Practice Placement 3
|Module title||Practice Placement 3|
Dr Amy Hancock (Lecturer)
Ms Demelza Green (Lecturer)
Please see note below
|Number students taking module (anticipated)|
Description - summary of the module content
Please note that Degree Apprenticeship programmes have variable start dates and modules are taught across the full year.
During this final placement you will become an integral member of the multi-professional healthcare team: competent to deal with a full range of patients using a wide range of modalities. You will have responsibility for organising your working day and liaising with staff in other departments and will gain experience of managing an inter-professional team.
The module commences with an attendance block at the University of Exeter with an emphasis on face-to-face learning. The module then runs over a 12 month period with two further block attendances across the year for further face-to-face learning. In the non-block weeks there will be protected ‘off the job’ learning (one day (7.5 hours) per week) supported by e-learning materials provided by the academic team. The full calendar of activities and assessment will be made available via the handbook. Annual leave may be booked in accordance with the requirements laid out in the handbook.
Module aims - intentions of the module
This third and final general placement enables you to bring together all the skills and knowledge required of a competent, compassionate radiographer. You will work in a range of areas gaining experience of more complex examinations and also of how to organise resources to effectively meet the needs of the department. This final placement will enable you to prepare for your end point assessment and subsequent practice as an autonomous radiographer.
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Practice safely and effectively within the scope of this placement, demonstrating competence in equipment handling, infection control, radiographic positioning, patient immobilisation, manual handling, optimal exposure selection and image acquisition.
- 2. Care for and communicate with patients appropriately, demonstrating a duty of care and awareness of raising concerns and awareness of legal and ethical professional boundaries including confidentiality.
- 3. Describe and implement radiation protection measures (including patient identification, interpreting referral information, and ensuring appropriate use of medical imaging).
- 4. Evaluate medical images encountered within the scope of this placement using a recognised methodology, identifying normal, developmental and anatomical variant anatomy, assessing image quality and taking corrective action, using abnormality alerts as per departmental protocol.
- 5. Demonstrate the ability to assess, monitor and care for patients, before during and after medical imaging procedures, and be able to recognise the deteriorating patient and have the skills and knowledge to undertake basic life support.
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 6. Demonstrate ability to further develop skills and knowledge by reflecting on clinical experience and identifying personal strengths and areas for further learning.
- 7. Maintain accurate records, meeting professional requirements, as well as an individual learning journal.
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 8. Contribute positively to the placement department, working in partnership with service users, work effectively with other professions and professionals, support staff and others, ensure effective management of caseload and resources.
- 9. Practice within limits of own competence seeking advice as appropriate, accepting responsibility for decisions made.
- 10. Solve problems using knowledge, experience and personal initiative.
Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows. The amount of time is not proscribed and is at the discretion of the employing department but must be such that the learning outcomes / competencies are achievable.
It is expected that apprentices will undertake basic life support, manual handling, fire safety and other annual Trust requirements as part of their employment contract, and as such these requirements are not, therefore, stipulated here. As a condition of employment, apprentices must abide by their employers’ policies and procedures and as such this is not stipulated within the syllabus.
SAFE AND EFFECTIVE PRACTICE
Positioning, and patient immobilisation for x-ray imaging including modification of technique to meet patient needs and supplementary projections for the following areas of practice:
- General and Emergency Department / Minor Injuries,
- Mobiles (Portables) and Theatre,
- Dental radiography,
- Computed Tomography (CT) – head (and routine techniques where possible)
- Out of hours services.
Observe and assist with imaging in the following areas:
- Computed Tomography (CT) – advanced techniques,
- Ultrasound (US),
- Magnetic Resonance Imaging (MRI),
- Radionuclide Imaging (RNI) (including PET-CT where possible),
- Mammography (where permissible),
- Dual energy X-Ray Absorptiometry (DXA).
Optimal exposure selection and imaging acquisition in general radiography, fluoroscopy, theatre and mobiles, and CT head imaging.
Accurate operation of equipment, safe working, hazard and risk management.
Operate equipment accurately in accordance with health and safety legislation.
Safe and effective manual handling.
Principles underpinning infection control and management of waste and spills.
Infection control principles practice, including use of personal protective equipment.
Aseptic technique and / or sterile environment (as required by the area of practice).
Applicable health and safety legislation, and relevant safety policies and procedures including incident reporting.
Safety considerations associated with the use of contrast media across all modalities.
COMMUNICATION AND SAFEGUARDING
Patient identification, provision of accurate information
Informed consent in range of settings encountered within this placement setting
Care for, and communicate with, patients appropriately, including paediatrics, respecting and upholding their rights, dignity, values and autonomy, exercising a professional duty of care.
Care for, and communicate with, patients appropriately, including paediatrics, encouraging their active participation in their care.
Care for, and communicate with and support patients appropriately, including in situations of personal incompatibility,
Care for, and communicate with, patients appropriately, adapting means of communication to meet needs taking into account factors such as age, capacity, learning and physical ability.
Care for, and communicate with, patients appropriately, taking into account factors such as age, culture, ethnicity, gender, socio-economic status and spiritual / religious beliefs.
Care for, and communicate with, patients appropriately including use of interpreters as appropriate.
Applicable ethical issues, including confidentiality, limits of confidentiality and the need to act in the best interests of service users at all times.
Raising concerns and situations when information needs to be shared to safeguard individuals or the wider public.
Practice in a non-discriminatory manner
Emotional intelligence, empathy, compassion and emotional resilience
Use of referral and other information from other healthcare professionals to ensure appropriate and optimal use of medical imaging.
Local justification criteria, clinical priorities based on urgency of clinical conditions
Radiation protection measures, showing awareness of current legislation and local application in the environments encountered within this placement.
Risk benefit approach to ensure individual patient exposure is appropriate, both to protect individual patients and the population gene pool.
Effective dose equivalent associated with different imaging procedures and relate to risk/benefit judgements; discuss the role of dose reference levels in practice.
Processing and software used for imaging viewing.
Normal, developmental and anatomical-variant radiographic anatomy
Common pathology demonstrated on the range of images encountered within the negotiated area of placement.
Assessment (using the department’s recognised methodology) and evaluation of images
Identification of images of poor diagnostic quality and corrective action.
Identification of the need for further projections.
Use of departmental abnormality alert systems as appropriate.
Processes for escalation in the case of unexpected findings including use of abnormality alerts as appropriate
Recognition of a deteriorating patient
Skills and knowledge to undertake basic life support.
Assessment, monitoring and care for the service user before, during and after medical imaging procedures
Removal and reapplication of supports and dressings.
Principles of information governance and related legislation (GDPR) as it relates to healthcare in practice.
Maintenance of accurate and up-to-date records
Relevance and application of the area of practice in order to advise other healthcare professionals in relation to the patient's needs.
Professional relationships, both as an independent practitioner and as part of a team.
Resources to ensure safe, effective practice.
Interprofessional teams working in different environments including the ward setting, theatres, and within the radiology department and attendance at MDT
Personal professional behaviour (honesty, integrity, respect, character as per HCPC Code of Conduct)
SCOPE OF PRACTICE
Limits of own practice, seek advice as appropriate.
Fitness to practice (physical, mental), seeking advice and guidance, actions to be taken in case of change of circumstance
PROBLEM SOLVING SKILLS.
Resolution of problems by using knowledge, experience and personal initiative.
Decisions making in regards to whether to undertake, cease or modify imaging examinations
Professional responsibility in decision making.
Learning and teaching
Learning activities and teaching methods (given in hours of study time)
|Scheduled Learning and Teaching Activities||Guided independent study||Placement / study abroad|
Details of learning activities and teaching methods
|Category||Hours of study time||Description|
|Scheduled learning and teaching activities||3||3 x 1 hour placement preparation lectures|
|Scheduled learning and teaching activities||10||10 x 1 hour tutorials|
|Guided independent study||74||Directed reading, private study and revision|
|Placement||638||2 x 7.5 hour days per week over 11 months (minus leave, study blocks, assessment windows) as per placement guidance and contract with employer|
|Form of assessment||Size of the assessment (eg length / duration)||ILOs assessed||Feedback method|
|Portfolio feedback on practice||1-10||Written|
|Discussions with Mentor||1-10||Verbal|
Summative assessment (% of credit)
|Coursework||Written exams||Practical exams|
Details of summative assessment
|Form of assessment||% of credit||Size of the assessment (eg length / duration)||ILOs assessed||Feedback method|
|Structured Objective Assessment of Practice (SOAP) - ED/General area||50||1 session||1-10||Written|
|Structured Objective Assessment of Practice (SOAP) - Theatre||50||1 session||1-10||Written|
|Completion of competency log (Pass/Fail)||0||1, 3,4,9||Written|
|Record of completion (verified by employer) of Knowledges, Skills and Behaviours (Pass / Fail)||0||1-10||Verbal|
Details of re-assessment (where required by referral or deferral)
|Original form of assessment||Form of re-assessment||ILOs re-assessed||Timescale for re-assessment|
|Structured Objective Assessment of Practice (SOAP) - ED/General area (50%), 1 session||Structured Objective Assessment of Practice (SOAP) - ED/General area||1-10||6 weeks after mark release|
|Structured Objective Assessment of Practice (SOAP) Theatre (50%). 1 session||Structured Objective Assessment of Practice (SOAP) Theatre||1-10||6 weeks after mark release|
|Completion of competency log||As for original competency log requirements||1,3,4,9||6 weeks after mark release|
|Record of completion (verified by employer) of Knowledges, Skills and Behaviours||As for original Knowledges, Skills and Behaviours requirements||1-10||6 weeks after mark release|
This programme runs to a non-standard timetable; assessment weeks and Assessment, Progression & Awarding Committees (APACs) for both initial and deferred assessments are held as per the programme’s published timetable.
A pass at 40% in each of these assessment components is necessary to pass the module (including the Competency Log).. Structured Objective Assessments of Practice (SOAPs) must be taken and passed within the placement period for the module; any required assessment not taken within this time is deemed to have been failed. An apprentice who has failed a SOAP component may be reassessed once within the placement period. A second-attempt component mark is capped at 40%. If a second attempt is also failed, a final assessment attempt is permitted, in such cases both the reassessment component mark and the module mark will be capped at 40%. If any component is not passed at the final referral attempt, the module is capped at 39%.
Indicative learning resources - Basic reading
• Raby N. (2014), Accident and Emergency Radiology - A Survival Guide (3rd edition), Saunders Ltd, ISBN 9780702042324
• Whitley AS, Jefferson G, Holmes K, Hoadley G, Sloane C, Anderson C. (2015) Clark's Positioning in Radiography (13th edition). CRC Press, London. ISBN 9781444122350
· Raby N. (2014), Accident and Emergency Radiology - A Survival Guide (3rd edition), Saunders Ltd, ISBN 9780702042324
· Whitley AS, Jefferson G, Holmes K, Hoadley G, Sloane C, Anderson C. (2015) Clark's Positioning in Radiography (13th edition). CRC Press, London. ISBN 9781444122350
Indicative learning resources - Web based and electronic resources
- UK Statutory Instruments (2017), Ionising Radiation Regulations 2017, The Stationary Office, Available from https://www.legislation.gov.uk/uksi/2017/1075/contents/made,
- UK Statutory Instruments (2017), The Ionising Radiation (Medical Exposure) Regulations 2017, The Stationery Office, Available from http://www.legislation.gov.uk/uksi/2017/1322/made,
- UK Statutory Instruments (2018), The Ionising Radiation (Medical Exposure) (Amendment) Regulations 2018, The Stationary Office, Available from http://www.legislation.gov.uk/uksi/2018/121/contents/made,
- The Health & Safety Executive (2018), Work with Ionising Radiation. Ionising Radiations Regulations 2017: Approved Code of Practice and Guidance, HSE Books, ISBN 9780717666621,
- Standards of conduct performance and ethics https://www.hcpc-uk.org
- Code of Professional Conduct, College of Radiographers (2013), Society and College of Radiographers, https://www.sor.org/
- Principles for continuing professional development and lifelong learning in health and social care, Society and College of Radiographers, https://www.sor.org/
- Obtaining consent: a clinical guideline for the diagnostic imaging and radiotherapy workforce,Ã¢ï¿½Â¯ Society and College of Radiographers, https://www.sor.org/
- Guidance on mental capacity decisions in diagnostic imaging and radiotherapy, Society and College of Radiographers https://www.sor.org/
- The Scope of Practice 2013, Society and College of Radiographers, https://www.sor.org/Ã¢ï¿½Â¯
Module has an active ELE page
Indicative learning resources - Other resources
- Carlton R.R. and Adler A.M. (2013), Radiographic Imaging Concepts and Principles (5th edition), Delmar, ISBN 1473720524
- Ehrlich R.A. and Daly J.A. (2017), Patient Care in Radiography (9th edition), Mosby, ISBN 9780323377713
- Johns C. (2013), Becoming a Reflective Practitioner (4th edition), Wiley-Blackwell, ISBN 9780470674260
- Society and College of Radiographers (2006), Health Care Associated Infections (HCAIs) Practical Guidance and Advice, Society and College of Radiographers, ISBN 1 871101 39 5
RAD2001DA, RAD2002DA, RAD2003DA, RAD2004DA
RAD3001DA, RAD3002DA, RAD3003ADA
|NQF level (module)|
|Available as distance learning?|
|Last revision date|