RADIATION THERAPY STUDENT HANDBOOK

RADIATION THERAPY STUDENT HANDBOOK

INTRODUCTION... 4 CONTACT INFORMATION... 4 MISSION STATEMENT AND GOALS... 5 JRCERT PROGRAM ACCREDITATION... 6 THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS... 6 EDUCATION REQUIREMENTS FOR RADIATION THERAPY CERTIFICATION AND REGISTRATION... 6 ETHICS REQUIREMENTS FOR RADIATION THERAPY CERTIFICATION AND REGISTRATION... 7 PROFESSIONAL SOCIETIES... 7 THE SPONSORING INSTITUTION... 8 NON- DISCRIMINATION... 8 ADVISING... 9 PROFESSIONALISM & DISHONESTY... 9 CONDUCT... 9 CONFIDENTIAL PATIENT INFORMATION... 10 SMOKE FREE/TOBACCO-FREE ENVIRONMENT... 11 ALCOHOLIC BEVERAGES... 11 DRUG POLICY... 11 BIAS, DISCRIMINATION & SEXUAL HARASSMENT POLICIES... 11 WORKPLACE HAZARD... 12 INFECTIOUS DISEASE POLICY... 12 EMERGENCY PROCEDURES AND SAFETY... 12 DISABILITY STATEMENT... 13 1 P a g e

CELLULAR AND PERSONAL ELECTRONIC DEVICE USAGE POLICY... 14 COURSE REQUIREMENTS, GRADES & GRADUATION REQUIREMENTS... 15 READMISSION... 15 ASSIGNMENT TO AFFILAITING CLINICS AND HOSPITALS... 16 MALPRACTICE INSURANCE... 16 CRIMINAL BACKGROUND CHECK... 16 HEALTH FORMS... 17 DIRECT SUPERVISION OF STUDENTS... 17 CLINICAL EDUCATIONAL HOURS... 17 ATTENDANCE AND PUNCTUALITY... 19 MAKE UP DAYS... 20 ACCRUING EXTRA TIME... 20 SEVERE WEATHER POLICY... 21 ATTIRE... 21 PHYSICS ROTATION ATTIRE... 22 REQUIRED ACCESSORIES... 22 PROFESSIONAL APPEARANCE... 22 PREGNANCY POLICY... 22 RADIATION MONITORING... 23 GRIEVANCE POLICY... 23 STUDENT SERVICES... 24 EVALUATION AND ASSESSMENT... 25 CERTIFICATION ELIGIBILITY... 26 2 P a g e

LICENSURE & EMPLOYMENT IN NEW YORK STATE... 26 PROGRAM OF STUDY... 27 COURSE DESCRIPTIONS... 29 ACADEMIC CALENDAR... 29 CLINICAL SITES AND SUPERVISORS... 29 AGREEMENT TO ADHERE TO THE PROGRAMS POLICIES AND PROCEDURES... 30 STUDENT INFORMATION FORM... 33 REVIEW OF HEALTH AND SAFETY POLICIES AND PROCEDURES... 34 CLINICAL FORMS 3 P a g e

INTRODUCTION The following general information regarding policies, procedures, and regulations has been prepared for the student entering the Radiation Therapy Program at Nassau Community College. It contains information specific to students in the Radiation Therapy Program. Students are responsible to abide by all Nassau Community College policies and procedures available at http://collegecatalog.ncc.edu/current/policiesandprocedures/ and abide by the Student Code of Conduct in the Nassau Community College catalog, at http://collegecatalog.ncc.edu/current/. This handbook contains extremely important information, it is the student s responsibility to become familiar with the contents. Any questions or concerns relating to the information in this handbook or the Radiation Therapy program at Nassau Community College can be addressed to the Program Director or Clinical Coordinator. CONTACT INFORMATION Program Director: Carolyn Confusione Carolyn.confusione@ncc.edu 516-572-9640 ex 26556 516-319-3675 Clinical Coordinator Karen Santini Karen.Santini@ncc.edu 516-572-9640 ex 26554 914-572-1868 Department Chair of Allied Health Science Dr. Gary Klinger Gary.Klinger@ncc.edu 516-572-9640 4 P a g e

MISSION STATEMENT AND GOALS NASSAU COMMUNITY COLLEGE The Radiation Therapy Program is a component of the Allied Health Sciences Department at Nassau Community College. It is dedicated to providing low cost, high quality education to prepare graduates for positions as entry level radiation therapists who possess the necessary knowledge and skills to deliver prescribed treatments safely and competently. PROGRAM GOALS AND STUDENT LEARNING OUTCOMES. In fulfillment of this Mission, the Radiation Therapy Program at Nassau Community College upholds the following goals: Goal: Students will be academically and clinically competent radiation therapists. Student learning Outcomes: Student will demonstrate academic competency. Student will demonstrate clinical competency. Goal: Students will exhibit Professionalism as members of the healthcare team. Student learning Outcomes: Students will demonstrate compassionate and ethical patient care Students will uphold the Standards of the profession that must be maintained to comply with the levels stipulated by the accrediting bodies specific to Radiation Therapy, the ARRT and the ASRT. Goal: Students will have critical thinking skills necessary to become radiation therapists that function independently within the scope of practice. Student learning Outcomes: Students demonstrate correct interpretation and application of patient treatment plans. Student demonstrates critical thinking skills. Goal: Students will have the communication skills necessary for proper job performance and towards the pursuit of lifelong learning. Student learning Outcomes: Graduates demonstrate a commitment to lifelong learning. Students will demonstrate communication skills. 5 P a g e

The purpose of Radiation Therapy Program at Nassau Community College is to fulfill its mission and goals through the completion of stated outcomes and objectives. The student has the responsibility to make the most of these educational experiences, and once accepted, is obligated to abide by the policies and procedures of Nassau Community College Radiation Therapy Program. JRCERT PROGRAM ACCREDITATION The program is accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT). Accreditation of an educational program provides students and graduates assurance that the educational program will provide them with the requisite knowledge, skills, and values to competently perform the range of professional responsibilities expected by potential employers nationwide. It also assures they will be eligible for licensure in each of the 50 states. Programmatic accreditation requires programs to teach the entire curriculum developed by the professional society, the American Society of Radiologic Technologists (ASRT). The Joint Review Committee on Education assures quality and sets standards in education. It is important for students to become familiar with these standards. A copy of the Standards for an Accredited Educational Program in Radiation Therapy is available online (http://www.jrcert.org/programs-faculty/jrcert-standards/ ) and from the program director. The goals of these standards are to protect the student and the public, and to identify outcomes by which this program establishes and evaluates assessment policies and procedures for continuous improvement. The JRCERT monitors performance measures of programs and makes this information available to the public. The Effectiveness Data for the Radiation Therapy Program at Nassau Community College is available via the JRCERT s Web site, https://portal.jrcertaccreditation.org/summary/programannualreportlist.aspx and also on the Nassau Community College Radiation Therapy Program Web page http://www.ncc.edu/programsandcourses/academic_departments/alliedhealthsciences/radiationtherapy/default.s html The student has the right to report program infractions to the JRCERT: JRCERT 20 N. Wacker Drive Suite 2850 Chicago, IL 60606-2901 Phone: (312) 704-5300 E-mail: mail@jrcert.org THE AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT) is the world s largest credentialing organization that seeks to ensure high quality patient care in medical imaging, interventional procedures, and radiation therapy. The ARRT certifies and registers technologists through administration of education, ethics and examination requirements. Education Requirements for Radiation Therapy Certification and Registration 6 P a g e

Radiation Therapy certification and registration candidates must have within the past three years* successfully completed a Radiation Therapy educational program that is accredited by a mechanism acceptable to the ARRT. Beginning on January 1, 2015, all candidates for certification and registration in Radiation Therapy must have earned an academic degree before becoming certified and registered. ARRT recognizes only accreditation agencies that are recognized by CHEA and/or USDE. As part of their education, candidates must also demonstrate competency in didactic coursework and an ARRTspecified list of clinical procedures by completing the Radiation Therapy Didactic and Clinical Competency Requirements. Ethics Requirements for Radiation Therapy Certification and Registration The Standards of Ethics is listed on the ARRT website at: https://www.arrt.org/pdfs/governing- Documents/Standards-of-Ethics.pdf. Every candidate for certification and registration must, according to ARRT governing documents, "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 " ARRT investigates all potential violations in order to determine eligibility. Issues addressed by the Rules of Ethics include convictions, criminal procedures, or military court martials as described below: Felony; Misdemeanor; Criminal procedures resulting in a plea of guilty or nolo contendere (no contest), a verdict of guilty, withheld or deferred adjudication, suspended or stay of sentence, or pre-trial diversion. Juvenile convictions processed in juvenile court and minor traffic citations not involving drugs or alcohol do not need to be reported. Additionally, candidates for certification and registration are required to disclose whether they have ever had any license, registration, or certification subjected to discipline by a regulatory authority or certification board (other than ARRT), as well as any honor code violations that may have occurred while they attended school. Candidates may complete a pre-application to determine their ethics eligibility prior to enrolling in or during their educational program. The ARRT maintains a registry of certified technologists in all disciplines of Radiologic Technology. The ARRT requires 24 hours of continuing education in a two-year period to renew certification. ARRT certifications awarded January 1, 2011, and thereafter will be time-limited to 10 years. Prior to the end of the 10-year period, the individual will be required to demonstrate continued qualifications in order to continue to hold the certification. For information on the ARRT and other eligibility requirements, contact the agency at: 1255 Northland Drive, Saint Paul, Minnesota 55120-1155. (651) 687-0048 OR http://www.arrt.org PROFESSIONAL SOCIETIES Students may join the AMERICAN SOCIETY OF RADIOLOGIC TECHNOLOGIST (ASRT) www.asrt.org The ASRT is a professional membership organization representing the interests of radiographers, radiation therapy technologists and nuclear medicine technologists according to the purpose and goals stated in its bylaws. The American Society sponsors numerous educational programs for all ranks of technologists with a wide 7 P a g e

range of professional and continuing education offerings. The ASRT developed and publishes the curriculum guide for educational programs in Radiologic Technology and provides for periodic review of curricula in Radiation Therapy. The ASRT maintains its headquarters at: 15000 Central Avenue, SE, Albuquerque, New Mexico 87123-3909. The Practice Standards for Radiation Therapy is located on the ASRT website at: https://www.asrt.org/main/standards-regulations. The Sponsoring Institution Nassau Community College sponsors the radiation therapy program. Nassau Community College is a member of the State University of New York and is accredited by the Middle States Association of Colleges and Schools. Nassau Community is a comprehensive full opportunity College, open to all qualified applicants. All program functions, including administrative structure, organizational structure, didactic and clinical instruction as well as clerical support services are coordinated by Nassau Community College faculty and staff. NON- DISCRIMINATION Nassau Community College is committed toward ensuring that all students are given equal opportunity to participate in its educational programs without regard to their race, national origin, ethnic background, gender, sexual orientation, religion, disability, age, veteran status, or marital status (http://collegecatalog.ncc.edu/current/policiesandprocedures/additional_information/student_rights_responsibili ties.html ) If the student has a question/concern about discrimination, he/she may contact The College's Office of Affirmative Action and Diversity which is dedicated toward ensuring that the College is in compliance with all federal and state laws and regulations that prohibit discrimination and encourage equal opportunity and treatment. This is including, but not limited to: Title VII of the Civil Rights Act of 1964; Title IX of Educational Amendments of 1972; Age Discrimination Act in Employment of 1967; Americans with Disabilities Act; Americans with Disabilities Act Amendments of 2008; Section 504 of the Rehabilitation Act of 1973, and the New York State Human Rights Law.The Affirmative Action Office also ensures that the College community is in compliance with its internal policies on Sexual Harassment, Bias and Discrimination, as well as the Complaint Procedures for Review of Allegations of Discrimination/Harassment (all of which are available on the College website, as well as at the Affirmative Action Office), and conducts investigations into allegations of sexual harassment, bias and discrimination brought by members of the College community. Any questions concerning the College's policies on sexual harassment, bias and discrimination, as well as any allegations of noncompliance should be directed to: Affirmative Action Officer 818 Administrative Tower Nassau Community College One Education Drive Garden City,NY 11530-6793 516.572-7121 or 516.572.7747 8 P a g e

ADVISING Being housed within Nassau Community College allows the Radiation Therapy Program to offer students excellent supportive academic, behavioral, and clinical advisement. The radiation therapy program director, didactic and clinical instructors are available for pre admission advising as necessary. The admissions procedure is available through the College website (https://www.ncc.edu/admissions/apply/application_pdfs/programs_chart.pdf ) any additional questions can be answered by the Admissions Office @ 516-572-7345 or the Allied Health Office @ 516-572-9640. Enrolled student have an orientation session prior to the beginning of the program and an advising session at the end of the each semester. The program director and didactic and clinical instructors are also available for individual academic, behavioral, and/or clinical advisement as needed. Every didactic and clinical instructor must submit an academic progress through the NCCBanner System for each course and for every student. This will result in an early warning system to alert those students who may be in jeopardy. Additionally, the program director requires a weekly report from each clinical instructor regarding the progress of each student. Monthly behavioral and clinical evaluations must be completed by supervising therapist and signed by the student. The clinical instructor clearly defines in writing whether or not the student is where they should be clinically at the end of each month. This type of continuous communication allows for both informal and formal feedback between the student and the faculty, thus allowing essential advising between the program director and the student on academic, behavioral, and/or clinical issues. PROFESSIONALISM & DISHONESTY The Radiation Therapy Program is committed to the education of students to become contributing members of the radiation oncology team who will provide safe and effective radiation therapy in both hospital and freestanding settings. As a representative of the Radiation Therapy Program at Nassau Community College, it is essential that all students conduct themselves in a professional, friendly and courteous manner. Cooperation, consideration, and respect for others are fundamental behaviors of the health care professional. In addition, attributes such as motivation, good judgment, integrity, honesty and professionalism are as important to success in the program as they are in the post graduate clinical setting. These behaviors are to be demonstrated in the clinical and classroom setting at all times. Due to the overwhelming importance to provide the community with practitioners who are technically competent as well as professional, the faculty reserves the right, regardless of a student's academic performance, to dismiss the student from the program for behavior which has proven to be consistently unprofessional, or which endangers the health or safety of patients, staff, students, or others. CONDUCT 9 P a g e

The NCC Student Code of Conduct as set forth in the college catalogue applies to the behavior of students in classroom and clinical courses. It is the students responsibility to familiarize themselves with these rules and regulations. Students are expected to observe the guidelines set forth in the directives issued by the New York State Department of Health, Bureau of Radiologic Technology, Ethic Guidelines of the ARRT & ASRT. Cheating or dishonesty of any kind will not be tolerated, and is cause for immediate expulsion from the Program. Students must abide by the standard rules and regulations of each hospital and clinical facility assigned. Students will address the staff and patients by their proper title and last name. Use of insulting, threatening or abusive language or gestures to staff, patients or fellow students will be considered grounds for probation or dismissal. Smoking, eating and drinking are permitted in designated areas only. Personal conversations and discussions are inappropriate and should be limited to off duty hours. Personal relationships with staff and patients are not appropriate. CONFIDENTIAL PATIENT INFORMATION HIPPA POLICY The Health Insurance Portability and Accountability Act was enacted nationally in an effort to protect individuals rights to privacy and confidentiality. The Radiation Therapy Program at Nassau Community College is committed to maintenance of confidentiality based on our ethical, legal and moral responsibilities to protect the rights of patients. Students are oriented and educated in the general implications of HIPAA for patient care via several courses throughout the curriculum. Students first received instruction regarding HIPPA policy and procedures during orientation. Students must sign the HIPPA acknowledgement form and pass the exam covering HIPPA in order to continue in the program. It is also the responsibility of clinical faculty of each clinical education site to orient students to the implications of HIPAA for that site as well as specific policies and procedures pertinent to their site during each clinical experience. All students are required to observe HIPAA regulations, which will be clearly presented during orientation. Any disregard for HIPAA policies will result in immediate dismissal. In addition, students should not discuss personal problems with patients or staff at assigned clinical rotations. Students should be mindful of conversation with patients and staff at all times. 10 P a g e

SMOKE FREE/TOBACCO-FREE ENVIRONMENT NASSAU COMMUNITY COLLEGE For safety and health reasons, all students must abide by the NCC smoking policy. Students are responsible for knowing and abiding by the smoking policies set forth by each clinical site. Smoking is only permitted in designated areas and students should be mindful of not smelling like smoke when reporting to clinic. ALCOHOLIC BEVERAGES Alcoholic beverages are not permitted on the college campus or clinical premises at any time. Drinking or being intoxicated will lead to immediate dismissal. DRUG POLICY Nassau Community College has a vital interest in maintaining a safe, healthy, and efficient educational environment for its students. Being under the influence of a drug or alcohol while in class or clinical setting is prohibited and will result in immediate dismissal from the program. BIAS, DISCRIMINATION & SEXUAL HARASSMENT POLICIES Bias & Discrimination: Nassau Community College is a broadly diversified institution, committed to recognizing diversity and pluralism of values and beliefs on campus. The College condemns bias and all other acts of hatred and violence. Furthermore, the College condemns all forms of bigotry, discrimination, harassment, physical violence and/or any form of abuse based on race, ethnicity, national origin, disability, age, gender, or sexual orientation. Sexual Harassment: It is the policy of Nassau Community College to establish an environment in which the dignity and worth of all members of the institutional community are respected. In keeping with th is principle, the sexual harassment of students or employees is considered unacceptable conduct and will not be tolerated. Nassau Community College will aggressively investigate any allegations of sexual harassment. Sexual Harassment is a serious violation of campus policy and can result in disciplinary action. Sexual Harassment is a violation of Title IX of the Education Amendments of 1972, which prohibits sex discrimination in education. Sexual harassment consists of unwelcome sexual advances, requ ests for sexual favors, and other verbal or physical conduct of a sexual nature where grades or educational progress are made contingent upon submission to such conduct, or where the conduct has the purpose or effect of interfering with the individual s academic performance or of creating an intimidating, hostile, or offensive educational environment. For further information see the College Catalog or contact the Affirmative Action Officer/Section 504 Coordinator at (516) 572 7747, Tower 818 11 P a g e

WORKPLACE HAZARD NASSAU COMMUNITY COLLEGE Students will be provided with a comprehensive orientation which will cover workplace hazards. A Review of Health and Safety Policies and Procedures Forms will be completed by each student for every clinic. In the event that the student is concerned with workplace hazards, harassment, communicable diseases, or substance abuse, he/she should contact the program director of faculty immediately. The program director will work with the facility to ensure the safety of the student. INFECTIOUS DISEASE POLICY Students Exposed to Infectious Disease: Must report the exposure to the Clinical Supervisor and the Program Director. If disease-specific immunity cannot be demonstrated by laboratory studies, the student must absent himself for the incubation period. If the condition becomes clinically evident, the student may not return to the program until written medical clearance is obtained. Students Who Have, or Suspect They Have, an Infectious Disease: Students who suspect they have a potentially infectious condition must see their physician for a diagnosis before returning to the program. The absence must be reported to the Program Director. The student may not return to the program until written medical clearance is obtained. Any student withholding information concerning his or her health status, as it applies to communicable diseases, either for the pre-admittance physical or while enrolled in the program may be dismissed for unethical behavior. Failure to observe the above policy can result in grave threat to patients, classmates, staff and others and is grounds for DISMISSAL. EMERGENCY PROCEDURES AND SAFETY During program orientation, the student will be educated in emergency procedures/safety orientation/medical Emergencies/ HIPPA. Students are tested on this material and must receive a 75% passing grade in order to enter the clinical setting. Students are required to acquaint themselves with the routine radiation and electrical safety rules practiced by the assigned facility. When the student begins their clinical rotation an orientation is done by the clinical instructor addressing these policies and procedures specific to each clinic. The policies and procedures include, but are not limited to, the following Hazards: Fire, electrical/chemical emergencies 12 P a g e

Emergency Preparedness Medical Emergencies Radiation Safety HIPAA Review of Health and Safety Policies and Procedures forms are completed documenting the students understanding of these policies and procedures. Any incidence involving students will be reported immediately to the Program Director EMERGENCY PREPAREDNESS AT NCC Nassau Community College has taken steps to support our campus community during times of heightened concern. Nassau Community College (NCC) has developed a comprehensive Emergency Response and Recovery Plan (ERRP) which outlines the organization and procedures the College will implement before, during, and after a campus emergency. The College also has an Emergency Response Team made up of key campus personnel responsible for developing, overseeing and implementing the College s emergency response and recovery procedures. In addition, the College has identified and equipped strategic command centers, from which the Emergency Response Team (and outside emergency response agencies), will coordinate and oversee the College s emergency response and recovery procedures during an emergency. Students are encouraged to visit the Emergency Preparedness site at http://www.ncc.edu/aboutncc/ourpeople/administration/environmentalhealth/emergencyprocedures.shtml NCC Alert System Nassau Community College has partnered with Rave Mobile Safety to provide members of the campus community with a quick and efficient means of receiving emergency notifications. This system is called NCCAlert. NCCAlert will allow you to quickly receive emergency communications and other important announcements via text, e-mail and voice message. As a current employee or registered student you are automatically enrolled in this new system. DISABILITY STATEMENT Nassau Community College is committed to providing reasonable accommodations to students with appropriately documented disabilities, and to the letter and spirit of the Americans with Disabilities Act of 1990 and the ADA Amendments Act of 2008. Appropriate accommodations are designed to ensure students with disabilities have an equal opportunity to participate in all Nassau Community College programs, activities and services. DISABILITY RELATED CONCERNS: If you have a physical, psychological, medical, or learning disability that may have an impact on your ability to carry out the assigned coursework, I urge you to contact the Center for Students with Disabilities (CSD), Building U, (516 572-7241,TTY(516) 572-7617. The counselors at CSD will review your concerns and determine reasonable accommodations you are entitled to by the Americans with Disabilities Act and Section 504 of the Rehabilitation Act of 1973. All information and documentation pertaining to personal disabilities will be kept confidential. 13 P a g e

All information and documentation pertaining to personal disabilities and/or diagnoses is strictly confidential. CELLULAR AND PERSONAL ELECTRONIC DEVICE USAGE POLICY To ensure the safety, protection and privacy of patients, staff and students, while continuing to provide high quality education, it is the policy of the Radiation Therapy Program at Nassau Community College to restrict the use of personal cell phones and other hand-held devices during clinical hours. For patient safety and equipment integrity reasons, cell phones and other hand-held personal devise use is restricted. Nassau Community College and all clinical affiliates have a responsibility to ensure the privacy of patients, visitors, staff and students, and to ensure the integrity of proprietary information. Students are not permitted to use their cell phones, ipods/ipads or other personal electronic devices during clinical hours. Students are not permitted to text message while class is in session or in the clinic. Students are not permitted to use the camera and recording function of a cell phone at all while in clinic. Permission must be obtained to record lectures during class at Nassau Community College by the individual professor. Students who do not adhere to this policy are subject to corrective action up to and including dismissal from the program. Personal Cell Phones Students are not to use personal cell phones while class is in session or assigned to the clinic. Students are to make any personal calls/text messages during free time and not in patient areas. If an emergency necessitates the use of a cellular phone, the phone call may not be made in patient care areas or any public area where a conversation can be overheard. Students are responsible for informing friends and family members of this policy. Camera/ Recording Equipped Cellular Devices To ensure the privacy of patients, visitors and employees, as well as to ensure the confidentiality of all records, etc., camera-equipped and recording devices belonging to students must be turned off during clinical hours and may not be used at any time during clinical hours. PARKING 14 P a g e

All students must inquire from clinical student supervisors the location of allocated parking. Students should never use designated patient parking or emergency parking areas. There are no exceptions. It is the students responsibility to register their car and obtain the necessary parking permits from security for each hospital/ clinical rotation, as well as at the NCC campus. Prior to registration for the Radiation Therapy program accepted students are instructed on contacting the New York State department of Health regarding the COURSE REQUIREMENTS, GRADES & GRADUATION REQUIREMENTS Correct sequence of major and related courses as published in the College Catalog must be followed to be eligible for graduation from the Program, including observance of all prerequisite and co requisite requirements Grading policy will be explained and outline in the Syllabus at the beginning of each course. In order to advance to the next semester a student must maintain at least a Grade of "C" in all phases of each Radiation Therapy Program professional course (didactic and clinical components). Failure to obtain a minimum "C" grade in any Radiation Therapy course or AHS101 will result in dismissal from the program. Failure to obtain a minimum "C" grade in Anatomy and Physiology (AHS 131 & 132) will necessitate repeating the course. If a passing grade is not obtained in both courses before the commencement of the fall semester of the second year, the student will be dismissed. Students are responsible for notifying the Program Director immediately upon failure to attain a minimum grade of C in such required courses. Unless otherwise stated by individual instructors of Radiation Therapy courses make-up examinations will be given for missed major examinations and 10 points will be deducted from the grade obtained. READMISSION Students dismissed from the Radiation Therapy program who feel the dismissal was unwarranted, have access to the normal grievance procedure as outlined in the Nassau Community College Catalogue. First year students who are dismissed due to failure in one didactic course may apply to the program following the procedure for new candidates. It is expected that appropriate remedial work will have been done in the intervening year. Reapplying does not guarantee readmission into the program. The students other academic and clinical progress will be evaluated. 15 P a g e

Second year students who are dismissed due to failure in one didactic course may petition the Advisory Committee for readmission in the following academic year. It is expected that appropriate remedial work will have been done in the intervening year. Clinical grades must average higher than a B from previous semesters to be considered for re-admittance. Students who fail more than one didactic course, or who fail a clinical course, will not be considered for readmission. No student may be readmitted more than once. ASSIGNMENT TO AFFILAITING CLINICS AND HOSPITALS The Program Director and Clinical Coordinator will assign students to clinical sites. The schedule will reflect equal experience for all students enrolled in the program. MALPRACTICE INSURANCE Coverage for student is mandatory and arranged through the College. The fee for this insurance is included in the bill from the Bursar's Office. CRIMINAL BACKGROUND CHECK The student must complete a criminal background check through Certified Background check, https://www.certifiedbackground.com The student is responsible for the cost of the search. The criminal background check must be completed prior to the student beginning his/her first clinical experience. The criminal background search will encompass the student s records from the state of New York. In the event that a student has moved from another state to the state of New York, within the last twelve months, a background check, at the student s expense, will be conducted in both states. If the background check indicates the student has a criminal conviction, he/she will first be given the opportunity to refute the record. Should the conviction record stand the student may be prohibited from taking part in the Radiation Therapy program. 16 P a g e

Any student with concerns regarding violations/convictions are encouraged to complete Ethics Review Pre- Application at https://www.arrt.org/pdfs/ethics/ethics-review-pre-application.pdf to determine their ethics eligibility prior to enrolling in or during their educational program. HEALTH FORMS All students must have a physical examination, including laboratory work, and must submit a completed health form to Student Health Services to receive clearance as a condition to attending any clinical session. Clearance from Student Health Services must be presented to the instructor during the junior year on or before October 1st. Yearly updated health clearance is required. Written proof of health clearance may be required by a clinical affiliate prior to commencement of an assigned internship. All students must retain a copy of their final submitted health form and must bring a copy to each clinical affiliate on the first day of each assigned clinical rotation. Students may also be required to comply with further or additional health clearance requirements imposed by an assigned clinical affiliate (Copies must be kept by the student and one given to clinical coordinator faculty at Nassau Community College). It is mandatory for all students to fill out the emergency contact form and the clinical orientation form provided at the end of the Radiation Therapy Student Handbook. These forms are also available on BlackBoard and must be completed for each and every clinic rotation. NO STUDENT WILL BE PERMITTED TO ENTER THE CLINICAL SETTING WITHOUT A COMPLETED HEALTH FORM. DIRECT SUPERVISION OF STUDENTS According to the directives of the New York State Department of Health, students in Radiation Therapy programs must be under the direct supervision of a licensed radiation therapist until such time as the student graduates and obtains a temporary license. A qualified radiation therapist must review the procedure, evaluate the condition of the patient, be present during the conduct of the procedure and review and approve the procedure. Students may perform any and all aspects of the patient set-up consistent with their level of achievement under such direct supervision. During Nursing and Physic rotations students must be under direct supervision of a qualified practitioner when preforming patient related task. Under no circumstances will students perform unsupervised, patient related tasks. If any condition exists which constrains direct supervision, the student is obligated to report it to the Clinical Supervisor and to program faculty immediately. CLINICAL EDUCATIONAL HOURS Students enrolled in the Radiation Therapy Program complete approximately 2200 hours of supervised clinical education before graduation. 17 P a g e

Each student will be assigned to four clinical affiliates during the twenty-four month program. For the safety of students and patients, not more than ten (10) clinical hours shall be scheduled in any one day. Scheduled didactic and clinical hours combined cannot exceed forty (40) hours per week. Hours exceeding these limitations must be voluntary on the student s part. The student will be assigned to at least two clinical facilities for the first year (fall, spring and summer sessions). The student will be assigned to at least two clinical facilities in the second year (fall, spring and summer sessions). Hours will vary depending on learning objectives such as quality assurance and morning warm ups. All students must participate in morning warm ups at each clinical rotation. Assignments are based on educational objectives, chosen to ensure that students will have a wide variety of exposure to diverse radiation therapy treatment techniques. Clinical rotations sites will not be revised for reasons of geographic proximity, or personal convenience. By signing this handbook, students are acknowledging that they are responsible for travel and full attendance at their assigned clinic during the course of the program. CLINICAL ASSIGNMENTS FOR FIRST YEAR STUDENTS First-year students are required to attend the clinical Orientation program on campus and to meet specifically stated objectives/ pass examinations before they are allowed to enter the clinical facility. Failure to do so will result in dismissal. Upon successful completion of Orientation, each student will be assigned to a clinical facility which he/she will attend on Tuesdays and Thursdays from 8am-4pm, unless otherwise instructed by the clinic. Clinical facility will be switched at the beginning of the spring term and will be attended throughout the first summer. Students will be assigned to their clinical facility for a period of no longer than three weeks during winter intersession. Students will attend second clinical facility for thirteen weeks, five days a week, during the summer session. Students will be allowed one week (5 clinical days) vacation during the summer session if no time is owed (down days). Students must notify clinical student supervisors when vacation time will be taken. 18 P a g e

Down days must be made up prior to taking any vacation time. Students can bank up to five extra days to carry over into the following semester. Students must complete one full week of nursing by the end of the junior year. CLINICAL ASSIGNMENTS FOR SECOND YEAR STUDENTS Students will be assigned to one clinical facility from September to beginning of spring term and another clinical facility from spring term to August. Second-Year students attend assigned clinical facilities on Mondays, Wednesdays and Fridays from 8am- 4pm for fall and spring semesters. Students will be assigned to the clinical facility for a period no longer than two weeks during winter intersession. Students will be assigned to the clinical facility for thirteen weeks, five days a week, during the summer session. One full month of dosimetry will be completed in the summer at assigned clinical facility and no vacation time will be granted during this rotation. Students are allowed a two week vacation (10 clinical days) during the summer session provided no time is owed. Students will be allowed one day for job interviewing/resume review on campus during summer session. ATTENDANCE AND PUNCTUALITY Attendance policy in class is set by instructors and included in syllabus. The presence of students in the clinical facility must in no way alter the routine work schedule of the department or inconvenience the patients or staff, therefore dependability and punctuality are essential. All students will be expected to adhere to the clinical schedule developed. All students must arrive at the assigned clinical area/specific machine on time (at least five minutes before the assigned hour). No student will be allowed to have clinical assignments on hospital holidays, weekends, evenings or nights. Students are not allowed to earn more than forty hours of clinical time in one week. Only full eight-hour days are given credit - no partial days are allowed. Students may not work through lunch hours in order to leave clinic early, except in extraordinary circumstances. This must be approved by the clinical student supervisor and Program Faculty. 19 P a g e

Students must take a break of at least 30 minutes. Under no circumstances are students allowed to work more than five hours straight without a break. It is the student s responsibility to notify either clinical student supervisor or assigned machine therapist when they are unable to attend clinic. Students must speak to a person as early as possible, preferably before 8am or the start of their clinic hours. Texting or leaving messages is not an acceptable form of notification and will result in disciplinary action. Clinic absence must be reported to program faculty the following day on campus. An excess of three days absence in any one semester will be sufficient reason to have student s participation in the therapy program reviewed for possible probation. No student will absent himself/herself from his/her clinical schedule for the purpose of studying for examinations. Students must sign in and out daily on designated clinical attendance sheets which serve to document both arrival time and presence in clinic. A clinical supervisor/senior radiation therapist must sign out student EACH DAY on said attendance sheet as well. Failure to do so will result in lost days. Sign out time must be accurate; student is not docked time if sent home early by clinic. Students shall not be used as a substitute for clinical, instructional, or administrative staff at any time; students shall report any violation, request to violate or attempted violation of this provision to the Program Director immediately. Punctuality is essential so as not to inconvenience clinical staff, instructors and classmates. The student will be considered late if he or she appears after the assigned time without notification. The student will be considered absent and unexcused if he or she does not appear within thirty (30) minutes of the assigned time without notification. Students who enter the clinic late may be sent home at the discretion of the clinical supervisor. Three episodes of lateness during any rotation will result in a disciplinary action. Make up Days Make-up days cannot be scheduled on hospital holidays, weekends, evenings or nights. Make-up days cannot be scheduled on a College Holiday when Administrative Offices are closed. Student is required to inform the clinical supervisor and honor his/her commitment to appear on scheduled make-up day. Make-up days will be no more nor no less than eight hours. Accruing Extra Time Students may not accrue more than five (5) days extra time (bank days) except in extraordinary circumstances approved by the Program Director. 20 P a g e

SEVERE WEATHER POLICY If a student fails to report to clinical site due to severe weather conditions, he/she will not receive credit for that day. Student is responsible to call and inform clinical student supervisor of absence as early as possible. If a clinical affiliate has a delayed opening, student will report at stated delayed time and leave at the regularly scheduled time unless told to leave earlier due to weather conditions. Student cannot stay in clinic past 4:30 pm unless cleared by faculty at Nassau Community College. Students should check NCC website to check for delayed openings or campus closures whenever in doubt. When Nassau Community College is closed due to inclement weather students cannot report to clinic. ATTIRE Students are required to wear the prescribed uniform while in the clinical facility and to maintain a professional appearance. Prescribed Uniform for Female Students Female students must wear either a white uniform dress of reasonable length or white uniform pants and top. A white or blue three button knit shirt with a collar is acceptable. No white jeans are permitted. White athletic type or uniform shoes and socks must be worn and kept clean at all times. Long hair must be pulled back in a neat fashion. Long fingernails pose a health and hygiene hazard and are not permitted. Excessive jewelry and excessive use of cosmetics and bizarre clothing are inappropriate and not permitted. No visible tattoos or body piercings/body jewelry (or similar visible decoration) are permitted, with the exception of earrings of reasonable size and appearance. Prescribed Uniform for Male Students Male students must wear a white uniform top. A white or blue three button knit shirt with a collar may be substituted for the uniform top. Pants must be a white uniform type. No white jeans. 21 P a g e

White athletic or uniform shoes and socks must be worn and kept clean at all times. Beards and mustaches must be neatly trimmed. No visible tattoos or body piercing/body jewelry (or similar visible decoration) are permitted, with the exception of earrings of reasonable size and appearance. When wearing uniforms, please be mindful that white is a transparent color and care should be taken so that undergarments are not readily visible. In addition, please limit use of cologne and/or perfume. Physics Rotation Attire- senior students rotating through physics are permitted to dress in professional attire with a lab coat. If a student prefers they may wear the uniform as described above with a lab coat. Required Accessories A name tag that includes the name of the school must be worn. It must contain the word "Student. Radiation badges will be worn at belt level or on the right pocket below the waist. Professional Appearance Uniforms and shoes must be clean, and in good repair. Sweaters, if worn, must be white or blue. Careful attention must be paid to personal hygiene when attending clinic. Underarm deodorant must be applied before arriving at clinic. Patients do not appreciate caregivers who appear unclean or have body odor. A student who reports to clinic out of uniform will be sent home by the Clinical Student Supervisor or program faculty. No clinic hours will be credited. PREGNANCY POLICY It is strongly recommended that all pregnancies or suspected pregnancies be reported to the Program Director. If the student decides voluntarily to declare the pregnancy, she must do so in writing. Only if this is done can program officials assist in limiting the dose to the fetus in the workplace. The student who has declared her pregnancy will be counseled by a Radiation Safety Officer and the appropriate NCRP guidelines for the declared pregnant worker will be reviewed. The student who has declared her pregnancy may continue in the Radiation Therapy program if she chooses without modification. Time may be taken for delivery; which may extend the length of time the student will need to complete all the program requirements for graduation. All didactic courses and clinical requirements must be completed in order for the student to graduate. If the student does not wish to continue in the program while pregnant, she may withdraw and be reactivated within two years following the conclusion of the pregnancy. The declaration of pregnancy may be withdrawn at any time by a signed, dated, written statement of withdrawal which will be filed with the Radiation Safety Officer. 22 P a g e

RADIATION MONITORING The U.S. Nuclear Regulatory Committee (NRC) ensures that users of radioactive materials keep radiation exposures within its dose limits and as low as reasonably achievable (ALARA). The U. S. Nuclear Regulatory Commission, in its standards for protection against radiation, has requirements for: Dose limits for radiation workers and members of the public Monitoring and labeling radioactive materials Posting signs in and around radiation areas Reporting the theft or loss of radioactive material The standards for protection against radiation are covered throughout the program and is available the U.S. Nuclear Regulatory Commission website http://www.nrc.gov/reading-rm/doc-collections/cfr/part020/ All students must wear a personnel monitoring device from Nassau Community College at all times in the clinic. Some clinical sites will provide students with additional badges which must also be worn by the student. Students are responsible to turn in their monthly radiation badges to the clinical affiliates if supplied one, as well as the mandatory college radiation badges to the Clinical Coordinator of the program. Under no circumstance will a student participate in any clinic rotation without a film badge provided by Nassau Community College. Exposure reports will be available for review once processed. If a dose reading exceeds normal limits (>0.125 rem or >1.25 msv per quarter) the student will be contacted by the Radiation Safety Officer clinical coordinator. In the event an accidental exposure occurs, the student must notify the program director regarding the incident immediately. The program director will work with the Radiation Safety Officer and make a plan of action for the event. If the badge is lost, damaged, or the student has any other concerns, he/she should contact the clinical coordinator. Film badges are not to leave the clinical setting except when they are being returned to the college in exchange for a new badge. If a student feels that he/she has received a high radiation dose exposure (exceeding normal limits of >0.125 rem or >1.25 msv per quarter) for any reason, the student should immediately contact the program director. The student should not wait. An emergency reading will be done and the results and necessary actions will be discussed with the students by the Radiation Safety Officer. GRIEVANCE POLICY The procedure for grieving grades in any course, including the academic or clinical courses in the Radiation Therapy program, is detailed in the College Catalogue. PROBATION Students who violate a policy as stated in the Nassau Community College catalogue or the Radiation Therapy Student Handbook will be placed on probation. The reason for probationary status and the terms and duration of probation will be provided in writing to the student and a copy retained in the student s file. Failure to satisfy 23 P a g e

the terms of probation will result in appropriate disciplinary action, including the possibility of dismissal from the program. STUDENT APPEAL PROCESS The program has an equitable procedure for handling student grievances; it provides the student with the opportunity to have adverse actions taken by the program, reviewed by committees of the program. It also gives the student access for a final appeal to be made to a source external to the program. To grieve decisions regarding status in the program other than grades, the procedure is as follows: The student will schedule an appointment with the Program Director within two weeks of the disputed action. If the issue is not resolved, the student will schedule an appointment with the Departmental Chair [Room E2225, (516) 572-9640 within two weeks of the meeting with the Program Director. The decision of the Departmental Chair will be communicated to the student within one week. If the student disputes the decision of the Departmental Chair, he/she may request, within two weeks of the meeting with the Departmental Chair, an appointment with the Divisional Dean. The decision of the Divisional Dean will be communicated to the student within one week, and will be considered final. If the published Standards of the Joint Review Committee on Education in Radiologic Technology have not been met, student should make contact with the JRCERT to report the perceived violation and to obtain advice. (www.jrcert.org) If after all internal institutional channels have been exhausted and the student feels the complaint is an allegation that the program is not maintaining compliance with the JRCERT accreditation standards, the student may refer to the JRCERT website for more information regarding Reporting of Allegations http://www.jrcert.org/students/process-for-reporting-allegations A copy of the Standards for an Accredited Educational Program in Radiologic Sciences is provided to students during the Orientation program and can also be accessed on their Web Site at http://www.jrcert.org. The Joint Review Committee on Education in Radiologic Technology can be reached at 20 N.Wacker Drive, Suite 2850, Chicago, IL 60606-3182 or E-mail: mail@jrcert.org. STUDENT SERVICES Nassau Community College provides many help centers and Academic Support Centers which can be found in the college catalog http://collegecatalog.ncc.edu/current/index.pdf 24 P a g e

Academic concerns and problems should be directed to the primary course instructor who can provide assistance, guidance and counseling on an individualized basis with respect to the particular course subject matter and recommend a remediation plan as appropriate. Students may contact the Educational Counseling Center (ECC Nassau Hall [Building M] 1 st Floor, Room 19, Tel. (516.772.7141) to obtain learning assistance and help with juggling academic, personal, job and family demands. for assistance with improving study and time management skills. for assistance with dealing with test anxiety. While college life can be an exciting time, it can also be stressful. For many students, addressing academic, social or emotional issues effectively enhances their ability to do better in school. The Psychological Counseling Center offers students psychological assessment, counseling, crisis intervention and referrals. All services are offered at no cost. Health services are available to students for treatment of emergencies sustained while at school. The A. Holly Patterson Library provides an information center containing NASCAT, Nassau s networked library catalog, providing access to the College s full range of materials from the World Wide Web. The New York State Library s Novel project provides library users with a wealth of full-text journal and newspaper articles. Nassau Community College belongs to the State University s SUNY Connect program that provides seamless access to a worldwide virtual library of information to any SUNY student, at any computer, anywhere. Students have access to Nassau Community Colleges library on campus and at http://library.ncc.edu EVALUATION AND ASSESSMENT Students are strongly urged to participate in evaluation exercises to assist the program officials in outcome assessment and improvement of the program. COURSE AND FACULTY EVALUATIONS Evaluation of courses and Nassau Community College faculty by the students will be carried out for all courses. EVALUATION OF CLINICAL INSTRUCTORS Students will evaluate clinical instructors throughout their clinical rotations. OUTCOMES ASSESSMENT Outcome assessment will be conducted on a continuous basis. The program officials will gather information for analysis. Outcome measures that do not meet benchmarks will signal a need for revision which will be addressed by the program officials and Advisory Committee. 25 P a g e

CERTIFICATION ELIGIBILITY Students who have graduated from the program are eligible to apply for the examination given by the American Registry of Radiologic Technology and also to apply for New York State Licensure. Any entering student who was ever convicted of a crime, or who received other than an honorable discharge from the Armed Services is strongly urged to contact the American Registry of Radiologic Technologists and the New York State Department of Health to determine if he/she is eligible for certification and licensure upon completion of the program. LICENSURE & EMPLOYMENT IN NEW YORK STATE To be employed in New York State (NYS) as a radiation therapist upon graduation from the Radiation Therapy Program, student graduates must be licensed and registered to practice by the NYS Education Department, Office of the Professions. In order to obtain a NYS license, applicants must pass an approved examination (ARRT) and be of Good moral character as determined under the NYS Education Law. Federal law limits the issuance of professional licenses, registrations and limited permits to United States citizens or qualified aliens. Accordingly, NYS applicants are required to provide information regarding their citizenship or alien status. COURSE CATALOG Radiologic Tech: Radiation Therapy Tech. (A.A.S.) The Radiation Therapy program is a two-year (four semesters and three summer sessions) program leading to the Associate in Applied Science degree. Radiation Therapy courses are only offered during the day and students are admitted to the program during the Fall semester. Graduates are eligible to take the American Registry of Radiologic Technologists Registry examination to become Registered Radiation Therapists and to obtain New York State Licensure. Radiation Therapists primarily treat cancer patients by applying ionizing radiation according to a radiation oncologist's prescription, using a variety of complex techniques and equipment. The Radiation Therapy program combines technical and liberal arts courses given at Nassau Community College with off campus clinical education at various affiliated hospitals and free standing cancer centers. These clinical settings range throughout Manhattan, Queens, Nassau and Suffolk Counties. This program is accredited by the New York Department of Health and the Joint Review Committee on Education in Radiologic Technology (www.jrcert.org). 20 N. Wacker Drive, Suite 2850 Chicago, Illinois 60606 Phone: (312) 704-5300 26 P a g e

To be eligible for admission to the Radiation Therapy Program, candidates must meet academic requirements and be 18 years of age by the start of the first day of the first semester. Candidates must be legally eligible for employment and licensure in the United States at the time of application, and be of "good moral character" as defined by the New York State Department of Health applicable to the profession of Radiation Therapy. https://www.health.ny.gov/environmental/radiological/radon/docs/article_35.pdf Candidates must accept and pass a mandatory criminal background check. PROGRAM OF STUDY Total Credits: 70 Summer Session (Prior to First Semester) Credits ENG 101 Composition I 3 MAT 109 Algebra and Trigonometry or equivalent 4 Total Semester Credits 7 First Semester Credits AHS 101 Introduction to Allied Health Sciences 3 AHS 131 Anatomy and Physiology I 4 AHS 180 Treatment Techniques 1 AHS 181 Radiology and Topographic Anatomy 1 AHS 261 Radiation Therapy Lecture I 3 AHS 262 Radiation Therapy Clinic I 2 Total Semester Credits 14 Second Semester Credits 27 P a g e

AHS 132 Anatomy and Physiology II 4 AHS 168 Introduction to Treatment Planning 3 AHS 263 Radiation Therapy Lecture II 3 AHS 264 Radiation Therapy Clinic II 2 Total Semester Credits 12 Summer Session Credits AHS 265 Radiation Therapy Clinic III 5 Third Semester Credits AHS 133 Radiation Biology 3 AHS 134 Applied Radiation Physics I 3 AHS 266 Radiation Therapy Lecture III 3 AHS 267 Radiation Therapy Clinic IV 3 PSY 203 General Psychology I 3 Total Semester Credits 15 Fourth Semester Credits AHS 268 Radiation Therapy Lecture IV 3 AHS 269 Radiation Therapy Clinic V 3 AHS 135 Applied Radiation Physics II 3 Social Science Elective/ Humanities Elective 3 Total Semester Credits 12 Summer Session Credits AHS 270 Radiation Therapy Clinic VI 5 28 P a g e

COURSE DESCRIPTIONS See attached Course Descriptions NASSAU COMMUNITY COLLEGE http://collegecatalog.ncc.edu/current/search/byabbreviation/index.html?type=abbr evation&abbreviation=ahs&search= ACADEMIC CALENDAR See current attached Academic Calendar http://www.ncc.edu/aboutncc/calendars/academic_calendar.shtml Please note schedule changes as listed on Academic Calendar CLINICAL SITES AND SUPERVISORS Dr. Diamond/Advanced Radiation Centers of N.Y. (ARC) - Elana S Hillkewicz Good Samaritan Hospital Center (GSAM)- Janice Kennedy LIJ/Center for Advanced Medicine (CFAM) - Thomas Gilmartin New York Hospital Queens (NYHQ) - Cathy Lagos Nassau University Medical Center (NUMC) Margaret Edwards New York University Medical Center (NYU) - John Belanic NorthShore University Hospital(NSUH)- Grace Oulette South Nassau Communities Hospital (SNCH) - Patricia Murdy Stony Brook University Hospital (SBUH) Jean Marie Fudjinski Southside Hospital (SSH) Dawn Carracci Winthrop University Hospital (WUH) - Shahla Aime (Assadi) 29 P a g e

AGREEMENT TO ADHERE TO THE PROGRAMS POLICIES AND PROCEDURES. The student indicates acceptance of these policies and procedures by enrollment in the Radiation Therapy Program at Nassau Community College. The program reserves the right to change these policies and procedures when in the best interest of the program. Upon implementation, the student will receive written notification of any changes. It should be noted that during orientation there is a review of the student handbook. Each student signs and dates a form that states that he/she understands all policies and procedures within the Radiation Therapy Program student handbook. PLEASE REVIEW CAREFULLY BEFORE SIGNING Failure of a student to observe the regulations in this handbook may result in lowering of the clinical grade, a letter being placed in the student's file, probation, and/or dismissal from the program. I have read and understood the material contained in the Radiation Therapy Student Handbook, and agree to abide by the rules of the Radiation Therapy Program at Nassau Community College. PRINT NAME SIGNATURE DATE 30 P a g e

The following is a basic guideline for student clinical expectations, all clinical requirement will be posted on Blackboard. In each clinic a Student Information Form and Review of Health and Safety Policies and Procedures Form must be completed within the first week of clinic. JUNIOR YEAR NOTE: EACH SEMESTER YOU MUST COMPLETE THE REQUIRED NUMBER OF CLINICAL COMPETENCIES. FALL SEMESTER 1. Observe the general function of the Radiation Therapy Department. 2. Participate in preparing room 3. Participate in patient set ups 4. Complete all monthly behavioral and clinical evaluations 5. Complete 1 clinical participation log 6. Complete nursing rotation if applicable 7. Complete Level I Final Assessment Form SPRING SEMESTER 1. Observe the general function of the Radiation Therapy Department. 2. Participate in room preparation 3. Participate in patient set ups 4. Complete all monthly behavioral and clinical evaluations 5. Observe machine warm up procedures 6. Complete 5 clinical participation log, which one must be a breast and prostate set up. 7. Complete nursing rotation if applicable 8. Complete Level II Final Assessment Form SUMMER SEMESTER I 1. Prepare room for patients 2. Participate in patient set ups 3. Observe morning warm-up procedures for accelerators and simulation 4. Complete all monthly and behavioral evaluations 5. Complete 15 clinical participation logs, 3 of which must be simulation. 6. Complete Level III Final Assessment Form 7. Nursing Rotation must be completed by end of Summer session I 31 P a g e

SENIOR YEAR FALL SEMESTER 1. Prepare room for patients 2. Preform patient set ups under direct supervision of licensed therapist 3. Assist with and preform morning warm-up procedures for accelerators and CT simulation 4. Complete all monthly and behavioral evaluations 5. Complete clinical logs and simulation logs 6. Complete at least one module SPRING SEMESTER 1. Prepares room for patients 2. Preform patient set ups under direct supervision of licensed therapist 3. Assist with and preform morning warm-up procedures for accelerators and CT simulation 4. Complete all monthly and behavioral evaluations 5. Complete clinical logs and simulation logs 6. Complete at least one module SUMMER SEMESTER II 1. Prepare room for patients 2. Preforms patient set ups under direct supervision of therapist 3. Preforms morning warm-up procedures for accelerators and simulation 4. Complete all monthly and behavioral evaluations 5. Complete 15 clinical participation logs, 3 of which must be simulation. 6. Completes the remaining modules for a total of 6 7. Complete one month physic rotation 8. Clinical Competence Form must be completed 32 P a g e

STUDENT INFORMATION FORM NASSAU COMMUNITY COLLEGE Today's date / / College Status: Junior Senior NAME ADDRESS PHONE NUMBER IN CASE OF AN EMERGENCY CONTACT: NAME RELATIONSHIP PHONE NUMBER _( ) ( ) Home Cell ADDRESS KNOWN MEDICAL CONDITION CONTACT INFORMATION FOR NASSAU COMMUNITY COLLEGE Program Director: Carolyn Confusione (C) 516-319-3675 Clinical Coordinator: Karen Santini (C) 917-572-1868 Department of Allied Health Science 516-572-9640 33 P a g e

Review of Health and Safety Policies and Procedures This form is to be completed by the Nassau Community College student and clinical instructor each time the student enters a new clinical rotation. Students are educated and tested on Standard Precautions, Emergency Procedures and HIPPA regulations during orientation at Nassau Community College. Please attest that the following information specific to this Clinical Site has been provided by the department and reviewed by the student with a Clinical Instructor: CLINICAL SETTING 1. Fire and Safety Protocol YES / NO (fire, electrical, chemical) 2. Emergency Procedures/Codes YES / NO 3. Emergency Off/Circuit Breaker Locations YES / NO 4. Sexual Harassment Policy and Procedures YES / NO 5. Workplace Hazard Policy and Procedures YES / NO 6. Practice of Standard Precautions YES / NO 7. HIPPA YES / NO Students must be physically supervised by a qualified practitioner while performing any aspect of patient care procedures as required by the College & JCERT. By signing below, the student acknowledges that he/she will only participate in any radiation procedure, under the direct supervision of a qualified radiation practitioner. Signed by (Student) Date (Clinical Instructor) 34 P a g e

CLINICAL SKILLS EVALUATION: FIRST YEAR Completed every month Student Name Date: Clinical Instructor: Clinical Site: Please check the appropriate box. Rating scale: 5. CONSISTENTLY SURPASSES EXPECTATIONS 4. GENERALLY VERY GOOD 3. GENERALLY PERFORMS SATISFACTORILY 2. INCONSISTENT PERFORMANCE - NEEDS IMPROVEMENT 1. FREQUENTLY PERFORMS UNSATISFACTORILY Skills 5 4 3 2 1 1. Obtains set-up parameters for patient treatment 2. Correctly sets up room according to tx instructions 3. Greets and identifies patient according to clinic policy 4. Assists patient on and off treatment table 5. Repositions IV s, drainage bags, O 2 etc. 6. Correctly sets gantry/collimator 7. Biangulates/triangulates efficiently 8. Sets treatment distance 9. Accurately and efficiently performs shifts 10.Utilizes correct accessories 11. Performs appropriate hand hygiene 12. Monitors patient from the console 13. Anticipates steps in patient set-up 14. Retains information previously learned 15. Uses common sense to solve problems 16. Maintains order in the treatment room 17. Identifies location of emergency off equipment 18. Understanding of Radiation Safety Evaluating therapist s signature/s Date Student s signature Date To be completed by NCC Faculty Advisor: Has student met your clinical expectations at this point in the program? Yes No Initials 35 P a g e

CLINICAL SKILLS EVALUATION: SECOND YEAR Completed every month Student Name Date: Clinical Instructor: Clinical Site: Please check the appropriate box. Rating scale: 5. CONSISTENTLY SURPASSES EXPECTATIONS 4. GENERALLY VERY GOOD 3. GENERALLY PERFORMS SATISFACTORILY 2. INCONSISTENT PERFORMANCE - NEEDS IMPROVEMENT 1. FREQUENTLY PERFORMS UNSATISFACTORILY Skills 5 4 3 2 1 1. Routinely and competently performs skills required on first year evaluations (skills 1-18) 2. Either instructs new patients regarding treatment procedures, or can tell the therapist what should be said, according to department policy 3. Evaluates patient's condition, including but not limited to treatment reactions, and tells therapist what action they would recommend 4. Checks treatment record for changes in precautions or prescription 5. Questions apparent inconsistencies in treatment set up 6. Evaluates images and makes shifts accordingly 7. Troubleshoots minor malfunctions 8. Is attentive to patient comfort and details of setup 9. Accurately and efficiently performs shifts 10. Contributes to the smooth and efficient flow of patients on the treatment unit Evaluating Therapist s signature/s Date Student s signature Date To be completed by NCC Faculty Advisor: Has student met your clinical expectations at this point in the program? Yes No Initials 36 P a g e

SIMULATION SKILLS FIRST YEAR Student Name Date: Clinical Instructor: Treatment Site: Please check the appropriate box. Rating scale: 5. CONSISTENTLY SURPASSES EXPECTATIONS 4. GENERALLY VERY GOOD 3. GENERALLY PERFORMS SATISFACTORILY 2. INCONSISTENT PERFORMANCE - NEEDS IMPROVEMENT 1. FREQUENTLY PERFORMS UNSATISFACTORILY Simulation skills 5 4 3 2 1 Checks schedule for next patient. Reviews chart prior to preparing room for procedure, checks for prescription and directives Prepares room appropriately, sets up appropriate materials for contrast studies/immobilization, etc Identifies and greets correct patient Assists patient on to the treatment table and correctly repositions any medical equipment Observes and/or helps instruct patient as to the procedure involved in the simulation. Assists in positioning the patient, and making immobilization devices. Identifies region to be scanned and related radiographic landmarks Obtains face and treatment photos Marks/tattoos for reproducibility Explains to patient skin care and maintenance of marks Practices appropriate ALARA and infection control YES NO Evaluating Therapist s signature/s Date Student s signature Date To be completed by NCC Faculty Advisor: Has student met your clinical expectations at this point in the program? Yes No Initials 37 P a g e

SIMULATION SKILLS SECOND YEAR Student Name Date: Clinical Instructor: Simulator: Please check the appropriate box. Rating scale: 5. CONSISTENTLY SURPASSES EXPECTATIONS 4. GENERALLY VERY GOOD 3. GENERALLY PERFORMS SATISFACTORILY 2. INCONSISTENT PERFORMANCE - NEEDS IMPROVEMENT 1. FREQUENTLY PERFORMS UNSATISFACTORILY Simulation skills 5 4 3 2 1 Explain procedure to patient and checks for prescription and directives Explain procedure to patient, Sets up appropriate materials for contrast studies/immobilization, etc. Positions patient and sets appropriate parameters for scan Monitors patient and preforms CT scan for region of interest. Utilize preset protocols or adjust imaging parameters to obtain optimal images Mark isocenter and transmit network images to workstation. Record patient position and other required information( photos, sim sheets, sim documents) Instruct patient on maintenance of skin marks Insures that patient has appropriate follow- up/appointments Can resolve minor malfunctions Takes proper safety precautions to minimize infection risk to patients, staff and self, follows ALARA Evaluating Therapist s signature/s Date Student s signature Date To be completed by NCC Faculty Advisor: Has student met your clinical expectations at this point in the program? Yes No 38 P a g e

MONTHLY ASSESSMENT OF BEHAVIORAL OBJECTIVES To be completed at the end of every month Student Name Clinical Site: EVALUATION FOR THE MONTH OF PLEASE EVALUATE THE STUDENT IN THE FOLLOWING AREAS: Use the following rating scale: 5 - excellent 4 - good 3 - satisfactory 2 - needs improvement 1- unsatisfactory. Circle the one most appropriate number. Respect towards patient 5 4 3 2 1 Respect towards co-workers 5 4 3 2 1 Ethical behavior 5 4 3 2 1 Attendance 5 4 3 2 1 Punctuality 5 4 3 2 1 Willingness to accept criticism 5 4 3 2 1 Cooperativeness and helpfulness 5 4 3 2 1 Eagerness to learn 5 4 3 2 1 Good judgment 5 4 3 2 1 Progress and improvement 5 4 3 2 1 Signature/s of Supervising Therapist/s Date Signature of Student Date 39 P a g e

JUNIOR CLINICAL LOG PARTICIPATION Student will participate in a clinical set-up. Students will have a basic understanding of the set-up process but may not necessarily have a full understanding of diagnosis, staging and treatment planning. Student name: Clinical site: Treatment unit: Date: Supervising Therapist/s: TYPE OF PROCEDURE: In setting up this patient, has the student demonstrated skills in the following areas? Competency yes no Patient and site verification Equipment operation Radiation safety Patient positioning Daily Dose verification Image processing Record keeping Patient care Supervising Therapist s signature/s Date 40 P a g e

JUNIOR SIMULATION LOG Student may attempt a log on same patient twice. If not performed competently, third attempt for same set-up must be on a different patient. All failed logs must be kept in student s book. Student name: First attempt Second attempt Third attempt (different patient) Clinical site: Simulation unit: Date: Supervising Therapist/s: TYPE OF PROCEDURE: In setting up this patient, has the student demonstrated skills in the following areas? Competency yes no Checks prescription and directives Prepare supplies needed for simulation Identifies and greets patient Assist in position and immobilization of patient Explains the region of interest to be scanned Review and discuss CT pilot image and necessary adjustments Practices Radiation safety Record patient position and other required information Patient care and education, instruct patient regarding skin marks Student signature DATE Supervising Therapist s signature/s DATE 41 P a g e

SENIOR CLINICAL LOG WORKSHEET Student may attempt a log on same patient twice. If not performed competently, third attempt for same set-up must be on a different patient. All failed logs must be kept in student s book. Student name: First attempt Second attempt Third attempt (different patient) Clinical site: Treatment unit: Date: Supervising Therapist/s: TYPE OF PROCEDURE: In setting up this patient, has the student demonstrated competency in the following areas? Competency yes no Equipment operation Radiation safety Dose to critical structures Patient positioning Treatment volume localization Staging and Diagnosis Dose verification Image processing Record and verification Patient care and education Supervising Therapist s signature/s Date 42 P a g e

SENIOR SIMULATION LOG NASSAU COMMUNITY COLLEGE Student may attempt a log on same patient twice. If not performed competently, third attempt for same set-up must be on a different patient. All failed logs must be kept in student s book. Student name: First attempt Second attempt Third attempt (different patient) Clinical site: Simulation unit: Date: Supervising Therapist/s: TYPE OF PROCEDURE: In setting up this patient, has the student demonstrated competency in the following areas? Competency yes no Explain procedure to patient, prepare supplies needed for simulation Position and immobilize patient Equipment operation and Radiation safety Perform CT scan for region of interest Review and discuss CT scan Mark isocenter and transmit network images to workstation Record patient position and other required information Patient care and education, instruct patient regarding skin marks Student signature DATE Supervising Therapist s signature/s DATE 43 P a g e

LEVEL I FINAL ASSESSMENT FORM completed at end of first clinical rotation General Objective: The student will first observe, and then perform under supervision, the basic skills of safe patient identification, transfer and positioning. Specific Objectives: The student will consistently: 1. Consult schedule for the next expected patient. 2. Set up treatment table for the next expected patient. 3. Identify and escort patient to treatment room. 4. Assist in patient positioning including triangulation. 5. Assist patient from the treatment table and room. 6. Assure patient safety and comfort. 7. Practice appropriate radiation safety and environmental protection techniques. And will: 8. Complete one clinical log. To the evaluator: please complete the following: A. Objectives achieved in this semester (please list by number) B. Objectives NOT achieved in this semester (please list by number) C. Action plan for this student: please circle one 1. Student is at or above level; no change required at this time 2. Student is deficient in one or more areas suggestions for improvement: 3. Student is significantly below expected level. Plan meeting with program faculty Evaluating Therapist s signature/s Date Student s signature Date 44 P a g e

LEVEL II FINAL ASSESSMENT FORM end of second clinical rotation General Objective: The student will demonstrate emerging skills in interpreting and applying treatment data and will, after repeated observations, reproduce common set-ups. Specific Objectives: The student will consistently: 1. Demonstrate competency in Level I objectives. 2. Set-up the treatment room (accessory devices, etc.). 3. Triangulate efficiently using both table adjustment and patient adjustment. 4. Demonstrate emerging Record & Verify skills. 5. Demonstrate emerging skills in independently interpreting treatment instructions. 6. Demonstrate emerging skills in treatment portal verification (portal imaging, film, etc.) 7. Demonstrate emerging skills in either conventional or CT simulation. And will: 8. Complete five different clinical logs (of which 2 must be breast and prostate). Evaluating Therapist/s: please complete the following: A. General Objective met? YES / NO B. Specific Objectives: Achieved to date (please list by number) NOT achieved to date: (please list by number) C. Action plan for this student: please circle one 1. Student is at or above level; no change required at this time 2. Student is deficient in one or more areas suggestions for improvement: 3. Student is significantly below expected level. Plan meeting with program faculty Evaluating Therapist s signature/s Date Student s signature Date 45 P a g e

LEVEL III SUMMER ROTATION end of summer session 1 only General Objectives: The student will perform all tasks related to previously observed patient set-ups with minimal prompting. Specific Objectives: The student will consistently: 1. Demonstrate competency in Level I and II objectives. 2. Consistently recognizes need for, prepares for, and obtains, required field verification (i.e. portal imaging, film, etc.). 3. Independently interprets basic treatment plans. 4. Demonstrates ability to key-up console. 5. Demonstrates competency in CT Simulation. 6. Completes 10 different clinical logs from the list including one each: Head & Neck, Breast, Prostate and Lung. 7. Completes 5 simulation logs from the list. Evaluating Therapist/s: please complete the following: A. General Objective met? YES / NO B. Specific Objectives: Achieved to date (please list by number) NOT achieved to date: (please list by number) C. Action plan for this student: please circle one 1. Student is at or above level; no change required at this time 2. Student is deficient in one or more areas suggestions for improvement: 3. Student is significantly below expected level. Plan meeting with program faculty Evaluating Therapist s signature/s Date Student s signature Date 46 P a g e

To be completed at by the end of the Program CLINICAL COMPETENCE General Patient Care 1. CPR-BLS 2. Vital Signs (BP, pulse, respiration, temperature) 3. O2 Administration 4. Patient Transfer Simulation Procedures 1. Brain 2. Head and Neck 3. Chest 4. Breast 5. Abdomen 6. Pelvis 7. Skeletal Dosimetry 1. Single Field 2. Parallel Opposed Fields with Field Shaping 3. Geometric Gap 4. Weighted Fields 5. Wedged Fields 6. Computer Generated Isodose Plan 7. Electron Field Treatment Accessory Devices 1. Custom Block (electron) 2. Bolus 3. Custom Immobilization Devices for Thorax or Abdomen/Pelvis (e.g., foaming agents, vacuum bags) 4. Thermoplastic Mold Participatory Procedures 1. Total Body Irradiation (TBI) 2. Craniospinal 3. Brachytherapy Date Completed Competence Verified By 47 P a g e

Radiation Treatment Procedures Mandatory Elective Brain 1. Primary x 2. Metastatic x Head and Neck 3. Laterals Only x 4. Multiple Fields * to include Supraclavicular x Chest 5. AP/PA x 6. Multiple Fields * x Breast 7. Tangentials Only x 8. Tangentials with Supraclavicular x 9. Tangentials with Supraclavicular and Posterior Axilla Boost x 10. Tangentials with Supraclavicular and Internal x Abdomen Mammary 11. AP/PA ** x 12. Multiple Fields * x 13. Para-Aortic x Pelvis 14. AP/PA ** x 15. Multiple Field Supine * x 16. Multiple Field Prone * x 17. Inguinal x Skeletal 18. Spine x 19. Extremity x Electron Fields 20. Single x 21. Abutting Fields x Date Complete d Competen ce Verified By 48 P a g e

PHYSICS / TREATMENT PLANNING LEARNING OUTCOMES Student demonstrates ability to generate a variety of treatment plans Student demonstrates understanding re: use of various treatment planning techniques Student demonstrates understanding re: the use of various treatment energies Student demonstrates understanding re: the use of wedges and bolus Student understands necessity of machine calibration and chart checks Student demonstrates ability to perform specified Quality Assurance checks PHYSICS/TREATMENT PLANNING WEEKLY OBJECTIVES Week one: Student will generate single field treatment plans 1) Perform importing and contouring of information. 2) Review: marked Isocenter from Simulator and shift Isocenter, set up to lasers for shift, set up to table for shift. 3) Create single field SAD plan for: C-Spine, T spine, L Spine. Use different energies, re-normalize, add calc. point. 4) Describe and explain in a paragraph the changes you observed. 5) Do hand calculations and MU check for all plans. Print plans for self. 6) Evaluate DVH and record doses to OAR's. Week Two: Student will generate treatment plans for parallel opposed and 3D conformal treatment fields 1) POP: Use same patients' fields: C-Spine, T Spine, L Spine. Use different energies, re-normalize add calc. point. 2) Describe and explain in a paragraph the changes you observed. 3) Create POP lateral plan for Whole Brain (clinical) and German Helmet using marked Isocenter in center of brain with symmetrical field size; then change Isocenter to behind orbits with asymmetric field sizes. 4) Create plans for POP arm, POP hip, and an SSD femur. 5) Do hand calculations and MU check for all plans. Print plans for self. 6) Evaluate DVH and record doses to OAR's. Week Three: Student will generate treatment plans for wedged pair vs. open field arrangements, electron fields, and either dynamic or IMRT plans (forward planning). Student will generate three and four field pelvic plans 1) Create SAD Breast plan: both symmetric and asymmetric field sizes: wedges, hard, dynamic and control points. 2) Describe and explain in a paragraph the differences between the three. 3) Create SSD Breast treatment plan. 4) Create an electron boost plan with and without bolus: pay attention to SSD on bolus or SSD on skin. 5) Explain differences, including benefits and risks, between 3D, forward planning, IMRT, VMAT, SRS and SBRT. 6) Do hand calculations and MU check for all plans. Print plans for self. 7) Evaluate DVH and record doses to OAR's. Week Four: Student will perform basic Quality Assurance tasks, and become familiar with Brachytherapy 1) Attend SRs or chart rounds. 2) Perform chart checks using guidelines established at your clinical site. 3) Observe seed implant/hdr insertion/mammosite, whatever is available. Record pertinent specifics. 4) Observe and assist with Nanodot placement and reading, (or other type of dose verification measurement). 5) Participate in calibration of a Radiation Therapy machine. 6) Explain in a paragraph the importance of performing above tasks. 7) Review and complete all work. Have evaluation completed and signed by Radiation Physics 49 P a g e

PHYSICS/TREATMENT PLANNING WEEKLY OBJECTIVES EVALUATION FORM Attention: Radiation Dosimetrist/Physicist, Please evaluate student's completion of objectives given below according to the following scale. Place a on the appropriate line. Please note that time of completion of each objective is not specific to the week listed, it is just a student guideline. Faculty from Nassau Community College will read all paragraphs related to objectives and provide the totals. Thank you. Expectations: NA / Not Met / Met Week one: Student generated single field treatment plans 7) Performed importing and contouring of information. 8) Review: marked Isocenter from Simulator and shift Isocenter 9) Created single field SAD plan for: C-Spine, T spine, L Spine. Used different energies, re-normalized, added calc. point. 10) Described and explained in a paragraph changes observed. 11) Did hand calculations for all plans. 12) Evaluated DVH and recorded doses to OAR's. Week Two: Student generated treatment plans for parallel opposed and 3D conformal treatment fields 1) POP: Used same patients' fields: C-Spine, T Spine, L Spine. Used different energies, re-normalized, added calc. point. 2) Described and explained in a paragraph changes observed. 3) Created POP lateral plan for Whole Brain (clinical) and German Helmet using marked Isocenter in center of brain with symmetrical field size; then changed Isocenter to behind orbits with asymmetric field sizes. 4) Created plans for POP hip, and an SSD femur. 5) Did hand calculations for all plans. 6) Evaluated DVH and recorded doses to OAR's. 50 P a g e

Week Three: Student generated treatment plans for wedged pair vs. open field arrangements including incorrect orientation of wedges, electron field plans, and either dynamic or stereotactic plans Expectations: NA / Not Met / Met 8) Created SAD Breast plan: both symmetric and asymmetric field sizes: wedges, hard, dynamic and control points. 9) Described and explained in a paragraph the differences between the three. 10) Created SSD Breast treatment plan. 11) Created an electron boost plan with and without bolus: paid attention to SSD on bolus or SSD on skin. 12) Did hand calculations and wedge calculations for all plans. 13) Evaluated DVH and recorded doses to OAR's. Week Four: Student assisted with basic Quality Assurance tasks, and became familiar with Brachytherapy 8) Attended SRs or chart rounds. 9) Performed mock chart checks. 10) Observed treatment planning of seed implant/hdr insertion/mammosite, whatever available. 11) Observed and assisted with Nanodot placement and reading, (or other type of dose verification measurement). 12) Participated in calibration of a Radiation Therapy machine. 13) Explained in a paragraph the importance of performing above tasks. Not Applicable = 0 Not met expectations = -1 Met expectations = 1 TOTAL 51 P a g e

Overall comments regarding student performance during Physics/ Treatment Planning Rotation: EVALUATOR'S SIGNATURE: DATE STUDENT'S SIGNATURE: DATE 52 P a g e

Assessment Modules completed in Senior year Since you have completed one year of clinical experience, program faculty assume that you have acquired basic skills in the treatment and simulation of most types of set-ups, and that you will consistently demonstrate those skills. This will be monitored by your supervising therapist and program faculty, and by your completion of the required logs. At this point in your clinical education, it is appropriate for you to concentrate on those aspects of experience that will enhance your ability to deliver quality care to patients, and also increase your marketability as an entry level therapist. Therefore, we have designed modules reflecting these areas. You must, before completing your therapy education, document your mastery of each area. This should in no way should detract from your concentration on improving your basic skills in treatment. Instructions 1. You must complete at least two modules in each marking period 2. Please tell your supervisor on which module you will be working within one week of starting your clinical rotation 3. You must ask for an assessment from your supervisor within seven weeks of beginning the module, as you must complete at least two. If you are not deemed competent, you must repeat the module. A faculty member will discuss with you whether you should repeat the same module immediately or at a later date. 4. You may complete more than two modules in a given marking period. 5. You may not work on two modules at the same time 53 P a g e

MODULE ONE INTERPRETATION OF TREATMENT PLANS/INSTRUCTIONS Student Name Treatment unit/s Date Begun INSTRUCTIONS Specific Objectives: Correctly prepares treatment room in anticipation of the next patient. Correctly positions patient according to instructions/plan Triangulates patient efficiently Operates equipment efficiently and safely. Localizes treatment volume Performs shifts as required. Includes bolus as required Appropriately seeks clarification as required (i.e. missing or incomplete data) Evaluator: When requested to do so by the student and at a time convenient to you, please rate the student on the above objectives. Was the general objective attained? yes no proficient competent inconsistent incompetent Therapist s signature/date Student s signature/date

MODULE TWO PATIENT CARE Student Name Treatment unit/s Date Begun Specific Objectives: Identifies correct patient using departmental procedure Greets patient appropriately Explains procedure as appropriate Physically assists the patient as required Assures patient privacy, modesty and comfort Communicates appropriately, effectively, and respectfully with patients Displays cultural competence Visually assesses patient for treatment reactions Reports observations to therapist Evaluator: When requested to do so by the student and at a time convenient to you, please rate the student on the above objectives. Was the general objective attained? proficient competent inconsistent incompetent Therapist s signature/date Student s signature/date

MODULE THREE RADIATION AND ENVIRONMENTAL SAFETY Student Name Treatment unit/s Date Begun Specific Objectives: Continuously monitors the patient during treatment Performs radiation therapy procedures only under direct supervision of therapist Applies diodes and TLD s as appropriate Demonstrates knowledge of location of emergency controls Demonstrates judgment in use of emergency controls (either as situation requires or by verbalizing to instructor) Demonstrates knowledge of the significance of each machine fault Demonstrates knowledge of the correct procedure in the event of a fault Performs machine warm-ups and quality assurance procedures Reports readings outside of stated parameters to appropriate personnel Demonstrates knowledge of the rationale and procedure for calling a code Handles all equipment safely Cleans equipment and surfaces as required Wears gloves and other protective gear as required Uses and disposes of sharps correctly Uses restraints as required Displays good judgment in seeking therapist, nurse or other assistance as situation requires Evaluator: When requested to do so by the student and at a time convenient to you, please rate the student on the above objectives. Was the general objective attained? proficient competent inconsistent incompetent Therapist s signature/date Student s signature/date

MODULE FOUR IMAGING Student Name Treatment unit/s Date Begun Specific Objectives: Displays competence in obtaining portal images Displays competence in CBCT, KV pair, MV/KV pair Displays knowledge of appropriate timing in obtaining images, as in prescription/directives Demonstrates good judgment in following up on images (MD approval) Demonstrates ability to compare images Appropriately retrieves and archives images Evaluator: When requested to do so by the student and at a time convenient to you, please rate the student on the above objectives. Was the general objective attained? yes no proficient competent inconsistent incompetent Therapist s signature/date Student s signature/date

MODULE FIVE AUXILLARY EQUIPMENT AND NON-STANDARD TECHNIQUES Student Name Treatment unit/s Date Begun Specific Objectives: Participation/observation in ultrasound localization, Align Rt, BrainLab or Calypso. Observation in brachytherapy and stereotactic must be documented. Any other techniques or equipment that the student wishes to document must be approved in advance by program faculty Instructions: The student may choose the format by which he/she will document a particular area. Acceptable formats might include a short paper or an outline of the procedure. Other formats may be appropriate, and should be cleared in advance with program faculty. All documentation must be typed and include dates and locations of clinical experiences and the names of supervising therapists. This module will be evaluated by program faculty rather than clinical supervisors. Evaluation will be based on the quality of the experience, and the perceptiveness exhibited in the documentation submitted. Evaluator: When requested to do so by the student and at a time convenient to you, please rate the student on the above objectives. Was the general objective attained? proficient competent inconsistent incompetent Student signature Therapist signature

MODULE SIX COMPUTER CONSOLE INTERFACE Student Name Date Begun Treatment unit Specific Objectives: The student will Explain the importance of record and verify system including the quality checklist prior to treatment Bring up data on current patient Explain how to enter data and what are acceptable treatment tolerances Bring up appropriate treatment screen Key-up machine Identify and correct faults Report faults to proper personnel Check billing category Evaluator: When requested to do so by the student and at a time convenient to you, please rate the student on the above objectives. Was the general objective attained? yes no Student signature Date Therapist signature Date

NURSING ROTATION,must be completed in junior year FIRST YEAR STUDENTS WILL ROTATE THROUGH THE NURSING AREA FOR ONE WEEK DURING THE SUMMER. VACATION TIME MAY NOT BE TAKEN WHEN THE NURSING ROTATION IS SCHEDULED. OBJECTIVES OF THE ROTATION WILL BE DISTRIBUTED TO THE STUDENTS AND NURSING STAFF DURING THE SPRING SEMESTER BEFORE THE ROTATION. INPUT WILL SOLICITED FROM THE NURSING STAFF ON THE APPROPRIATENESS OF THE OBJECTIVES BEFORE THEY ARE FINALIZED. INPUT WILL BE SOLICITED FROM THE STUDENTS AFTER THEY HAVE COMPLETED THE ROTATION AS TO THE QUALITY OF THE EXPERIENCE THEY OBTAINED AND THE USEFULNESS OF THE OBJECTIVES. EVALUATIONS WILL BE DESIGNED TO DETERMINE IF OBJECTIVES WERE ACHIEVED. STUDENT NAME RADIATION ONCOLOGY DEPARTMENT NAME OF SUPERVISING NURSE DATE OF ROTATION ONCOLOGIST(S)

OBJECTIVES FOR PATIENT CARE ROTATION SECTION I VITAL SIGNS THE STUDENT WILL: 1. TAKE AND RECORD VITAL SIGNS ON PATIENTS INCLUDING TEMPERATURE, BLOOD PRESSURE, RESPIRATIONS, PULSE AND WEIGHT SECTION II PATIENT EXAMINATIONS THE STUDENT WILL : 1. OBSERVE AND DOCUMENT ATTENDANCE AT FOUR OF THE FOLLOWING EXAMINATIONS 1) HEAD AND NECK 2) 1. UPPER T EXTREMITIES 3) PELVIC R AREA 4) LOWER U EXTREMITIES 5) RECTUM N K SECTION III PATIENT INFORMATION THE STUDENT WILL: 1. OBTAIN AND READ THE HAND OUTS GIVEN TO PATIENTS REGARDING SKIN CARE AND NUTRITION. 2. WRITE A SUMMARY OF PATIENT INFORMATION SESSIONS WHICH INCLUDES INFORMATION GIVEN TO PATIENTS, AND THE QUESTIONS MOST FREQUENTLY ASKED BY PATIENTS BEGINNING TREATMENT. SECTION IV EQUIPMENT AND INSTRUMENTS THE STUDENT WILL: 1.LIST AND DESCRIBE THE INSTRUMENTS AND/OR PIECES OF EQUIPMENT MOST COMMONLY USED IN THE NURSING AREA. 2.DESCRIBE THE METHODS USED TO STERILIZE/CLEAN INSTRUMENTS AND EQUIPMENT IN THE NURSING AREA 3.LIST APPLICATORS PREPARED FOR USE IN BRACHYTHERAPY PROCEDURES (IF APPLICABLE) SECTION V MEDICATIONS AND BLOOD TESTS THE STUDENT WILL: 1.LIST THE MOST FREQUENTLY PRESCRIBED MEDICATIONS IN THE RADIATION ONCOLOGY DEPARTMENT, AND STATE THE ROLE OF EACH IN THE MANAGEMENT OF THE PATIENT. 2.DESCRIBE THE BLOOD TESTS ORDERED FOR PATIENTS IN THE RADIATION ONCOLOGY, INCLUDING FREQUENCY, PURPOSE, AND THE RANGE OF NORMAL VALUES.

SECTION I VITAL SIGNS NUMBER OF PATIENTS ON WHOM VITAL SIGNS WERE TAKEN: NUMBER OF TIMES STUDENT OBSERVED PROCEDURE: NUMBER OF TIMES STUDENT SUCCESSFULLY PERFORMED PROCEDURE: RANGE OF NORMAL VALUES: TEMPERATURE PULSE RESPIRATIONS BLOOD PRESSURE SECTION II PATIENT EXAMINATIONS LIST EXAMINATIONS OBSERVED: TYPE OF EXAM DATE FINDINGS 1. 2. 3. 4. SECTION III PATIENT INFORMATION 1. ATTACH COPY OF PATIENT INFORMATION HANDOUTS 2. SUMMARY OF PATIENT INFORMATION SESSIONS AS DESCRIBED IN OBJECTIVES:

SECTION IV EQUIPMENT AND INSTRUMENTS COMMONLY USED INSTRUMENTS AND EQUIPMENT NAME PURPOSE CLEANING/STERILIZING 1. 2. 3. 4. 5. BRACHYTHERAPY APPLICATORS (IF APPLICABLE) NAME HOW PREPARED 1. 2. 3. SECTION V MEDICATIONS AND BLOOD TESTS 1. 2. 3. 4. 5. NAME OF MEDICATION REASON PRESCRIBED BLOOD TESTS ORDERED FREQUENCY NORMAL VALUES 1. 2. 3. 4. SIGNATURE OF SUPERVISING NURSE ONCOLOGIST

At the End of Each Clinical rotation Students will be asked to participate in an Exit Evaluation Student Exit Evaluation Form Student: Institution: Interviewer: Date: Instructions: the exit interview should be completed on the student s last day of their clinical rotation. The exit interview should be performed by a leadership member of the department of radiation oncology or his/her designee. It should be explained to the student that exit notes are taken to enable the department to improve upon their current processes and standards of practice. The notes are kept on a confidential basis. Questions: How was your rotation here in the department? Is there anything that we could have done differently that would have made your time spent with us better? Do you request a reference letter? Yes No If no, please explain: Do you remember receiving a departmental orientation? Yes No If yes, who performed the orientation? Did orientation cover departmental emergency policies and procedures? Yes No With 10 being the highest, how would you rate your orientation (1-10)? Do you believe you received adequate support from the staff? Yes No Did you find your educational experience challenging and rewarding? Yes No Did your rotation meet/exceed your expectations? Met Did not meet Exceeded If did not meet please briefly explain: Did you feel that you were treated fairly by staff? Yes No Did you receive adequate training? Yes No Was direct supervision always provided? Yes No Were the working condition, hours, equipment, and facilities fair and adequate? Yes No Are the any issues we should be aware of that could make the next student s rotation better? Yes No Overall comments:

Charts below indicate proper time frame for usage of Student Clinical Evaluation Forms Level Form Name Due Submitted to Student Information Form/ Clinical Orientation 1 st week of Each Clinical Rotation Clinical Supervisor &Clinical Instructor Monthly Assessment of Behavioral Objectives End of each Month regardless of Clinical Instructor machines End of each Clinical Skills Evaluation First Year Month on Treatment Clinical Instructor Junior Simulation Skills First Year- Sim Log Machine End of each Month of SIM Rotation Therapists, then Clinical Instructor Clinical Log Participation Worksheet End of Each Semester Therapists, then Clinical Instructor Level I Final Assessment Form End of 1 st Clinical Rotation Therapists, then Clinical Instructor Level II Final Assessment Form End of 2 nd Clinical Rotation Therapists, then Clinical Instructor Juniors (Summer Rotation) Treatment and Simulation Logs End of Summer Rotation Therapist and Clinical Instructor

Level III Summer Rotation End of Summer Rotation Therapist and Clinical Instructors Nursing Objectives End of Junior Year Registered Nurse and Clinical Instructor Student Information Form/ Clinical Orientation Form 1 st week of Clinical Rotation Clinical Supervisor & Clinical Instructor End of each Monthly Assessment of Behavioral Objectives Month regardless of Clinical Instructor machines Seniors Clinical Skills Evaluation Second Year End of each Month Clinical Instructor Simulation Skills Second Year End of each month of Sim Rotation Therapists, then Clinical Instructor End of each Clinical Log Worksheet Clinical Therapists, then Clinical Instructor Rotation Seniors (Summer Rotation) Treatment and Simulation Logs End of Summer Rotation Therapist and Clinical Instructor Modules (6) End of Senior Year Therapist and Clinical Instructors Radiation Therapy Clinical Competency End of Senior Year Therapist and Clinical Instructors

Requirements Treatment Planning Evaluation/Objectives End of Physics Rotation Dosimetrists/Physicists/Clinical Instructors