:00 a.m. 12 noon Wednesdays, at no charge. Campus Safety, on the Prescott campus, is located in the Welcome Center in Building 28, Room 102. Their telephone number is (928) On the Verde Valley Campus, the Safety Department phone number is (928) For additional information please check this web site: CPR for Health Care Providers You must have current CPR for Health Care Providers certification that will not expire prior to the end of your internship or program. CPR for Health Care Providers must be pre-printed on the card. All students must have CPR for healthcare providers certified through the American Heart Association, American Red Cross or American Health Safety Institute. An on-line CPR certification is not acceptable. A copy of your CPR card must be submitted to your Certified Background account as well as the Radiology Administrative Assistant. Students that do not have current CPR certification may not participate in clinical experiences and will be considered absent. Students must remain CPR certified throughout the program. All renewal cards should be submitted to the clinical coordinator. Yavapai College offers this half credit course, EMS123, in a one day session year round. If you are using another provider, it is your responsibility to ensure that it meets the program/internship requirements. 21

22 Drug Testing Random drug testing is a standard procedure throughout the Radiologic Technology Program. The first drug test will be at the student s expense. Any subsequent drug testing will be done at the program s expense. When a student is informed that they are a subject of random drug testing, they will be provided an appropriate form and a list of local laboratories that they can utilize and the drug testing must be completed by the end of that business day. In 2010, Arizona voters approved the Arizona Medical Marijuana Act (Proposition 203), a state law permitting individuals to possess and use limited quantities of marijuana for medical purposes. Because of its obligations under federal law, however, Yavapai Community College will continue to prohibit marijuana possession and use on campus for any purpose. Under the Drug Free Workplace Act of 1988, and the Drug Free Schools and Communities Act of 1989, no institution of higher education shall be eligible to receive funds or any other form of financial assistance under any federal program, including participation in any federally funded or guaranteed student loan program, unless it has adopted and has implemented a program to prevent the use of illicit drugs and abuse of alcohol by students and employees. Another Federal law, the Controlled Substances Act, prohibits the possession, use, production and distribution of marijuana for any and all uses, including medicinal use. This law is not affected by the passage of the Arizona Medical Marijuana Act. Because Yavapai Community College could lose its eligibility for Federal funds if it fails to prohibit marijuana, it is exempt from the requirements of the Arizona Medical Marijuana Act. Therefore, Yavapai Community College will continue to enforce its current policies prohibiting the unlawful manufacture, distribution, dispensation, possession or use of a controlled substance on its property or as part of any of its activities. Students who violate Yavapai Community College policy prohibiting the use or possession of illegal drugs on campus will continue to be subject to disciplinary action, up to and including expulsion from school and termination of employment. (HR policy 2.6.2) 22

23 Waiver of Licensure/Certification Guarantee Admission or graduation from the Yavapai College Radiologic Technology Program does not guarantee American Registry of Radiologic Technologists (ARRT) registration or state licensure. Licensure, certification and registration requirements and the subsequent procedures are the exclusive right and responsibility of the American Registry of Radiology Technologists (ARRT) and the Arizona Medical Radiologic Technology Board of Examiners (MRTBE). Students must satisfy the requirements of the ARRT and Arizona Statues, Rules and Regulations, independently of any college or program requirements for graduation. According to the ARRT, every candidate for certification must be a person of good moral character and must not have engaged in conduct that is inconsistent with the ARRT Rules of Ethics, and they must agree to comply with the ARRT Rules and Regulations and the ARRT Standards of Ethics. Certain types of convictions may make an applicant ineligible for registration. These documents are available for review on the ARRT website: Students are encouraged to disclose any issues related to the ARRT Rules of Ethics, the ARRT Rules and Regulations and the ARRT Standards of Ethics at the time of their admissions interview or prior to application. Failure to disclose prior to admission is grounds for withdrawal from the program. 23

24 Yavapai College Radiologic Technology Program APPLICATION FOR ADMISSION Personal Please Print or Type Y# Name: (Last) (First) (Middle) Address: (Street) (City, State) (Zip Code) Telephone Numbers: (Home) (Work) (Cell) YC (student) address: Education Name and Location of School High School From: Mo/Yr Dates Attended To: Mo/Yr Degree Awarded College Other 24

25 Employment History Name and Address of Employer Position From M/Yr To Mo/Yr Reason for Leaving Military Service Branch of Military Dates of Military Service PLEASE READ CAREFULLY AND SIGN BELOW I certify that the information on this application is complete and accurate to the best of my knowledge. I understand that withholding information or giving false information may make me ineligible for admission and enrollment. I release from all liability or damages those persons, agencies, or organizations who may furnish information in connection with my application for admission. If accepted, I agree to read and abide by all school and Department policies and procedures. Signature: 25 Date:

26 HEALTH CARE PROVIDER SIGNATURE FORM Instructions for Completion of Health Care Provider Signature Form: A health care provider must sign the Health Care Provider Signature Form and indicate whether the applicant will be able to function as a radiologic technologist student. Health care providers who qualify to sign this declaration include a licensed physician (M.D., D.O.), nurse practitioner, or a physician s assistant. (Please Print) Applicant Name: Student ID No.: It is essential that radiologic technology students be able to perform a number of physical activities in the clinical portion of the program. At a minimum, students will be required to lift and/or reposition patients, stand for several hours at a time, and perform bending and twisting activities. Students will be required to transport patients on gurneys and in wheelchairs, move heavy equipment throughout the clinical site, and must be physically capable of performing CPR in an emergency situation. A standard guideline assigned to weight lifting capability is 50 pounds; however, students will encounter situations requiring them to lift and manipulate greater than 50 pounds. It is advisable that students consult with their physicians prior to the start of this program, and determine their ability to perform the necessary job requirements. Students who have a chronic illness or condition must be capable of implementing safe, direct patient care, while maintaining their own current treatments or medications. The clinical experience also place students under considerable mental and emotional stress as they undertake responsibilities and duties impacting patients lives. Students must be able to demonstrate rational and appropriate behavior under stressful conditions. Individuals should give careful consideration to the mental and physical demands of the program. I believe the applicant WILL OR WILL NOT be able to function as a Radiology technology student as described above and as designated in the statement of Technical Standards on page 27 of this Radiology application. If not, please explain: Licensed Healthcare Examiner (M.D., D.O., N.P., P.A.) Print Name: Medical License No.: Signature: Date: Address: 26

27 City: State: Zip Code: Phone: This statement of the Technical Standards of the radiography program at Yavapai College identifies the functional abilities deemed by the radiography faculty to be essential to the practice of radiography. The Technical Standards are reflected in the radiography program s performance-based outcomes, which are the basis for teaching and evaluating all radiography students. Standards: The practice of radiography requires the following functional abilities with or without reasonable accommodations. Visual acuity sufficient to assess patients and their environments and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect changes in skin color or condition. Collect data from recording equipment and measurement devices used in patient services. Detect a fire in a patient area and initiate emergency action. Draw up the correct quantity of medication into a syringe. Hearing ability sufficient to assess patients and their environments and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect audible alarms within the frequency and volume ranges of the sounds generated by mechanical systems that monitor bodily functions. Communicate clearly in telephone conversations. Communicate effectively with patients and with other members of the health services team. Olfactory ability sufficient to assess patients and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect foul odors of bodily fluids or spoiled foods. Detect smoke from burning materials. Tactile ability sufficient to assess patients and to implement the radiography services plans that are developed from such assessments. Examples of relevant activities: Detect changes in skin temperature. Detect unsafe temperature levels in heat-producing devices used in patient services. Detect anatomical abnormalities, such as infiltrated intravenous fluid. Strength and mobility sufficient to perform patient services activities and emergency procedures. Examples of relevant activities: Safely transfer patients in and out of bed or wheelchair. Turn and position patients as needed to prevent complications due to bed rest. Hang intravenous bags at the appropriate level. Accurately read the volumes in body fluid collection devices hung below bed level. Perform cardiopulmonary resuscitation. Transport patients using stretchers or wheelchairs. Fine motor skills sufficient to perform psychomotor skills integral to patient services. Examples of relevant activities: Safely dispose of needles in sharps containers. Manipulate small equipment and containers, such as syringes, vials, and ampules, in preparation for contrast media administration. Physical endurance sufficient to complete assigned periods of clinical practice. Ability to speak, comprehend, read, and write English at a level that meets the need for accurate, clear, and effective communication. Emotional stability to function effectively under stress, to adapt to changing situations, and to follow through on assigned patient services responsibilities. Cognitive ability to collect, analyze, and integrate information and knowledge to make clinical judgments and manage decisions that promote positive patient outcomes. 27

28 Waiver of Licensure/Certification Guarantee Admission or graduation from the Yavapai College Radiologic Technology Program does not guarantee American Registry of Radiologic Technologists (ARRT) registration or state licensure. Licensure, certification and registration requirements and the subsequent procedures are the exclusive right and responsibility of the American Registry of Radiologic Technologists (ARRT) and the Arizona Medical Radiologic Technology Board of Examiners (MRTBE). Students must satisfy the requirements of the ARRT and Arizona Statues, Rules and Regulations, independently of any college or program requirements for graduation. According to the ARRT, every candidate for certification must be a person of good moral character and must not have engaged in conduct that is inconsistent with the ARRT Rules of Ethics, and they must agree to comply with the ARRT Rules and Regulations and the ARRT Standards of Ethics. Certain types of convictions may make an applicant ineligible for registration. These documents are available for review on the ARRT website: I have read and understand the information regarding certification and licensure discussed on the ARRT website. Applicant s name Applicant s signature Date 28

29 Immunization and Documentation Cover Sheet Please complete this form and attach all supporting documentation. Name: YC Student ID Number: IMMUNIZATIONS: Date of 1st MMR Immunization Date of 2nd MMR Immunization OR Date of Titer: Date of 1st HepB Immunization Date of 2nd HepB Immunization (2nd HepB not required for program entry) Date of 3rd HepB Immunization (3rd HepB not required for program entry) Date of 1st Varicella Immunization Date of 2nd Varicella Immunization OR Date of Titer: OR Date of Titer: Date of Tdap Immunization DOCUMENTS: Arizona DPS Fingerprint Clearance Card Number Expiration Date: Copy of Yavapai College Student ID card (with photo) OR Driver s License. Copy of CPR for Healthcare Providers card (front & back) must be valid. Copy of Negative TB Skin Test OR a Chest X-Ray Diagnostic Report (the test or report must be current). Health Care Provider Signature Form Waiver of Licensure/Certification Guarantee form. Pre-Entry Check Sheet Form for the Radiologic Technology program signed by the Academic Advisor with copies of all official transcripts attached. Remember: Copies of all documents in support of the information provided by you must be attached as part of a complete application. Do NOT submit your originals. 29

30 Application Checklist for Radiology Program Radiologic Technology Application (mail to: Radiologic Technology Applications, Yavapai College, 1100 E. Sheldon Street, YC Box 6087, Prescott, AZ 86301) Official Transcripts (Transcripts must be official transcripts sent directly from your previous institution(s) to the Yavapai College Registrar). Yavapai College Registrar s Office, 1100 E. Sheldon St., Prescott, AZ Two Letters of Recommendation (current or previous employer or educator). Healthcare Provider Signature Form Negative TB Skin Test or a Chest X-Ray Diagnostic Report (the test or report must be current). CPR for Healthcare Providers (must be current). A Five Hundred Word Essay (explaining your interest in Radiology, typed and double-spaced). Pre-Entry Check Sheet Form for the Radiologic Technology program signed by the Academic Advisor with a copy of unofficial Yavapai transcripts attached. Copy of both sides of Arizona Department of Public Safety Clearance Card or copies of receipt of application and money order made out to Arizona Dept. of Public Safety. Copies of all immunizations or titers in support of your Immunization & Documentation cover sheet. Receipt for payment of $ non-refundable application fee (Please make payment with either the Yavapai College Cashier to receive this Receipt OR make payment on-line at yc.edu/radiology by clicking on The Marketplace: Pay Radiology Fee ONLINE ). Waiver of Licensure Guarantee signature sheet. 30