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  • 1. Diagnostic Medical Sonography Programs DMS-122 Sonographic Clinical Experience I Facilitator: Steve Geiersbach MS, RT(R), RDMS Office: JW-157 Whiting Hall Phone: 517-796-8494 Fax: 517 768-7004 E-mail steve_geiersbach@jccmi.edu Course description: Clinical Experience I is the first of three clinical experiences whereby students receive a total of 1350 hours of supervised clinical experience in an approved clinical education center. This course covers basic scanning, patient interviewing techniques, professional attitudes and ethics, and other patient/professional situations are experienced under the direct supervision of a registered diagnostic medical sonographer (R.D.M.S.). Completion of clinical competency levels and a minimum of 515 clinical hours are required to complete this course. Please make note that clinical courses do not always adhere to JCC's academic calendar. This course meets the following associate degree outcome: ADO 9 Rubric for Working in Small Groups Student will establish a working knowledge of where other relevant departments are located with their clinical education center. ie, central supply, clinical laboratory, radiology, CT, MRI, etc. Student will learn the names of fellow workers in ultrasound, radiography, CT, MRI, and nuclear medicine, including the radiologists Student will observe clinical instructor (CI) or staff sonographer’s scanning of patients whenever possible. Student will assist the staff in as many ways as possible, including if necessary transporting of patients, processing of images, restocking of supplies and linens, and disposal of used linens and or It is expected that students are observing, pre or post scanning or scanning with assistance for most of their cases at this point in the program. Course focus: Prerequisites of this course are HOC-130 Introduction to Health Occupations, DMS-100 Introduction to Diagnostic Medical Imaging and admission to the DMS program. A pre- requisite or co-requisite is DMS-101. A co-requisite to this course is DMS-110 OPEN LABS will be available, times and dates: TBA PERFORMANCE OBJECTIVES: 1. Student will learn the names of fellow workers in ultrasound, radiography, CT, MRI, and nuclear medicine, including the radiologists
  • 2. 2. Student will learn the emergency code system and protocols and procedures to respond appropriately to any emergency situation. This includes becoming aware of where the Crash Cart is located. 3. Student will learn the storage locations for linens and supplies utilized within the sonography lab. Students will become knowledgeable of methods for disposing of dirty linens and supplies. 4. Student will establish a working knowledge of where other relevant departments are located with their clinical education center. ie, central supply, clinical laboratory, radiology, CT, MRI, etc. 5. Student will learn individual departmental policies and procedures, ie phone etiquette, scheduling protocols, exam preparations, image processing, filing system, sterile procedures, patient history acquisition, scan protocols. 6. Student will demonstrate and practice appropriate body mechanics for safe execution of sonography exams and ergonomically preventive of musculoskeletal injuries. Students should become familiar with the SDMS’s Musculoskeltal Injury Survey. This can be located via SDMS website under "workzone" MSI Survey. http://www.sdms.org/msi/default.asp 7. Students will be introduced to knobology of departmental equipment, students will begin using test phantoms (if available) to understand individual instrument knobs and controls, and will experiment with technique settings when equipment is not in diagnostic use. 8. Student will observe clinical instructor (CI) or staff sonographer’s scanning of patients whenever possible. 9. Student will keep a log of all exams observed, pre or post scanned by student and of all exams performed by student. Notations to whether observed, pre or post scanned or independently scanned must be made on log sheets. 10. Student will assist the staff in as many ways as possible, including if necessary transporting of patients, processing of images, restocking of supplies and linens, and disposal of used linens and or supplies. 11. Student will recognize simple sectional anatomy of the human abdomen and pelvis 12. Student will practice and demonstrate proper verbal, non-verbal, and written communication skills. 13. Student will learn proper interpretations of sonography requisitions. 14. Student will practice and demonstrate appropriate patient positioning including AP, PA, Supine, oblique, upright, and lateral positions. 15. Student will recognize, practice and demonstrate appropriate scan planes as sagittal, transverse and coronal planes. 16. Student will recognize, practice and demonstrate appropriate transducer orientations for sagittal, transverse, and coronal planes. 17. Students will become orientated to image documentation instruments as a camera, laser printer and or VCR. 18. Students will become familiar with and be able to utilize alphanumeric keyboards to sonography systems within their clinical education center. 19. Students will begin scanning all abdominal studies. 20. Students will become familiar with and begin recognizing appropriate sonographic image technique settings as proper penetration, gray scale levels, and display controls. 21. Students should begin to differentiate cystic, solid, and complex structures.
  • 3. 22. Students will differentiate acoustic enhancement and acoustic shadow artifacts. 23. It is expected that students are observing, pre or post scanning or scanning with assistance for most of their cases at this point in the program. ASSESSMENTS: Course expectations reflect aforementioned performance objectives and include the following: Each student will be evaluated on the following: 1. 32 hours attendance per week within an approved clinical education center documented through the Attendance sheet. a. This attendance sheet must be filled out by the student and approved by your Clinical instructor b. It is also required to be turned in on December 14th to receive a grade. 2. Virtual case presentations & discussions a. Each student will be required to turn in 2 Virtual case presentations Failure to turn in an acceptable VCP will result in an incomplete in this course and dismissal from the program. Virtual Case Presentation #1 is due September 29th Virtual Case Presentation #2 is due November 3rd 3. Completion of the Clinical Evaluation form at midterm and final. a. Midterm Evaluation is due October 6th b. Final Evaluation is due December 14th i. Clinical Evaluation forms are the students responsibility. ii. They must be submitted to the CI 2 weeks prior to due date. iii. The latest version can be found online under course materials. iv. Failure to meet any of the minimum standards of this evaluation will result in a failure in clinical and the student will be dismissed from the program 4. Completion of a clinical log is due at the end of this course. a. A log of all examinations that the student was involved in must be recorded. DO NOT use patients names as this violates HIPPA laws. Please use medical ID number to reference each case. This log is due at the end of the semester. Facilitator's Responsibilities: The facilitator's responsibilities include facilitate learning by providing and explaining the necessary materials for each student to understand the assignments and develop course goals, objectives, and performance objectives to a near mastery level. See JCC
  • 4. DMS Handbook for a listing of these goals, course objectives and performance objectives. Knowledge gained from this course should aid students in their clinical experiences. Classes will begin on time weather permitting. Opportunities to utilize the JCC LRC and DMS lab equipment, computers etc. will be made available upon student's request whenever possible. Student Responsibilities: Policies and Procedures for Clinical Courses DMS-122, DMS-223 & DMS-224 It is the sole responsibility of the student to complete the Clinical Attendance Reporting form have them signed and dated by their CI and submitted on Dec. 14th. 1. Students must read the entire course syllabus carefully. If students have any questions regarding course requirements they should inquire early in the course. Students should make note of evaluation due dates. 2. Students will be supplied their own Personal Clinical Attendance Excel reporting form by the instructor. This can be found under Course Materials within the Clinical Course web site. 3. Clinical attendance must be submitted via Personal Clinical Attendance Reporting form at the end of the semester. Time cards or other attendance reporting will NOT be accepted, NO EXCEPTIONS please. Attendance reporting is the responsibility of each student and not the responsibility of the clinical instructor, clinical coordinators or the program director. Do not send attendance reports weekly or via the Assignments folder as they must be signed by the clinical instructor and dated at midterm and at the end of the semester at which time they must be FAXED to 517 768 7004. Clinical coordinators do not accept attendance forms. Process for reporting attendance: A: Enter hours worked for each day (do not include any time spent for breaks) for example if you work 8 hours, take ½ hour for lunch and two 15 minute breaks you submit 7.0 hours, not 7.5. If you work 8.5 hours, take ½ hour lunch and two 15 minute breaks you submit 7.5 hours. This is not a rule set by the instructor but by the Mich. Dept. of Education. Hours must be rounded to the nearest 15 minutes. e.g, DO NOT REPORT 8 HOURS 6 MINUTES, this would be reported as strictly 8 hours B. Dec. 14, or before have your clinical instructor sign and date the attendance form. Only signed and dated forms will be accepted. C. Fax the signed form to Steve Geiersbach at 517-768-7004 4. Students should expect to complete a minimum of 515 hours during Fall and Winter semesters. However, students cannot expect to build up excessive hours in an attempt to complete their clinical requirements for DMS-224 prior to July 31, 2007. Students should remember that CIs and CEC sonography departments provide students a great deal of time and attention early in their clinical experience. The only compensation these departments receive is the ability for senior students to function as a staff sonographer
  • 5. towards the end of their program while staff personnel are taking vacations. Therefore, students should not attempt to complete the program clinical course requirements earlier then scheduled. NO MORE THAN 16 HOURS CAN BE BANKED TOWARDS THE NEXT SEMESTER. 5. Clinical attire includes lab coats to be worn while working within the CEC and removed when leaving the dept. for breaks, lunch or any other reason. Lab coats must include the JCC patch. 6. Students must wear a name badge at all times. These are typically supplied by the CEC. 7. SCAN Proficiencies should be early in the final weeks of the course. Do NOT wait until the last day of the semester to submit these. 8. Students should contact their CI if expected to be tardy or absent ASAP. 9. Planned absences require the absence request form to be completed and submitted prior to the absence. These forms can be found within the course website under Course Documents or in the DMS Handbook. 10. All students should provide their CEC and /or CI a health form to be kept on file within the CEC. In case of a blood borne pathogen exposure students can be treated much quicker if a health form is on file thus this is in the best interest of the student’s health. Students are expected to be present on time and prepared to scan on each clinical day. It is presumed by the facilitator that assignments, including reading, will have been completed on time and the student is thus ready to attempt new exams according to the Syllabus for DMS-110. It is highly suggested by the instructor that students utilize as many references as possible to enhance their learning and understanding. Late Assignments: Assignments are accepted with no penalties up to one (1) class period after an absence. After one class period, assignments are considered late! Late assignments are deducted by 50% for each week they are late. Grading system: totals 2 Virtual Case Presentations 25 points each 50. Midterm Evaluation = 250 Final Clinical Eval. = 700 Total possible points: 1000
  • 6. 95%-100% = 4.0 90%- 94% = 3.5 85%- 89% = 3.0 80%- 84% = 2.5 75%- 79% = 2.0 70%- 74% = 1.5 65%- 69% = 1.0 Group participation or lack of participation with the virtual case presentation discussions will be taken into consideration as described in the rubric below. Academic Honesty Policy Academic honesty is expected of all students. It is the ethical behavior that includes producing their own work and not representing others' work as their own, either by plagiarism, by cheating, or by helping others to do so. Plagiarism is the failure to give credit for the use of material from outside sources. Plagiarism includes but is not limited to: • Using data, quotations, or paraphrases from other sources without adequate documentation • Submitting others’ work as your own • Exhibiting other behaviors generally considered unethical Cheating means obtaining answers/material from an outside source without authorization. Cheating includes, but not limited to: • Plagiarizing in all forms • Using notes/books without authorization • Copying • Submitting others’ work as your own or submitting your work for others • Altering graded work • Falsifying data • Exhibiting other behaviors generally considered unethical Collaboration While JCC encourages students to collaborate in study groups, work teams, and with lab partners, each student should take responsibility for accurately representing his/her own contribution. Consequences/Procedures
  • 7. Faculty members who suspect a student of academic dishonesty may penalize the student by taking appropriate action up to and including assigning a failing grade for the paper, project, report, exam, or the course itself. Instructors should document instances of academic dishonesty in writing to the Dean of Faculty. Student Appeal Process In the event of a dispute, both students and faculty should follow the Conflict Resolution Policy. This policy is presented in Student Rights and Responsibilities (Student Handbook)and the Master Agreement. Conflict Resolution Policy Step #1 Student initiates conference with the instructor no later than the end of the fourth week of the Fall or Winter semester to discuss the conflict and establish a clear understanding of each other’s concerns. The student, as well as the instructor, may bring one other person to the meeting, but that person must be from within JCC (a current student, instructor, administrator, an ombudsman, etc.) Step #2 If the conflict is not resolved in Step #1, the student then puts the complaint in writing and submits it to the department chair in a timely fashion after step 1. Step #3 The student, instructor, and the department chair meet within ten (10) days after the student returns the completed Academic Complaint Form to the department chair. Prior to this informal meeting, the chair will perform any appropriate investigation. The student, as well as the instructor, may bring one other person to the meeting, but that person must be from within JCC (a current student, instructor, administrator, an ombudsman, etc.) Step #4 If no resolution is possible, the Academic Complaint Form, along with a statement by the instructor, is forwarded to the Dean of Faculty for further action. Copies of the Academic Complaint Form are then provided to the instructor and the Association. A 2.0 or "C" is a passing grade. Only courses with passing grades count toward graduation. Other colleges transfer in only courses with passing grades. Many financial aid sources, including most employers, require passing grades. Additionally, earning less than a 2.0 in a class results in not being able to participate in the next level of courses in a discipline which requires this course as a pre-requisite. If you attempt to register for the next course sequence and have not passed the pre-requisite course, you will be dropped from that class.