MCCCD Official Course Competencies:

DMI264  2003 Fall – 2009 Summer II

Clinical Practicum I

1.

Adhere to agency fire, safety, and patient care policies and procedures. (I)

2.

Describe the procedures for maintenance of patient and department records as required by state and federal regulations and facility policies. (I)

3.

State anticipated questions asked by patients and their families and the suggested answers related to nuclear medicine procedures and associated radiation exposure. (II)

4.

Describe safe transport/transfer procedures of the patient using proper body mechanics. (II)

5.

Practice infection control in all clinical situations. (II)

6.

State monitoring requirements of support equipment such as IV pumps and oxygen supplies for the patient in the nuclear medicine department. (II)

7.

Discuss various routes of pharmacological agent administration, as allowed by federal and state regulations and facility policy, following aseptic technique, universal precautions, and required protocols. (II)

8.

Demonstrate effective communication skills and cooperation with team members at the departmental and institutional level. (III)

9.

Maintain patient privacy and confidentiality and patient rights under HIPAA. (III)

10.

Utilize appropriate radiation safety precautions and procedures. (IV)

11.

Describe correct procedures for cleanup when radionuclidic contamination is identified. (IV)

12.

State correct procedure to employ a survey meter to detect radioactive contamination or sources. (V)

13.

Identify the appropriate equipment for various nuclear medicine studies. (VI)

14.

Describe the process for the preparation of comparative displays of images on screen and/or on hard copy. (VII)

15.

Describe the process to adjust image contrast to provide maximum image enhancement without decreasing accuracy of the study. (VII)

16.

Identify the appropriate radiopharmaceuticals for various nuclear medicine studies. (VIII)

17.

Describe the process for the evaluation of images and/or data and non-imaging data for artifacts and possible errors. (IX)

18.

Identify appropriate corrective actions if artifacts or errors are suspected in an image and/or data in non-imaging data. (IX)

MCCCD Official Course Outline:

DMI264  2003 Fall – 2009 Summer II

Clinical Practicum I

I. Orientation

A. Program Policies and Procedures

1. Student handbook

2. Evaluation mechanism/forms

B. Facility Policies and Procedures

1. Facility/Department policies and procedures

2. Department protocol manual

3. Facility layout and organization

4. Routine daily operations

C. Safety Policies

1. Fire safety

2. Emergency codes

3. Emergency cart and other emergency supplies

4. Disaster procedures

5. Occupational Safety and Health Administration (OSHA) policies

6. Other policies

D. Department Organization and Administration

1. Supplies

a. procurement

b. inventory/location

2. Patient scheduling

3. Records management (ex. patient records, quality control documents, etc.)

4. Licenses

II. Patient Care

A. Patient communications and interactions

1. Explaining exams and answering questions

2. Age/Group specific

3. Situation specific

B. Verification of requisition

C. Patient identification and assessment

D. Patient transportation and safety

E. Infection control

F. Controlling contamination

G. Patient support

1. Basic needs

2. Support equipment (ex. IV pumps, oxygen tubing, etc.)

3. Pulse, respiration, blood pressure

4. Cardiopulmonary resuscitation certification

H. Pharmacological agent routes of administration

1. Oral

2. Intramuscular

3. Intravenous

4. Intrathecal and Intracavitary (assisting physician)

5. Inhalation

III. Affective Domain

A. Professional relationships

1. Cooperation and teamwork

2. Professional etiquette

3. Conflict prevention and resolution

4. Dealing with difficult people/situations

5. Communicating with a diverse population

B. Professional issues

1. Attitude

a. open to learning

b. taking initiative

c. assuming responsibility

d. shows confidence

2. Physical appearance

3. Recognizes limitations

4. Multitasking

5. Functioning in a stressful environment

6. Critical thinking

a. recognizes problems

b. uses stepwise procedure to analyze and solve problems

C. Ethics and medicolegal considerations

1. Respects patient privacy

2. Patient confidentiality

3. Consent forms (where applicable)

4. HIPAA Compliance

IV. Radiation Protection

A. Uses survey meter properly

B. Personnel monitoring

1. Wears monitoring devices

2. Performs personal surveys

3. Reads and understands radiation exposure reports

C. Practical methods of radiation protection

D. Radioactive package receipt and shipping

E. Radioactive waste disposal

F. Monitoring for contamination

G. Decontamination following spill

H. Radionuclide therapy room preparation and clean-up

V. Instrumentation: Nonimaging

A. Geiger-Muller counter (survey meter)

1. Checking functional status

2. Standard operation

B. Well counter operation and quality control

C. Uptake probe operation and quality control

D. Dose calibrator

1. standard operation

2. constancy

3. linearity

4. accuracy/precision

5. geometry

E. Proper use of pipettes and semi-automatic pipettes

VI. Instrumentation: Imaging

A. Select appropriate camera and collimator

B. Select acquisition parameters on camera/computer

C. Quality control

1. Uniformity

2. Linearity

3. Resolution

4. Uniformity correction map

5. Center of rotation

VII. Instrumentation: Computers

A. Process data

1. drawing/placing regions-of-interest

2. cardiac axis orientation

3. histogram/curve production

4. proper use of filters

5. appropriate comparative display of images

6. contrast adjustment

B. Present computer data in appropriate form

VIII. Radiopharmacy

A. Select and confirm appropriate radiopharmaceutical

B. Quality control

C. Generator elution

D. Labeling syringe shields and vials

E. Kit reconstitution

F. Dose calculation

G. Dose preparation

1. drawing up dose

2. withdrawing blood

3. tagging red blood cells

H. Record management

IX. Diagnostic Procedures

A. Imaging procedures

1. Patient safety considerations

2. Correct projections

3. Format images

4. Analyze images/data for artifacts and errors

5. Label images properly

6. Present completed study

B. Nonimaging procedures

1. Sample collection at appropriate intervals

2. Sample preparation

3. Counting samples

4. Standard preparation

5. In vivo counting

6. Data manipulation

7. Analyze data for artifacts and errors

8. Present completed study

C. Radionuclide Therapy

1. Confirmation of patient identification

2. Confirmation of written directive

3. Dose calibration

4. Patient instructions