COLLEGE OF MEDICINE AND HEALTH
Medicine, Nursing and Allied Health Professions

Description

Practice Placement 1

Module titlePractice Placement 1
Module codeRAD1004DA
Academic year2020/1
Credits30
Module staff
Duration: Term123
Duration: Weeks

Please see note below

Number students taking module (anticipated)

36

Description - summary of the module content

Module description

Please note that Degree Apprenticeship programmes have variable start dates and modules are taught across the full year. 

This module provides practical experience of the safe and effective practice of general, mobile and fluoroscopic radiography. You will develop patient-care skills and learn to identify 'professional' and ‘leadership’ issues and understand how these are inter-related. 

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 module will equip you with basic radiographic skills with focus on common examinations and imaging in able bodied, compliant patients with a focus on compassionate, holistic, patient care. Through successful completion of this module, you will gain an understanding of technical, legal, ethical and professional aspects as they relate to these areas of radiographic practice.

Intended Learning Outcomes (ILOs)

ILO: Module-specific skills

On successfully completing the module you will be able to...

  • 1. Under guidance, practice safely and effectively within the scope of this placement, demonstrating competence in equipment handling, infection control, basic radiographic positioning, patient immobilisation, manual handling, optimal exposure selection and image acquisition
  • 2. Under guidance, care for and communicate with patients appropriately, demonstrating a duty of care 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. Under guidance, 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.
  • 5. Under guidance, 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. With guidance, demonstrate ability to further develop skills and knowledge by reflecting on clinical experience and identifying strengths and areas for further learning.
  • 7. Maintain accurate records, meeting professional requirements, as well as an individual learning journal.
  • 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.

ILO: Personal and key skills

On successfully completing the module you will be able to...

  • 9. Practice within limits of own competence seeking advice as appropriate, accepting responsibility for decisions made.
  • 10. With guidance, solve problems using knowledge, experience and personal initiative.

Syllabus plan

Syllabus plan

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 prescribed 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

Standard positioning and patient immobilisation for x-ray imaging in the following areas:

  • General and Emergency Department / Minor Injuries,
  • Fluoroscopy,
  • Mobiles (Portables) and Theatre.

Optimal exposure selection and imaging acquisition in general radiography and fluoroscopy.

Image assessment (technical, using the department’s recognised methodology) and evaluation including escalation of unexpected findings.

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 in practice, including use of personal protective equipment.

Differences between aseptic technique and the sterile environment (some fluoroscopy settings and within theatre).

Applicable health and safety legislation, and relevant safety policies and procedures including incident reporting.

Gain experience of CT, MRI, RNI and US in preparation for year 2 studies.

 

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.

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

 

RADIATION PROTECTION

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 following environments:

  • General X-Ray Rooms,
  • Fluoroscopy Rooms,
  • Theatre,
  • Wards.

Risk benefit approach to ensure individual patient exposure is appropriate, both to protect individual patients and the population gene pool.

 

IMAGE EVALUATION

Use processing and other software for imaging viewing.

Recognise and describe normal, developmental and anatomical-variant radiographic anatomy and common pathology demonstrated on the range of images encountered within the scope of this placement.

Assess and evaluate images and identify images of poor diagnostic quality and take corrective action.

Assess and evaluate images and identify the need for further projections.

Image assessment (technical) and evaluation including escalation of unexpected findings

 

PATIENT CARE

Gain experience in the ward setting of basic patient monitoring (blood pressure, pulse oximetry, temperature, pulse, respiratory rate), and how to record findings, and how and when to escalate.

Gain experience in the ward setting of general patient comfort (bed positioning, management of catheters, drips, drains, minimising risk of pressure sores, nutrition and hydration).

Recognise a deteriorating patient and have the skills and knowledge to undertake basic life support.

Assess, monitor and care for the service user before, during and after medical imaging procedures, including removal and reapplication of supports and dressings.

 

CONTINUING PROFESSIONAL DEVELOPMENT

Reflection on clinical experience and identifying personal strengths and areas for further learning.

 

DOCUMENTATION

Information governance and related legislation as it relates to healthcare in practice.

Maintain accurate and up-to-date records, in accordance with applicable legislation, protocols and guidelines including exposure factors and dose.

Placement experience documentation.

Administration of appointments, cancellations and ‘DNA’ processes, and information given to patients.

Administration of PACS management including problem solving.

 

PROFESSIONALISM

Relevance and application of general radiography in order to advise other healthcare professionals in relation to the patient's needs.

Partnership with service users, and effective working with other professions and professionals, support staff and others.

Professional relationships, both as an independent practitioner and as part of a team.

Effective practice

Interprofessional team working in different environments including the ward setting, theatres, and within the radiology department.

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.

Resolve problems including complex and unpredictable situations, by using knowledge, experience and personal initiative.

Justification decisions taken in relation whether to initiate, continue, modify or cease medical imaging examinations.

Learning and teaching

Learning activities and teaching methods (given in hours of study time)

Scheduled Learning and Teaching ActivitiesGuided independent studyPlacement / study abroad
1374696

Details of learning activities and teaching methods

CategoryHours of study timeDescription
Scheduled learning and teaching activities33 x 1 hour lectures (placement preparation)
Scheduled learning and teaching activities1010 x 1 hour e-tutorials
Placement696 (indicative)Indicative: 2 x 7.5 days per week (minus leave, study blocks, assessment windows) as per placement guidance and contract with employer
Guided independent study74Directed reading, private study and revision
This module is delivered as part of an integrated degree apprenticeship programme. The total required study hours for the programme have been designed in accordance with the ESFA regulations.

Assessment

Formative assessment

Form of assessmentSize of the assessment (eg length / duration)ILOs assessedFeedback method
Portfolio feedback on practice 1-10Written
Discussions with Mentor1-10Oral

Summative assessment (% of credit)

CourseworkWritten examsPractical exams
00100

Details of summative assessment

Form of assessment% of creditSize of the assessment (eg length / duration)ILOs assessedFeedback method
Structured Objective Assessment of Practice (SOAP) – chest radiography 332 hours1-10Written
Structured Objective Assessment of Practice (SOAP) – extremity radiography 332 hours1-10Written
Structured Objective Assessment of Practice (SOAP) – bucky radiography342 hours1-10Written

Re-assessment

Details of re-assessment (where required by referral or deferral)

Original form of assessmentForm of re-assessmentILOs re-assessedTimescale for re-assessment
Structured Objective Assessment of Practice (SOAP) – chest radiography (33%)Structured Objective Assessment of Practice (SOAP) – chest radiography (2 hrs)1-106 weeks after exam board (April reassessment week)
Structured Objective Assessment of Practice (SOAP) – extremity radiography (33%) Structured Objective Assessment of Practice (SOAP) – chest radiography (2 hrs)1-106 weeks after exam board (April reassessment week)
Structured Objective Assessment of Practice (SOAP) – bucky radiography (33%)Structured Objective Assessment of Practice (SOAP) – chest radiography (2 hrs)1-106 weeks after exam board (April reassessment week)

Re-assessment notes

All assessment components must be passed at 40% or above, failure in any one of the components results in a failure in the module. 

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. Ã¢ï¿½Â¯ 

Apprentices who are referred / defer the assessment for this module may progress onto the next year of the programme but must achieve the credits for this module at the referred exam board (May) in order to remain on the programme. 

Resources

Indicative learning resources - Basic reading

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,  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/

Module has an active ELE page

Indicative learning resources - Other resources

  • Radiographic Imaging Concepts and Principles, Carlton R.R. and Adler A.M. (2013), (5th edition), Delmar, ISBNA 9-781-11131-081-3 (UL:On Order ) electronic version also available 
  • Clark's Positioning in Radiography,  Clark K.C. (2016), (12th edition), Hodder Arnold, e version 
  • Textbook of Radiographic Positioning and Related Anatomy, Bontrager K.L. (2009), (7th edition), Mosby, ISBNA 0-323-05410-2 (UL:616.0757 BON/X) 
  • Bones and Joints: A Guide for Students,  Gunn C. (2017), Churchill Livingstone, ISBNA 0-443-10276-7 (UL: 611.71 GUN) electronic version also available 
  • Patient Care in Radiography,    Ehrlich R.A. and Daly J.A. (2009), (7th edition), Mosby, ISBNA 0-323-05178-2 (UL:616.07572 EHR) electronic version also available 
  • Becoming a Reflective Practitioner,  Johns C. (2017), Blackwell, ISBNA 1-4051-1833-4 (UL:WY 24 JOH )  

Key words search

Medical Imaging;Imaging;Patient;Radiations;Anatomy;Care;Protection; Radiographers.

Credit value30
Module ECTS

15

Module pre-requisites

None

Module co-requisites

RAD1001DA, RAD1002DA, RAD1003DA

NQF level (module)

4

Available as distance learning?

Yes

Origin date

06/06/2019

Last revision date

30/07/2020