ࡱ> m bjbj88 ZbZb"R+R++++T+++, 0$+"3Ad$B$B:B1LZ$^$=d+`K^1L``R+R+$B:B  `*R+8$B+:B ` D+f:B "!Q%e N0HWs|Wff0W+`` `````y```````W`````````B *:  RADIOLOGIC TECHNOLOGY PROGRAM STUDENT HANDBOOK and POLICY MANUAL Endorsed by the Radiologic Technology Advisory Board Table of Contents  TOC \o "1-3" \h \z \u   HYPERLINK \l "_Toc197937589" Forward  PAGEREF _Toc197937589 \h 5  HYPERLINK \l "_Toc197937590" Mission Statement  PAGEREF _Toc197937590 \h 5  HYPERLINK \l "_Toc197937591" Program Goals  PAGEREF _Toc197937591 \h 5  HYPERLINK \l "_Toc197937592" Student Learning Outcomes  PAGEREF _Toc197937592 \h 5  HYPERLINK \l "_Toc197937593" COLLEGE POLICIES  PAGEREF _Toc197937593 \h 5  HYPERLINK \l "_Toc197937594" ATTENDANCE:  PAGEREF _Toc197937594 \h 6  HYPERLINK \l "_Toc197937595" EXAMINATION:  PAGEREF _Toc197937595 \h 6  HYPERLINK \l "_Toc197937596" GRADING:  PAGEREF _Toc197937596 \h 6  HYPERLINK \l "_Toc197937597" CREDIT HOURS:  PAGEREF _Toc197937597 \h 6  HYPERLINK \l "_Toc197937598" CLINIC/CLASSROOM HOURS  PAGEREF _Toc197937598 \h 7  HYPERLINK \l "_Toc197937599" STUDENT RIGHTS:  PAGEREF _Toc197937599 \h 7  HYPERLINK \l "_Toc197937600" SMOKING:  PAGEREF _Toc197937600 \h 8  HYPERLINK \l "_Toc197937601" PROBLEMS:  PAGEREF _Toc197937601 \h 8  HYPERLINK \l "_Toc197937602" JRCERT STANDARDS OF COMPLIANCE POLICY:  PAGEREF _Toc197937602 \h 8  HYPERLINK \l "_Toc197937603" STANDARDS FOR AN ACCREDITED PROGRAM IN RADIOGRAPHY  PAGEREF _Toc197937603 \h 8  HYPERLINK \l "_Toc197937604" HARRASSMENT POLICY:  PAGEREF _Toc197937604 \h 9  HYPERLINK \l "_Toc197937605" COLLEGE ACTIVITIES:  PAGEREF _Toc197937605 \h 9  HYPERLINK \l "_Toc197937606" COMMUNICABLE DISEASE POLICY  PAGEREF _Toc197937606 \h 9  HYPERLINK \l "_Toc197937607" BUCKLEY AMENDMENT & STUDENT ACCESS TO RECORDS:  PAGEREF _Toc197937607 \h 9  HYPERLINK \l "_Toc197937608" CERTIFICATION EXAMINATION  PAGEREF _Toc197937608 \h 10  HYPERLINK \l "_Toc197937609" PROFESSIONAL SOCIETY MEMBERSHIP  PAGEREF _Toc197937609 \h 10  HYPERLINK \l "_Toc197937610" ARRT CODE OF ETHICS  PAGEREF _Toc197937610 \h 11  HYPERLINK \l "_Toc197937611" CPR CERTIFICATION  PAGEREF _Toc197937611 \h 11  HYPERLINK \l "_Toc197937612" HEALTH PROGRAMS HEALTH REQUIREMENTS LETTER TO STUDENTS  PAGEREF _Toc197937612 \h 11  HYPERLINK \l "_Toc197937613" CASTLE BRANCH REQUIREMENTS  PAGEREF _Toc197937613 \h 14  HYPERLINK \l "_Toc197937614" How to Place an Order on CastleBranch to Fulfill Student Health Records Requirements for 51s Nursing and Allied Health Programs  PAGEREF _Toc197937614 \h 14  HYPERLINK \l "_Toc197937615" HEALTH PROGRAMS REQUIREMENTS  PAGEREF _Toc197937615 \h 15  HYPERLINK \l "_Toc197937616" Health Record Requirements  PAGEREF _Toc197937616 \h 15  HYPERLINK \l "_Toc197937617" Immunization Requirements for Health Care Personnel  PAGEREF _Toc197937617 \h 15  HYPERLINK \l "_Toc197937618" OSHA Requirements  PAGEREF _Toc197937618 \h 16  HYPERLINK \l "_Toc197937619" Student Health and Medical Insurance  PAGEREF _Toc197937619 \h 16  HYPERLINK \l "_Toc197937620" Malpractice Insurance  PAGEREF _Toc197937620 \h 16  HYPERLINK \l "_Toc197937621" Health Clearance for Participation in the Clinical Area  PAGEREF _Toc197937621 \h 16  HYPERLINK \l "_Toc197937622" Medical Clearance for Return to Class/Clinical after Illness/Injury or Change in Health Status  PAGEREF _Toc197937622 \h 17  HYPERLINK \l "_Toc197937623" DRUG SCREENING FOR STUDENTS ENROLLED IN HEALTH PROGRAMS  PAGEREF _Toc197937623 \h 17  HYPERLINK \l "_Toc197937624" LABORATORY POLICY  PAGEREF _Toc197937624 \h 18  HYPERLINK \l "_Toc197937625" HOSPITAL AND PROGRAM POLICIES  PAGEREF _Toc197937625 \h 19  HYPERLINK \l "_Toc197937626" CLINICAL AFFILIATION  PAGEREF _Toc197937626 \h 19  HYPERLINK \l "_Toc197937627" CLINICAL ASSIGNMENTS  PAGEREF _Toc197937627 \h 21  HYPERLINK \l "_Toc197937628" ATTENDANCE  PAGEREF _Toc197937628 \h 21  HYPERLINK \l "_Toc197937629" TARDINESS  PAGEREF _Toc197937629 \h 21  HYPERLINK \l "_Toc197937630" ABSENCE  PAGEREF _Toc197937630 \h 21  HYPERLINK \l "_Toc197937631" EXTENDED LEAVE  PAGEREF _Toc197937631 \h 21  HYPERLINK \l "_Toc197937632" HOSPITAL POLICIES & PROCEDURES  PAGEREF _Toc197937632 \h 22  HYPERLINK \l "_Toc197937633" PATIENT CONFIDENTIALITY POLICY (HIPAA)  PAGEREF _Toc197937633 \h 22  HYPERLINK \l "_Toc197937634" ELECTRONIC MEDICAL RECORDS  PAGEREF _Toc197937634 \h 22  HYPERLINK \l "_Toc197937635" GRIEVANCE  PAGEREF _Toc197937635 \h 22  HYPERLINK \l "_Toc197937636" PERSONAL APPEARANCE  PAGEREF _Toc197937636 \h 22  HYPERLINK \l "_Toc197937637" STIPENDS  PAGEREF _Toc197937637 \h 23  HYPERLINK \l "_Toc197937638" VACATION  PAGEREF _Toc197937638 \h 23  HYPERLINK \l "_Toc197937639" TRANSFERS  PAGEREF _Toc197937639 \h 23  HYPERLINK \l "_Toc197937640" ABSCENCE (calling in)  PAGEREF _Toc197937640 \h 23  HYPERLINK \l "_Toc197937641" SMOKING  PAGEREF _Toc197937641 \h 23  HYPERLINK \l "_Toc197937642" RADIATION SAFETY and MONITOR POLICY  PAGEREF _Toc197937642 \h 23  HYPERLINK \l "_Toc197937643" PERSONAL MEDICAL INSURANCE  PAGEREF _Toc197937643 \h 24  HYPERLINK \l "_Toc197937644" COMMUNICABLE DISEASE POLICY  PAGEREF _Toc197937644 \h 24  HYPERLINK \l "_Toc197937645" BLOOD and BODY FLUIDS EXPOSURE GUIDELINES  PAGEREF _Toc197937645 \h 24  HYPERLINK \l "_Toc197937646" CLINICAL DIFFERENCES  PAGEREF _Toc197937646 \h 25  HYPERLINK \l "_Toc197937647" TREATMENT AND SAFETY OF PATIENTS  PAGEREF _Toc197937647 \h 25  HYPERLINK \l "_Toc197937648" STUDENTS CLINICAL RECORD OF WORK  PAGEREF _Toc197937648 \h 26  HYPERLINK \l "_Toc197937649" EVALUATIONS  PAGEREF _Toc197937649 \h 26  HYPERLINK \l "_Toc197937650" COMPETENCY EVALUATION SYSTEM  PAGEREF _Toc197937650 \h 26  HYPERLINK \l "_Toc197937651" MONTHLY EVALUATION SYSTEM  PAGEREF _Toc197937651 \h 27  HYPERLINK \l "_Toc197937652" STUDENT COMPETENCY EVALUATION AND LEVEL OF SUPERVISION  PAGEREF _Toc197937652 \h 27  HYPERLINK \l "_Toc197937653" CRITICAL CLINICAL OUTCOMES  PAGEREF _Toc197937653 \h 28  HYPERLINK \l "_Toc197937654" CLINICAL GRADING PROCESS  PAGEREF _Toc197937654 \h 28  HYPERLINK \l "_Toc197937655" HEALTH PROGRAMS READMISSION POLICY  PAGEREF _Toc197937655 \h 30  HYPERLINK \l "_Toc197937656" HEALTH DIVISION STATEMENT ON TITLE IX COMPLIANCE AND REPORTING  PAGEREF _Toc197937656 \h 34  HYPERLINK \l "_Toc197937657" RADIATION PROTECTION GUIDELINES FOR PREGNANT STUDENTS AND FACULTY  PAGEREF _Toc197937657 \h 34  HYPERLINK \l "_Toc197937658" RADIATION DOSIMETRY REPORT  PAGEREF _Toc197937658 \h 36  HYPERLINK \l "_Toc197937659" RADIATION RECEIVED DURING GESTATION PERIOD  PAGEREF _Toc197937659 \h 36  HYPERLINK \l "_Toc197937660" ACCIDENT REPORT: Blood and Body Fluid Exposure  PAGEREF _Toc197937660 \h 38  HYPERLINK \l "_Toc197937661" RADIATION SAFETY REVIEW  PAGEREF _Toc197937661 \h 40  HYPERLINK \l "_Toc197937662" MRI SAFETY REVIEW  PAGEREF _Toc197937662 \h 40  HYPERLINK \l "_Toc197937663" ORIENTATION FORMS  PAGEREF _Toc197937663 \h 43  HYPERLINK \l "_Toc197937664" CONFIDENTIALITY AGREEMENT  PAGEREF _Toc197937664 \h 44  HYPERLINK \l "_Toc197937665" GRADE RELEASE AUTHORIZATION  PAGEREF _Toc197937665 \h 45  HYPERLINK \l "_Toc197937666" CLINIC TRANSFER POLICY  PAGEREF _Toc197937666 \h 46  HYPERLINK \l "_Toc197937667" NON INVASIVE SKILLS PRACTICE POLICY 51  PAGEREF _Toc197937667 \h 47  HYPERLINK \l "_Toc197937668" NOTIFICATION TO STUDENTS OF  PAGEREF _Toc197937668 \h 48  HYPERLINK \l "_Toc197937669" RANDOM DRUG SCREENING ANALYSIS REQUIREMENT  PAGEREF _Toc197937669 \h 48  HYPERLINK \l "_Toc197937670" NOTICE OF RANDOM DRUG SCREENING ANALYSIS  PAGEREF _Toc197937670 \h 48  HYPERLINK \l "_Toc197937671" POLICIES AND PROCEDURES  PAGEREF _Toc197937671 \h 49  HYPERLINK \l "_Toc197937672" CLINICAL AFFILIATE ASSIGNMENT  PAGEREF _Toc197937672 \h 50  HYPERLINK \l "_Toc197937673" RADIATION DOSIMETER BADGE INFORMATION  PAGEREF _Toc197937673 \h 51  HYPERLINK \l "_Toc197937674" LEAD MARKERS  PAGEREF _Toc197937674 \h 52  Forward This handbook is designed to be used as a quick reference concerning your responsibilities as a student in the Radiologic Technology Program. This handbook will also serve as a supplement to the College Student handbook which is located on the colleges web site @https://catalog.middlesex.mass.edu/. You are encouraged to study these handbooks and be completely familiar with each. These handbooks will assist you with answers to the many questions that arise each year relative to the policies of the college, the program, and clinical affiliates. Mission Statement The mission of the Radiologic Technology program is to provide a high-quality equitable learning environment, which will prepare a diverse group of Radiographers for the evolving workforce. Through clinical partnerships, students will provide the highest level of quality and empathetic patient care, perform a variety of diagnostic procedures safely, and demonstrate professionalism. Program Goals Students will be clinically competent. Students will communicate effectively. 3. Students will demonstrate effective critical thinking skills. Student Learning Outcomes Students will position patients accurately. Students will practice radiation safety following ALARA standards. Students will exhibit professional behaviors. Students will demonstrate effective written skills. Students will demonstrate effective oral communication skills. Students will perform non-routine exams effectively. Students will modify technical factors and exposure indexes. COLLEGE POLICIES The following policies are to be observed while attending the academic portion of the program. ATTENDANCE: The course professor establishes attendance requirements. EXAMINATION: 1. Examination dates are indicated on the course syllabus for each semester and in addition will be announced one week in advance. In case of inclement weather or other unforeseen circumstances, the examination will be held on the next class day. 2. Make up Examinations: Reasons for anticipated absences for scheduled examination times must be personally communicated to your professor prior to the start of the exam. Arrangements will be made for a make-up date. A make-up exam will not be given until after the scheduled exam time. If you do not take an exam during the regularly scheduled time for that exam and do not notify your professor, you will receive a grade of 0 for that exam. If you notify a professor before the start of the exam, you will receive 90% of your earned grade on the make-up exam. For example, if you received a grade of 90 % on your make up exam, the grade 90 will be multiplied by .90 resulting in a grade of 81. ACADEMIC INTEGRITY Cheating: anyone caught cheating on an examination, will receive a zero for that examination. Cheating may result in expulsion from the program. Falsifying Clinical documents will result in expulsion from the program. GRADING: A grade of 2.0 = (C) = 73% in all "RAD" didactic courses must be maintained. Those students with below a "C" average will receive a mid-semester warning. Failure to bring up the RAD course grade by semester end will mean expulsion from the program. Consult your college handbook for the letter grading system. All Clinical courses are graded on a pass/fail basis. A passing grade of 85% or greater must be maintained. Failure to receive a grade of 85% or greater (passing) could mean expulsion from the program. CREDIT HOURS: The Radiologic Technology Program calculates credit hours using the formula below: 15 contact hours/semester=1 credit. 1 classroom hour=1 credit. 2 lab hours= 1 credit. 5 clinical hours = 1 credit. Example 1: Radiologic Positioning I, 3-credit course. 15 week course, 3 contact hours/week. 15x3=45 total hours. 45/15=3credits for course. Example 2: Clinical Practicum I and II, 3-credit course. 225 total hours. 225/5 (ratio of clinic to contact) =45 contact hours/15 (ratio of contact to credit) =3 credit course. Example 3: Clinical Practicum III, 5-credit course. Practicum based on clinical schedule. 375 total hours. 375/5 (ratio of clinic to contact) =75 contact hours/15 (ratio of contact to credit)=5 credit course. *375 is the total hours completed in practicum. Students may reach 375 hours before the end of the 15 weeks based on clinical rotation and hours/day spent at clinical site. For example, a practicum that a student attends 8 hours/day x 4 days per week will reach 375 hours in apoximately11.5 weeks. A practicum that a student attends 10 hours/day x 4 days/week will reach 375 hours in approximately 9.5 weeks. Example 4: Clinical Practicum IV and V, 4-credit course. Practicum based on clinical schedule. 300 total hours. 300/5 (ratio of clinic to contact) =60 contact hours/15 (ratio of contact to credit) =4 credit course. *300 is the total hours completed in practicum. Students may reach 300 hours before the end of the 15 weeks based on clinical rotation and hours/day spent at clinical site. For example, a practicum that a student attends 8 hours/day x 3 days per week will reach 300 hours in 12.5 weeks. A practicum that a student attends 10 hours/day x 3 days/week will reach 300 hours in 10 weeks. CLINIC/CLASSROOM HOURS The Joint Review Committee on Education in Radiologic Technology recommends that a combination of clinic experience and classroom hours not exceed 40 hours per week. Under our present system, the student is below the requirement of the 40 hours per week. Clinic Rotation will be as follows: Freshmen...Tuesday and Thursday Semesters 1 and 2, 8 hours per day. Summer Practicum - Monday thru Thurday-8 10 hours per day depending on clinical assignment, no later than 6:00 pm. Seniors...Monday, Wednesday, and Friday-8 10 hours per day depending on clinical assignment, no later than 6:00 pm. Other Rotation: Senior students will rotate to a minimum of 5 evening rotations no later than 10:00 pm. During their last two semesters in the program. *The total clinical hours will be equal for all students regardless of your clinical assignment. Middlesex Community College follows the Carnegie Unit for credit. Students are expected to spend a minimum of 45 hours of work for each credit. The most common breakdown for one credit is one hour of class instruction and two hours of homework for 15 weeks each semester. A three credit course demands nine hours each week. STUDENT RIGHTS: 1. The right to review a student's records and deny continuation in the program due to the student's performance lies with the College and clinical agencies. 2. All official student records are open to the student for inspection. 3. All conferences conducted in the clinical area are to be signed by the student. This signature signifies that the student has read the conference and has received an explanation of the conference. SMOKING: Middlesex Community College is smoke free. PROBLEMS: Recognizing that the College and Hospital Affiliates conduct a joint effort in the education of Radiographers; any problem which may arise within the hospital area, must be discussed with hospital officials before involving the college. Failure to satisfactorily resolve the issue will require a further investigation into the problem by the College faculty in conjunction with hospital personnel. JRCERT STANDARDS OF COMPLIANCE POLICY: All complaints regarding allegations that the Radiologic Technology program is in non-compliance of the STANDARDS FOR AN ACCREDITED EDUCATIONAL PROGRAM IN RADIOLOGIC TECHNOLOGY can be directed to: JRCERT 20. N. Wacker Drive Suite 2850 Chicago, Il 60606-3182 Phone: (312) 704-5300 Fax: (312) 704-5304  HYPERLINK "mailto:mail@jrecert.org" mail@jrecert.org or  HYPERLINK "http://www.jrcert.org" www.jrcert.org Upon notification from the JRCERT that the program is in non-compliance the program director will meet with the Clinical Coordinators and Clinical Preceptors within one week and devise a plan to bring the program into compliance. STANDARDS FOR AN ACCREDITED PROGRAM IN RADIOGRAPHY  HYPERLINK \l "_TOC_250011" Standard One: Accountability, Fair Practices, and Public Information  HYPERLINK \l "_TOC_250010" The sponsoring institution and program promote accountability and fair practices in relation to students, faculty, and the public. Policies and procedures of the sponsoring institution and program must support the rights of students and faculty, be well-defined, written, and readily available.  HYPERLINK \l "_TOC_250011" Standard Two: Institutional Commitment and Resourses   HYPERLINK \l "_TOC_250008" The sponsoring institution demonstrates a sound financial commitment to the program by assuring sufficient academic, fiscal, personnel, and physical resources to achieve the programs mission.  HYPERLINK \l "_TOC_250007" Standard Three: Faculty and Staff  HYPERLINK \l "_TOC_250006" The sponsoring institution provides the program adequate and qualified faculty that enable the program to meet its mission and promote student learning.  HYPERLINK \l "_TOC_250005" Standard Four: Curriculum and Academic Practices The programs curriculum and academic practices prepare students for professional practice.  HYPERLINK \l "_TOC_250004" Standard Five: Health and Safety  HYPERLINK \l "_TOC_250003" The sponsoring institution and program have policies and procedures that promote the health, safety, and optimal use of radiation for students, patients, and the public.  HYPERLINK \l "_TOC_250002" Standard Six: Programmatic Effectiveness and Assessment: Using Data for Sustained Improvement  HYPERLINK \l "_TOC_250001" The extent of a programs effectiveness is linked to the ability to meet its mission, goals, and student learning outcomes. A systematic, ongoing assessment process provides credible evidence that enables analysis and critical discussions to foster ongoing program improvement. Click on the link or cut and paste link to browser to view the full version of JRCERT 2021 Standards:  HYPERLINK "https://www.jrcert.org/jrcert-standards/" https://www.jrcert.org/jrcert-standards/ HARRASSMENT POLICY: Students effected by or involved with any form of harassment from or towards any fellow student, faculty, clinical staff, patients or any other individual associated with the Radiologic Technology program are unacceptable, impermissible and intolerable. The accepted definition is that which is published in the college Student Handbook. Allegations of harassment within the clinical setting shall be brought to the attention of the clinical education coordinator and forwarded to the program director for action within the policies of both the clinical education setting and college. COLLEGE ACTIVITIES: We do recommend that you become actively involved in college activities, such as the Radiography Club, whenever possible. STORM DAYS If college classes are cancelled due to inclement weather, students will not attend the clinical portion of the program. Storm days may require make-up days. COMMUNICABLE DISEASE POLICY Students will be admitted to the health programs without regard for the presence of communicable disease. Students who have illnesses may continue to participate in the activities of the college as long as they meet acceptable performance standards and medical evidence indicates that their condition is not a threat to themselves, other students or to their patients. Students who are immunologically compromised will be excused from institutional requirements for certain vaccinations, notable measles and rubella, as these vaccinations may lead to serious consequences in those with poorly functioning immune systems. BUCKLEY AMENDMENT & STUDENT ACCESS TO RECORDS: The Family Education Rights and Privacy Act referred to, as The Buckley Amendment, in this policy is to provide the student with a right to privacy and access to their school records. Middlesex Community College Radiologic Technology Program will comply with this amendment outlined in the procedure below. PROCEDURE Students enrolled in the Radiologic Technology Program will have the following records kept on them: Completed Enrollment Application Form High School Transcripts Letters of Recommendation Placement Examination Transcripts Clinical Competency Evaluations Performance Evaluations Attendance Didactic Examination Scores The following people will have the responsibility of maintaining and keeping all program related records. These individuals are also authorized to have access to all the aforementioned records. Program Director, Radiologic Technology Program Clinical Coordinator, Radiologic Technology Program Clinical Preceptor, Radiologic Technology Program Enrollment Center, Middlesex Community College. The members of a site visitation team performed by the Joint Review Committee on Education in Radiologic Technology (for the purpose of accreditation only) will have temporary access to all records only during the actual visitation. Students wishing to view their records may do so by requesting access from the program director. If there are documents in which the student has waived the right to view, they will be removed from the folder before being given to the student. After the student has completed viewing the folder, any documents removed will be returned and the file is then returned to the central file. Records will not be shown to anyone else or mailed to any other institution without the written consent of the student. CERTIFICATION EXAMINATION The American Registry of Radiologic Technologists offers its examination on a computer based testing format. See Examinee Handbook for details. An application fee is required. The application is filled out by the student and endorsed by the Radiologic Technology Program Director. Individuals convicted of a crime may not be eligible for the American Registry of Radiologic Technologist certification examination. PROFESSIONAL SOCIETY MEMBERSHIP Membership in the American Society of Radiologic Technologist and membership in the Massachusetts Society of Radiologic Technologist is encouraged. Membership is free to Radiology Students. ARRT CODE OF ETHICS Code of Ethics The Code of Ethics forms the first part of the Standards of Ethics. The Code of Ethics shall serve as a guide by which Certificate Holders and Candidates may evaluate their professional conduct as it relates to patients, healthcare consumers, employers, colleagues, and other members of the healthcare team. The Code of Ethics is intended to assist Certificate Holders and Candidates in maintaining a high level of ethical conduct and in providing for the protection, safety, and comfort of patients. The Code of Ethics is aspirational. The radiologic technologist acts in a professional manner, responds to patient needs, and supports colleagues and associates in providing quality patient care. The radiologic technologist acts to advance the principal objective of the profession to provide services to humanity with full respect for the dignity if mankind. The radiologic technologist delivers patient care and service unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of race, color, creed, religion, national origin, sex, marital status with regard to public assistance, familiar status, disability, sexual orientation, gender identity, veteran status, age, or any other legally protected basis. The radiologic technologist practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories consistent with the purposes for which they were designed, and employs procedures and techniques appropriately. The radiologic technologist assesses situations, exercises care, discretion, and judgement; assumes responsibility for professional decisions; and acts in the best interest of the patient. The radiologic technologist acts as an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the The radiologic technologist uses equipment and accessories, employs techniques and procedure, perform services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing radiation exposure to the patient, self, and other members of the healthcare team. The radiologic technologist practice ethical conduct appropriate to the profession and protects the patient's right to quality radiologic technology care. The radiologic technologist respects confidences entrusted in the course of professional practice, respects the patient's right to privacy, and reveals confidential information only as required by law or to protect the welfare of the individual or the community The radiologic technologist continually strives to improve knowledge and skills by participating in continuing education and professional activities, sharing knowledge with colleagues, and investigating new aspects of professional practice. The radiologic technologist refrains from the use of illegal drugs and/or any legally controlled substances which result in impairment of professional judgement and/or ability to practice radiologic technology with reasonable skill and safety to patients. CPR CERTIFICATION Students enrolled in the Radiography program will be required to obtain CPR certification at the health care provider level. A copy of your CPR card will be kept on file at the college and the clinical site. CPR certification must be maintained throughout the program. CPR certification is the students responsibility. HEALTH PROGRAMS HEALTH REQUIREMENTS LETTER TO STUDENTS MIDDLESEX COMMUNITY COLLEGE NURSING AND ALLIED HEALTH DIVISION HEALTH PROGRAMS HEALTH REQUIREMENTS Dear Student, Congratulations on being admitted to a health program at Middlesex Community College! There are some important steps youll need to take before your program begins to be in compliance with our Health Programs Health Requirements Policy. This policy appears at the end of this letter. Note, documentation of all of your health requirements must be uploaded and cleared through Castlebranch by the following dates: ProgramDate Documentation RequiredFall (September) Program StartJune 1 or within 2 weeks of admission Please note: If you are not in compliance with the Health Programs Health Requirements Policy by the dates described above, you may not be permitted to attend classes and/or be dropped from your enrolled classes. Use the step-by-step instructions on the following pages to place an order to create a CastleBranch account. CastleBranch is the online system you will use to submit and track all of your health requirements for the College. Please note: It is crucial you select the correct program you are admitted to when placing your order to create your account on CastleBranch Obtain Basic Life Support (BLS) CPR Certification for Healthcare Providers/Professionals which must be current within 24 months. For options see:  HYPERLINK "http://www.redcross.org/take-a-class/cpr/cpr-training/cpr-for-healthcare-providers" \h https://www.redcross.org/take-a-class/cpr/cpr-training/cpr-for HYPERLINK "http://www.redcross.org/take-a-class/cpr/cpr-training/cpr-for-healthcare-providers" \h -healthcare-providers or see https:// cpr.heart.org/en/cpr-courses-and-kits/healthcare-professional/basic-life-support-bls-training Schedule an appointment with your healthcare provider for a physical examination and to obtain required documentation- present them with the separate document entitled Required Student Health Records (RSHR) for completion. While there, be sure they: Order Hepatitis B Surface Antibody titer if youve already had the Hepatitis B vaccine series (may be ordered with TB blood test) Choose one of the following TB test options: 2-step TB/PPD/Mantoux skin test (includes plant date, read date, and results for each test = 4 visits) Step 1: #1 Plant date, read date with result Step 2: #2 Plant date, read date with result (1-3 weeks after Step 1) Quantiferon Gold or T-Spot blood test* Chest X-ray within past 5 years *Positive reactors to skin or blood tests must submit a negative chest x-ray report performed within the past 5 years. Verify that you have all required immunizations If immunizations are missing, you should immediately begin administration of required immunizations and/or have any titer tests as described in the RSHR Provide OSHA Color deficiency testing (this is available at 51 if not available through your healthcare provider) Healthcare provider must complete Page 3 Physical Examination of RSHR Healthcare provider must provide official documentation of all required immunizations and/or titers required and listed in RSHR Upload documentation to CastleBranch including: RSHR Page 2 and Page 3 Physical examination Official documentation of TB test results, immunizations, and titers as requested in the RSHR Documentation of OSHA color-blind deficiency test CPR certification per specifications above Proof of health insurance Medical clearance to wear N95 (Nursing, Dental Hygiene, Dental Assisting) Please note: You do not have to wait until you have all of your documentation is present to begin uploading to CastleBranch. Upload what you have, and add documents as requirements are completed. In order to avoid delaying your program start, all requirements must be uploaded to CastleBranch by: ProgramDate Documentation RequiredFall (September) Program Start DateJuly 1 If you have questions or concerns contact Kori Preble Boeckeler, M.Ed., CDA,RHIA Health Compliance and Data Coordinator Program Coordinator, Public Health Informatics and Technology Talbot Building 302A 978-656-3053 | HYPERLINK "mailto:boeckelerk@middlesex.edu" boeckelerk@middlesex.edu CASTLE BRANCH REQUIREMENTS How to Place an Order on CastleBranch to Fulfill Student Health Records Requirements for 51s Nursing and Allied Health Programs Go to: https://portal.castlebranch.com/IX00 Click Place Order Click on the program you are admitted to. (It is crucial to select the correct program you are admitted to when placing an order on CastleBranch) Click on IXxxxx: Compliance Tracker (from the drop-down menu under the program name) Check off I have read order instructions and click on Click to Continue Check off I have read, understand and agree to the Terms and Conditions of Use and click Continue Fill out your Personal Information items with asterisks (*) are required and click Next Create your Password and click Create Account Click Next Click Submit Click Next, click on Log into Dashboard (Top Right) or go to https://login.castlebranch.com/login to log on to your account To place your initial order, you will be prompted to create your secure myCB account. From within myCB, you will be able to: View Order Results Manage requirements Complete tasks Upload documents Place additional orders Please have ready personal identifying information needed for security purposes. The email address that you provide will become your username. Contact CastleBranch at 888-914-7279 or servicedeskcu@castlebranch.com HEALTH PROGRAMS REQUIREMENTS Students accepted to Health Programs must be in compliance with the current immunization requirements specified by the Massachusetts Department of Public Health for Health Care Personnel (HCP) and in accordance with state law, MGL, Chapter 76, Section 15C, and its regulations at 105 CMR 220.000 - 220.700 in order to participate in an externship placement or clinical experience. Students may also be required to meet additional requirements of the particular health program and/or clinical agency as outlined below. Students who are not in compliance with these requirements will not be allowed to participate in classes, externship placement or clinical experiences, which may jeopardize their ability to continue in the program. Health Record Requirements Completion of pages 2 and 3 of Required Student Health Record Form, which includes: Student Information Physical Examination and evaluation by a health care provider (completed within past 12 months). Testing for Color Deficiency. (This may be administered in Lowell by the health compliance personnel in Pollard 301 or the administrative assistants in Pollard 308 or Derby 409). TB testing: Either Two-step tuberculin skin test (TST) for Tuberculosis: 1st TB/PPD given, read and recorded If positive, see notes below If negative, repeat in 1-2 weeks (2nd TB/PPD given, read and recorded) Or TB blood test (T-Spot or QuantiFERON Gold) Notes: Positive reactors to the skin test must submit positive TB test report and a report of a negative chest x-ray performed in the past 5 years. The TB Test must be done before entering the program and updated at least every 12 months. For the annual update of TB testing, Either a one-step Mantoux (TB/PPD) tuberculin skin test* Or TB blood test (T-Spot or QuantiFERON Gold) will be sufficient to meet the requirements for the annual update. Students are only required to do the two-step Mantoux (TB/PPD) tuberculin skin test upon acceptance into their health program. Immunization Requirements for Health Care Personnel Official Documentation of: One dose of Tdap vaccination, with a booster (either Td or Tdap) every 10 years. Two doses of MMR (Measles, Mumps, Rubella) vaccine, given at least 28 days apart on/after12months of age, or a positive blood titer report for all three - (1) Rubeola, (2) Mumps, (3) Rubella (with original copy of lab results) Completion of the 3 dose Hepatitis B (HBV) vaccine series or the new 2 dose Heplisav-B, Positive Hepatitis B surface antibody (anti HBs) blood titer report (with original copy of lab results) Two doses of Varicella vaccine given one month apart, or a positive Varicella blood titer report with original copy of lab results One dose of MenACWY meningococcal vaccine administered on or after 16th birthday for any newly enrolled full-time student 21 years of age or younger. COVID-19 Vaccine including manufacturer, expiration date, and lot number* Due October 1 of each year- Annual flu vaccine including manufacturer, expiration date, and lot number* Up to date with COVID-19 vaccine booster with bivalent vaccine* *NOTE: Although currently the Massachusetts Department of Public Health does not require these vaccines, most clinical placements and all hospital-based placements do require these vaccines. While a reasonable effort will be made to place you in a clinical facility if you cannot have these, clinical placement cannot be guaranteed for those who have not received these vaccinations. This may prevent you from being able to successfully complete clinical/practicum courses and externships.  HYPERLINK "https://www.cdc.gov/coronavirus/2019-ncov/vaccines/stay-up-to-date.html" CDC defines up to date with COVID-19 vaccine and booster as having received updated vaccine and/or boosters that were available after September 2, 2022. OSHA Requirements Color Deficiency testing (may be administered in Lowell by the health compliance personnel in Pollard 301 or the administrative assistants in Pollard 308 or Derby 409). Education for OSHA Blood-borne Pathogen Standard and Universal Precautions for all health program students prior to clinical placement. Student Health and Medical Insurance All students enrolled in Health Programs are required to carry health insurance because of the potential of exposure to a variety of communicable/infectious diseases as well as contractual requirements of some affiliating agencies. The period of coverage must be current throughout students enrollment in the Health Program. Malpractice Insurance Malpractice/Liability Coverage of one million dollars per incident and three million dollar aggregate is maintained for all students in health programs. This insurance only addresses a claim arising from activities required by the students program. Health Clearance for Participation in the Clinical Area All enrolled Health Program students, new and returning, will be expected to have completed the Health Records, Immunization and OSHA (Color Deficiency Testing) requirements prior to participation in any externship placement or clinical experience. All students should submit documentation of these requirements to CastleBranch as directed in the admission acceptance package. CastleBranch is an online resource that allows health program students to submit and track their health records with the College. The documentation will be reviewed and depending upon completeness of the record, the program coordinators will be notified regarding health clearance status for students enrolled in their specific program. Students may not participate in the externship or clinical experience until all records are successfully submitted and they are cleared. Students are also responsible to update any requirements (e.g. annual TB/PPD test, CPR, Tdap) in order to continue their participation in the externship or clinical experience if any requirement expires before the end of the externship or clinical experience. CastleBranch reminder alerts start 21 days before due date, and repeat weekly thereafter. Medical Clearance for Return to Class/Clinical after Illness/Injury or Change in Health Status Students are responsible to notify their course faculty/clinical instructor and their Department Chair/Program Coordinator/ Director within 24 hours of any change in health status, including but not limited to: exposure to a reportable disease requiring isolation/quarantine symptoms/disease accident/injury any circumstance that may change health status (i.e. after delivery of a baby) The Department Chair/Program Coordinator/Director will provide the student with a copy of a clinical clearance form to submit to the students health care provider. Students will not be permitted to return to classes or the clinical area until documentation from the health care provider is returned to the Department Chair/Program Coordinator/Director and the student is cleared to return. The Department Chair/Program Coordinator/Director will notify the appropriate course faculty/clinical instructor that the student is cleared to return, and send the original of the clinical clearance form to the Health Compliance personnel. Accepted: 2/21/06 Revised 12/11; 10/12, 8/13, 10/15, 4/16, 6/16, 3/17, 1/18, 8/18, 10/18, 8/20, 8/21, 11/21, 5/22, 6/23 DRUG SCREENING FOR STUDENTS ENROLLED IN HEALTH PROGRAMS Patient safety is a paramount concern in the health care arena both locally and nationally. To ensure that patient care is not compromised, facilities and agencies engaged in patient care have begun to require mandatory drug testing of all their employees and any affiliating groups. Some clinical facilities which are used in health programs at Middlesex Community College require that all students participating in a clinical experience at that facility have undergone and passed a drug screening analysis. Therefore, students enrolled in health programs that utilize these facilities will be required to undergo and pass random drug screening in order to remain in the program. In addition, students may be required to undergo random drug screening at the clinical facility as part of their clinical participation requirements. Students who either fail to pass, or refuse to submit to, or fail to schedule and take a drug screening analysis within the designated time frame will be deemed ineligible for clinical placement, and consequently will be dismissed from the program. All students will be notified, in writing, of the requirement for drug screening when enrolling in a program that requires such screening. (see Attachment A). Impacted students will complete a form that acknowledges that they have been provided with notification of the drug screening requirement and understand the impact on their ability to participate in clinical education if they (1) fail to pass a drug screening analysis, (2) refuse to submit to a drug screening analysis, or (3) fail to schedule and take a drug screening analysis within the designated time frame. While the use of Medical Marijuana is permitted in Massachusetts, marijuana remains classified as a controlled substance under federal law and its use, possession, and/or cultivation at educational institutions remains prohibited. Accordingly, students who test positive for marijuana are unable to participate in the clinical education, which will affect their status in the program. A student who has a prescription for Medical Marijuana and tests positive for marijuana may also be ineligible to participate in clinical placement due to terms in the clinical affiliation agreement. Students whose results fail to satisfy the screening criteria will not be eligible to participate in clinical education unless the disqualifying factor can be satisfactorily remedied. Students wishing to challenge the results of their drug screening must contact the Director of Compliance within five (5) days of notification of the results. Failure to satisfactorily remedy the disqualifying factor will result in ineligibility for clinical placement, and consequently the student will be dismissed from the program. Students who are dismissed from the program due to their inability to be eligible for clinical placement due to the drug screening requirement may apply for re-entry into a health program after one year. Requests for re-admission will be considered on a case by case basis and are subject to space availability. If you have any questions or concerns, contact Kori Preble Boeckeler, M.Ed., CDA,RHIA Health Compliance and Data Coordinator Program Coordinator, Public Health Informatics and Technology Talbot Building 302A 978-656-3053 | HYPERLINK "mailto:boeckelerk@middlesex.edu" boeckelerk@middlesex.edu Each student enrolled in a program that requires drug screening will be notified of the requirement to report for drug screening to the testing agency (see sample at Attachment A). Students will be given a specific time period in which they must complete the drug screening requirement. (see sample at Attachment B). Students will contact the specified testing agency to schedule an appointment within the specified time period. Students must follow the instructions given by the testing agency and comply with the screening protocol to the testing agencys satisfaction. Failure to participate in the drug screening process or comply with the protocol will result in the inability of the student to participate in the clinical education and consequently will result in the student being dismissed from the program. The testing agency will provide results to the Director of Compliance at Middlesex Community College. Results can only be accepted directly from the testing site. The Director of Compliance will provide the applicable department chair or program coordinator with a list of those students who have completed their drug screening and are eligible to participate in clinical education. Students whose results fail to satisfy the screening criteria will not be eligible to participate in the clinical education and consequently will be dismissed from the program unless the disqualifying factor can be satisfactorily remedied. Students with a positive drug test may challenge the results of the test within five (5) days of notification of the drug test results. This challenge must be in writing and delivered to the Director of HR, Compliance & Talent Development, Reginald Nichols via email at  HYPERLINK "mailto:nicholsr@middlesex.mass.edu" nicholsr@middlesex.mass.edu/ LABORATORY POLICY Students will adhere to the laboratory policy when practicing with each other during open labs, performing assessments, and or conducting phantom radiography. Students must wear radiation monitors when at their clinical affiliate and at the college when using the energized lab. The radiation monitors are to be worn at the collar. Students must be supervised by a licensed Radiographer or the x-ray tube needs to be deactivated when using the energized lab at the college. Any student not wearing a radiation monitor will not be allowed to use the lab. Students will never hold a phantom or image receptor during a procedure while ionizing radiation is in use. There will be no eating or drinking in the lab. The students will bring a positioning partner with them during open lab. The lab will be cleaned after each use. HOSPITAL AND PROGRAM POLICIES CLINICAL AFFILIATION Following is a list of hospitals that have, through formal agreements, agreed to act as the clinical agencies for our program. In order that we maintain continuity in your clinical education, students will rotate to at least two clinical sites. A copy of the agreement between Middlesex and its affiliate hospitals is kept on file in the College faculty office and the Radiology department. Beth Israel Lahey Health Lahey Hospital and Medical Center Burlington, MA Dr. Jalil Afnan Chair of Radiology Patricia Doyle,MBA,CRA,RTR, MR Executive Director of Radiology Tom Finn, RTR Clinical Preceptor Beth Israel Lahey Health Winchester Hospital Winchester, MA Dr. John Dubrow Chair of Radiology Joanne Grega Administrative Director Christine Pedroso, RTR Clinical Preceptor Casey Hayes, RTR Clinical Preceptor Beth Israel Lahey Health Winchester Hospital, Ambulatory Surgical Center Winchester, MA Dr. John Dubrow Chair of Radiology Joanne Grega Administrative Director Casey Hayes, RTR Clinical Preceptor Beth Israel Lahey Health Winchester Hospital, Pain Management Center Winchester, MA Dr. John Dubrow Chair of Radiology Joanne Grega Administrative Director Casey Hayes, RTR Clinical Preceptor Beth Israel Lahey Health Winchester Hospital, Family Medical Center Wilmington, MA Dr. John Dubrow Chair of Radiology Joanne Grega Administrative Director Elaine MacKinnon, RTR Clinical Preceptor Beth Israel Lahey Health Winchester Hospital, Unicorn Park Woburn, MA Dr. John Dubrow Chair of Radiology Joanne Grega Administrative Director Elaine MacKinnon, RTR Clinical Preceptor Emerson Hospital-Concord, MA David Rose, MD Chief Radiologist Nick Talarico, RTR Director of Imaging Services Marianne Green, RTR Clinical Preceptor John Fifield, RTR,MR Clinical Preceptor Mass General Brigham at Newton-Wellesley Hospital Newton, MA Anand Prabhaker, M.D. Chair of Radiology Brian McIntosh Director of Radiology Sheila Lenihan, RTR Clinical Preceptor Mass General Brigham at Newton-Wellesley Hospital, Ambulatory Care Center at Wells Avenue-Newton Center. Anand Prabakher, M.D. Chief Radiologist Brian McIntosh Director of Radiology Sheila Lenihan, RTR Clinical Preceptor Mass General Brigham at Newton-Wellesley Hospital, Ambulatory Care Center-Wellesley, MA Anand Prabakher, M.D. Chief Radiologist Brian McIntosh Director of Radiology Sheila Lenihan, RTR Clinical Preceptor Mass General Brigham at Newton-Wellesley Hospital, Urgent Care Center-Watham, MA Anand Prabakher, M.D. Chief Radiologist Brian McIntosh Director of Radiology Susan Morash RTR Clinical Preceptor Sheila Lenihan, RTR Clinical Preceptor Tufts Medicine, Lowell General Hospital, Saints Campus Lowell, MA Dr. Lindsay Baron Chief Radiologist Eric Musial Director of Imaging Services Mickey Martinez Manager of Imaging Services Karen Brunelle, RTR Clinical Preceptor CLINICAL ASSIGNMENTS Students will be assigned to at least two of the clinical agencies listed above during their two years in the Radiology Program. Students must be willing to commute up to 100 miles at their own expense for clinical rotations and may incur a parking fee at their rotation(s). The Department Chair will assign students to their clinical rotations. In general, students will not be assigned to sites where they are employed. The Joint Review Committee on Education in Radiologic Technology recommends that a combination of clinic experience and classroom hours not exceed 40 hours per week. Under our present system, the student is below the requirement of the 40 hours per week. ATTENDANCE As a professional, we have a responsibility to the patient and hospital staff to arrive at the clinic on assigned time. Therefore, clinic punctuality is a must. (See attendance sheets) TARDINESS Students must notify their Clinical Preceptor directly if they will be tardy or absent from clinical. Frequent tardiness or Failure to notify the Preceptor will result the following: First incident per practicum - informal verbal warning. Second incident per practicum - formal written warning. Third incident per practicum - written warning to include a "last chance" notice. Fourth incident per practicum - Dismissal from clinical practicum. Each incident and action must be documented. ABSENCE Students will be allowed 1 absence per semester for clinical courses. This day may not be carried over to following semesters. Any additional absences must be made up in the current semester. Make up days can not be done on Weekends, Holidays or any time that the College is closed. Any absence that is not made up will result in 5 points/day that is not made up off of the final grade. EXTENDED LEAVE Extended Leave is defined as 3 or more consecutive absences. An extended leave of absence may be granted for extraordinary circumstances. This leave time will be made-up and granted at the discretion of the Clinical Preceptor and Clinical Coordinator. In order to return from an extended leave students must have a Physicans note allowing him/her to return to clinical without restrictions. BEREAVEMENT Bereavement time for immediate family members (individuals spouse, parents, siblings or children). Students are allowed 3 consecutive days including school and clinical time, more than this can be requested but will need to be made up in the current semester. HOSPITAL POLICIES & PROCEDURES Follow the rules and regulations of your own hospital and department as established and explained by your clinical supervisors. PATIENT CONFIDENTIALITY POLICY (HIPAA) Students in the Radiologic Technology Program will have access to patient and hospital information. This information may contain data that is confidential such as technical, non-technical, medical records and other information that is not available to the public. This information is the property of the clinical site that the student is assigned. Maintaining confidentiality is essential in the students access to and use of this information. Students will be required to sign a statement of confidentiality to be kept on file at the college. The clinical sites will also ask the students to sign a statement of confidentiality. Any student violating the confidentiality policy will be subject to disciplinary action up to and including dismissal from the clinical site and/or the Radiology Program. ELECTRONIC MEDICAL RECORDS Students will demonstrate, be trained in or be familiar with digital technology as it relates to an electronic medical record and PACS technology. GRIEVANCE Any problem that may arise between the student and the department and/or its personnel must be discussed FIRST with clinical preceptor. If there is no mutually satisfactory resolution, then a request for college faculty to participate in the discussion may be initiated by either party, with advance written notification to ALL parties concerned. An Preceptor Student Conference form will be filled out for all meetings between students and their Preceptors. See college handbook for additional information regarding the grievance policy @ https://catalog.middlesex.mass.edu/content.php?catoid=30&navoid=2791#grievances. PERSONAL APPEARANCE Students will follow the uniform policy listed below. Failure to follow these policies will result in the student being sent home and making up the day at a later time. Wear clean, appropriate footwear, no clogs. Foot must be enclosed in the shoe. Jewelry may be worn. (in accordance with hospital policy) Have neat hairstyle. Both men and women with long hair must tie it back or pin it up. Moderate make-up may be worn. Oral and personal hygiene is a must. Name tags and radiation monitor badges must be worn at all times. (See Clinical Preceptor) Beards must be kept neat, trimmed and clean at all times Hunter Green pants to match Green top, optional lab coat. Imaging patch to be worn on left sleeve. Artificial nails are forbidden in the clinical area. Tattoos may be covered or not. (in accordance with hospital policy) STIPENDS No stipend will be paid to the student at any time during the program. VACATION No modification or substitutions are to be made for vacations during the academic year. TRANSFERS Transfer to other clinical affiliations occurs only as a final option in collaboration with the hospital. If a clinical transfer does take place, the student will undergo a three-month probation period at the new hospital. No more than two clinical placements will be allowed. Requests for transfers must be submitted in writing by the student to the Program Director The Program reserves the right to transfer students as needed. ABSCENCE (calling in) Students must phone their clinical preceptors according to hospital policy if they will be out. SMOKING All of our Clinical sites are smoke free. RADIATION SAFETY and MONITOR POLICY IT IS REQUIRED BY LAW THAT ALL PERSONS WORKING WITH OR AROUND X-RAY EQUIPMENT AND/OR RADIOACTIVE MATERIALS WEAR CURRENT RADIATION MONITORS. Radiation monitors are furnished to students in accordance with existing state and federal regulations, which require that students wear them when working in areas where potential radiation exposure may occur. The reports regarding your exposure become a part of your permanent record and are open for your inspection. When you leave this institution, be sure to request a copy of your exposure record to either take with you or to have sent to your employer. In order to utilize the radiation monitor most effectively and to have the most accurate records possible, the following regulations must be observed: Students must wear radiation monitors when at their clinical affiliate and at the college when using the energized lab. Students must be supervised by a licensed Radiographer or the x-ray tube needs to be deactivated when using the energized lab at the college. The radiation monitors are to be worn as follows: At the collar, outside the apron. Any student not wearing a radiation monitor will not be allowed in radiation areas, and the time missed will be considered a clinical absence. Students will be required to wear a lead apron and thyroid shield during procedures such as: fluoroscopy, C-arm procedures and portable radiography Students will never hold a patient or image receptor during a procedure while ionizing radiation is in use. Students will never take an exposure while a Radiographer is holding a patient and or an Image receptor. Students must remove unnecessary personnel from area where exposure is taking place or provide appropriate shielding to individuals unable to leave the area where ionizing radiation is in use. Students will properly shield patients while performing procedures according to department protocol. Failure to do so will result in a 15.5 points deduction from the students grade if failure to shield occurs during a competency exam. Notice: Students will be instructed in the as low as reasonably achievable (ALARA) philosophy. The Radiation Safety Officer (Clinical Coordinator) will investigate all instances in which dose limits are exceeded. The student will then be counseled as to the appropriate course of action and review of radiation safety practices. Actual dose limit is any single quarterly reading of 80 mrem or above. Accidental exposures due to badges left on aprons, etc., will be documented where proven. Notice: failure to adhere to this policy may result in dismissal from the program. PERSONAL MEDICAL INSURANCE Clinical sites, by contractual agreement, will NOT pay for injuries/illness incurred on site. Students will be provided appropriate medical care (on site) but the student's personal medical insurance will be billed. All students are required to carry medical insurance while attending the program. COMMUNICABLE DISEASE POLICY Students in the health programs are expected to deliver care without prejudice to all patients. The only exception to the above would be in consideration of personal risk factors, such as in cases of immunosuppression. Students are required to follow the policies governing caring for patients with communicable diseases that are written at each of the clinical agencies. Students must also follow the agency policies on caring for patients when the caregiver has a communicable disease. Students in the health programs must realize that they have an ethical and legal responsibility to the individual for whom they provide care to maintain a high standard of health. BLOOD and BODY FLUIDS EXPOSURE GUIDELINES POLICY: Any injury which results in an exposure (of mucous membranes, open skin lesions, sharp instruments or needle sticks) to blood or other body fluids at on-campus clinics or laboratories should be reported to the College Health Service at the time of the exposure. The following guidelines should be used to protect the student (or employee) and provide immediate assistance. The referral for an exposure should be to a hospital emergency facility. If the exposure occurs at the hospital, follow the hospital policy and notify the program director. Report Exposure Incident / First Aid: Inform Clinical Preceptor or Supervisor of the exposure immediately before continuing any further patient procedures. Initiate first aid by cleansing affected areas well: mucus membrane, open skin lesions, site of needle stick or sharp instrument puncture, etc. Exposure Counseling: The Clinical Preceptor or Supervisor should discuss with student and source patient: a.The importance of testing immediately for HIV, HBV, and HCV (CDC notice 4/98). b.Confidentiality of testing and reporting (written permission required for both at the testing site.) Cost of Testing: Testing for the source patient should be billed to the College Health Service. Student's insurance will be billed for the testing (and chemoprophylaxis if warranted). Any special insurance notification should be completed at this time. Employees will be covered by Workers' Compensation Insurance (contact College Health Service Office within 24 hours to initiate claim). Referral: Student (or employee) and source patient should be referred immediately to a hospital emergency facility. Call ahead to the emergency facility to notify of arrival. If student or source patient chooses to use own personal physician, the Supervisor should inform the physician's office of the nature of the exposure and request testing as soon as possible within two hours. (If this is the primary care physician and the patient is unable to be seen quickly, ask to which hospital emergency unit the student may be referred.) As a source of information for decision-making at the testing site, a copy of the Accident Report should be sent with the student. Include last Tetanus-diphtheria date and Hepatitis B vaccine status. Accident Report: Complete the Accident Report: Blood and Body Fluid Exposure form. Notify Director of Health Services and forward original Accident Report to the Lowell Campus Health Service Office with copies to: a. Program Coordinator Refusal of Evaluation: The student has the right to refuse testing and evaluation. In this case, the student should sign the Declination of Testing and/or Follow-up Procedures statement on the Accident Report form. Exposure Follow-up: The Director of Health Services will work with the student/employee regarding post-exposure follow-up testing. CLINICAL DIFFERENCES It is the intent and objective of the Radiologic Technology Program (College and Affiliate Hospitals) to be as uniform as possible with regard to activities for all students. Unfortunately, all hospitals are individual and unique institutions and for this reason there will be different policies and responsibilities at each clinical facility. Any questions which may arise concerning these differences will be gladly answered by College Faculty or Clinical Preceptors. Students will be required to rotate to at least two affiliate hospitals. TREATMENT AND SAFETY OF PATIENTS All patients with whom the student comes into contact will be treated with respect and dignity. Casual conversation to explain the procedure will help relieve the patient of any unnecessary anxiety and is a must. Treat every patient as if you were the one being radiographed. If a student commits a Patient Safety Violation Policy such as standing a patient on fall precautions, leaving the side rail down on a stretcher, performing the wrong procedure, not properly identifying the correct patient and or not following your department policy, the student may be dismissed from the clinical site. STUDENTS CLINICAL RECORD OF WORK During your clinic time all procedures performed by you must be recorded. There must be some record of what you do each day in clinic from the first clinic day to the last. The students daily activity log is a day-to-day record of the different activities and procedures performed by you in the hospital clinic. Keep this record up-to-date, as it will be checked from time to time by college and hospital faculty. EVALUATIONS COMPETENCY EVALUATION SYSTEM There are core clinical competencies that all students must demonstrate to establish eligibility for ARRT certification. The Competency Evaluation System is a standardized method of evaluating the performance and progress of students performing radiographic exams. Students must demonstrate competency in all 36 of the mandatory procedures and at least 15 of the elective procedures. At a time elected by the student and clinical preceptor, within each semester, the student must demonstrate their skill and competency in a particular unit of radiographic examinations. To be rated competent, the student must perform with a 85% accuracy rate for those examinations within the particular unit being evaluated and up to three retention evaluations from the previous Clinical Practicum. Before progressing to the next practicum, the student must demonstrate competency in the preceding areas. Process: The clinical evaluation will be declared by the student or clinical preceptor prior to the examination. The student cannot refer to protocol or positioning books during the evaluation. If a student fails to perform with at least an 85% accuracy rate he/she shall be required to follow the System for Failure as outlined below: Notice: 1. Repeat images will result in a deduction of 15.5 points on clinical competency evaluations. 2. Intervention by the Clinical Preceptor or Staff Radiographer, for reasons such as failure to properly shield, failure to set proper technical factors, or improper positioning, will result in a deduction of 15.5 points on clinical competency evaluations. System for First and Second Failures: Clinical preceptor and student will discuss reason (s) for failure. Student will review the text, and appropriate course notes pertinent to that practicum. The student will be re-assigned to that particular area to practice and gain additional experience. The student will then be re-evaluated by the clinical preceptor and in this evaluation must perform with at least a 90% accuracy rate to be rated competent. Third Failure: The program director at Middlesex Community College shall be advised of this situation. Overall academic and clinical status of the student shall be assessed jointly by the College's Program Director and the Hospital's Clinical Preceptor and a decision made as to the advisability of the student's continuing within the program. Notice: All competency reevaluations must be performed during the current semester. MONTHLY EVALUATION SYSTEM This is a structured evaluation process that has been designed to evaluate the student's clinical performance. At the end of every month the student will complete a self-evaluation. When the self-evaluation is complete, the clinical preceptor will complete the evaluation, and review it with the student. The evaluation is to help the student by providing an overview of their attributes and weaknesses. These evaluations will be graded and used towards determining the students semester grade. The student will be evaluated on the following areas: Patient Care and Communication Collegiality and Professionalism Physical Safety Radiation Safety Quality of work and performance STUDENT COMPETENCY EVALUATION AND LEVEL OF SUPERVISION Until students achieve the program's required competency in a given procedure, all clinical assignments should be carried out under the direct supervision of qualified Radiographers. Following are the parameters of direct supervision: A. A qualified Radiographer reviews the request for examination in relation to the student's achievement. B. A qualified Radiographer evaluates the condition of the patient in relation to the student's knowledge. C. A qualified Radiographer is present during the conduct of the examination. D. A qualified Radiographer reviews and approves the images. E. Repeat images, surgical, and mobile procedures (including mobile fluoroscopy) must be under direct supervision regardless of level of competency. After demonstrating competency, students may perform most procedures with indirect supervision. Indirect supervision is defined as supervision provided by a qualified Radiographer immediately available to assist students regardless of the level of student achievement. Immediately Available is interpreted as the presence of a qualified Radiographer adjacent to the room or location when a radiographic procedure is being performed. This availability applies to all areas to all areas where ionizing radiation equipment is in use. REPEAT RADIOGRAPH POLICY In support of professional responsibility for provision of quality patient care and radiation protection, unsatisfactory radiographs shall be repeated only in the presence of a qualified Radiographer, regardless of the students level of competency. Student and qualified radiographer review the radiograph, identify unacceptable factors and needed corrections. Student identifies how corrections will be implemented. If students correction plan is unacceptable return to steps 1 and 2. If plan is satisfactory to the radiographer, continue to step 4. Student implements corrections and makes exposure in the presence of, and with the approval of, the qualified radiographer after the qualified Radiographer has checked the console for appropriate technical factors and entered the exam room to recheck equipment manipulation and patient positioning. Student is required to record repeat and reason for repeat on Daily Log in the Trajecsys Reporting System. Prior to deleting an image, consult Registered Technologist. Notice: Failure to adhere to this policy may result in dismissal from the program. CRITICAL CLINICAL OUTCOMES Critical Clinical Outcomes evaluate those affective and cognitive skills that are necessary for success in the Radiologic Technology profession. The student must successfully meet each Critical Clinical Outcome to pass the practicum. CLINICAL GRADING PROCESS Clinical grades will be given five times during the 21-month program (December, May and August of the freshman year, December and May of the sophomore year). This grade will be determined by evaluating performance in the following two areas: Clinical Competency Exams - 50 points. Monthly Evaluations - 40 points. Critical Clinical Objectives-10 points. PROCEDURE During the semester, each area (Clinical Competency Exams and Monthly Evaluations) will be evaluated and points deducted according to the explanations given below. At the end of each semester, these points are totaled and a grade is given. 1. Clinical Competency Exams - 50 points During the semester, Clinical Competency Exams are given. Prior to this, a series of steps must be followed. Example: Positioning of the Upper Extremity Presentation will occur in class. The following week, role-play positioning a fellow student for radiographs of the upper extremity will occur at the college. At the clinic, you will be told ahead of time which positions you are responsible for and they will be reviewed with you. You are graded according to a checklist of steps that must be completed for each position. You will be given a list of the general requirements for each Competency Exam to review. For each section, the points will be totaled and a number grade given. At the end of the Semester, these grades will be averaged. This average will account for 50% of your final clinical grade. Example: Chest 88 KUB 94 Thumb 96 Hand 82 Wrist 98 Forearm +100 558 / 6 = 93 average x 50% 46.5 points awarded for this section 2. Monthly Evaluations - 40 points At the end of each month, the clinical preceptor will fill out an evaluation. The points will be totaled and a number grade given to this evaluation. At the end of the semester, these grades will be averaged. This average will account for 50% of your final clinical grade. To be successful on the monthly evaluation, students must: Meet the behavioral outcomes of the clinical course with the same degree of guidance and instruction as required by other students at the same level. Apply Safe Practice. Safe practice implies that the student can demonstrate awareness of the potential effect(s) of their actions, nonactions, and decisions. Such actions and decisions shall not endanger the safety of the patient. The faculty reserves the right to remove a student from the clinical area in any instance where patient safety is jeopardized by the students grossly negligent actions/non-actions, or unethical or unprofessional behavior. Example: September 92 October 98 November 94 December +100 384 / 4 = 96 average x 40% 38.4 points awarded for this section 3. Critical Clinical Outcomes - 10 points At the end of each month, the clinical preceptor will fill out an evaluation. The points will be totaled and a number grade given to this evaluation. At the end of the semester, these grades will be averaged. This average will account for 20% of your final clinical grade. Example: September 26 October 30 November 25 December + 28 109 / 4 = 27 average 27/30=90% x 10% 9 points awarded for this section Semester average for student used in examples: Clinical Competency Exams.............46.5 Monthly Evaluations.................38.4 Critical Clinical Objectives...9 SEMESTER CLINICAL GRADE...93.9% CODE - P = 85 - 100% F = below 85% A clinical grade below 85% is considered failure. HEALTH PROGRAMS READMISSION POLICY MIDDLESEX COMMUNITY COLLEGE HEALTH DIVISION Health Programs Progression and Readmission Policy Middlesex Community College strives to give students every reasonable opportunity to succeed in their chosen course of study yet provide fair opportunity and access to all members of the colleges community. Health Programs often have limited seats available. The following policy was developed to ensure a fair and equitable process for readmission decisions to health programs. Readmission, in this policy, is defined as the ability of a student to re-enter a program in which they are not permitted to continue attending due to unsatisfactory completion of one or more courses in their major. A student who is granted readmission would either need to reapply to their program of study or re-enter the program to repeat some or all courses in the semester where they did not achieve satisfactory completion. All readmission decisions shall be based on space availability, academic progress and/or potential for future program and/or career success. A student is eligible to seek readmission to a health program only once. The readmission process shall not be used to challenge a course grade or allege discriminatory conduct in a health program. In those cases, the Colleges  HYPERLINK "https://catalog.middlesex.mass.edu/content.php?catoid=34&navoid=3233" \l "grievances" Student Grievance Procedure and  HYPERLINK "/humanresources/affirmativeaction.html" Policy on Affirmative Action shall be utilized, respectively. Academic Progress: Satisfactory completion of all courses in a given semester is required in order to continue/progress to the next semester in all health programs. Satisfactory completion means: Achieving grade of Pass (P) in clinical/laboratory courses that are graded on a Pass/Fail system. A P means the student has achieved a satisfactory level of performance in clinical and laboratory settings as outlined in course syllabi and program student handbooks Earn a grade of C (73) or better in all courses within the area of specialization that are graded with the letter system. These courses are designated with a three letter code for the major, for example, NUR for Nursing and SON for Diagnostic Medical Sonography. Students in the Nursing, Dental Hygiene and Radiological Technology programs must earn a grade of C or better in required science courses. If a student does not meet these requirements of satisfactory completion, and/or withdraws from courses, the student is not eligible to continue/progress in the program. Upon conclusion of the semester, students who withdrew or did not satisfactorily complete one or more courses will be notified via email by their respective program coordinator, department chair, or director of the following: List of courses which did not meet satisfactory completion Notification that student will not continue/progress in the next semester Instructions and timelines on how to request readmission, including this policy Potential for Future Program and/or Career Success: Students will be recommended for readmission based on their potential for future success in the program of study and/or health career. Students may not be recommended for readmission to a health program or admission to another health program if it is determined to be unlikely, they can be successful in the program or profession in the future based on a variety of factors, including, but not limited to, the following: A pattern of unprofessional and/or unethical behavior off-campus or in a classroom, lab or clinical setting. In some circumstances a students unprofessional behavior may be so severe that the student will be determined to be unsuited for a career in health care based on a single incident. Inability to meet the standards or technical skills for the program or profession. Unsafe clinical practice. Inability to demonstrate progressive and consistent mastery of theoretical and/or technical skills consistent with entry level practice for the specific health career. Unsatisfactory completion of more than one course Readmission Process: Students who would like to request readmission must write a letter requesting such to the Program Coordinator, Department Chair, or Director. This letter must be sent by email within ten (10) calendar days of the students receipt of the notification discussed above from their Program Coordinator, Department Chair or Director. In the letter, the student should include the following: Explanation of circumstances that prevented the student from being successful either academically or clinically. Explanation of the changes planned that will enable the student to be successful. In addition, the student should provide documentation, if available, to verify the explanations offered. Explanation of the strategies that will be used to enable the student to be successful in the program in future semesters, if given the opportunity. The student should be specific and provide reasoning for each proposed strategy. Strategies might include, but are not limited to a commitment to seek tutoring or counseling; a commitment to join a study group; a commitment to spend a set number of hours per class studying each week, etc. In addition, the student should provide any documentation that may verify the students new commitment to the program. Health Programs Student Review Committee: Readmission decisions are made by the Health Programs Student Review Committee. The Student Review Committee has college-wide representation; the committees membership includes a representative from each of the health programs, and at least one representative from each of the following areas: admissions, advising, student affairs, academic affairs, and Affirmative Action/Title IX. The committee is chaired by the Dean of Health. Approximately 2-3 weeks after the close of each semester, the Health Programs Student Review Committee reviews the readmission requests of students and program recommendations in order to make readmission decisions. Readmission decisions are based on space availability, the students academic progress and/or potential for future program and/or career success. Each student requesting readmission will be considered on an individual basis. A students request for readmission will be considered along with faculty recommendations which are presented to the Committee by the Program Coordinator, Department Chair, or Director who leads the program. Where practical, committee decisions will be sent via email to the student within 10 days of the committee meeting. Health Programs Student Review Committee Decision Appeals Policy: If the student believes the decision of the Health Programs Student Review Committee was unjust, they may appeal the decision. To do so, they may request reconsideration by submitting a letter of appeal to the Provost and Vice President of Academic and Student Affairs, care of the Dean of Health. This letter should be sent by email to the Dean of Health within ten (10) calendar days of the students receipt of the Committees decision letter. In this letter of appeal, the student should request reconsideration of the Committees decision and include the following: A basis/reason for the appeal, that provides specific points on why the decision of the Committee should be reconsidered; and Additional documentation on circumstances or other factors that affected the students performance that the Committee was unaware of. Any documentation, if available, to support the appeal After receiving the appeal, the Provost or designee will conduct a review inclusive of all previously submitted documents, Committee recommendations, and academic and/or clinical records. A written decision will be sent to the student within ten (10) calendar days of receipt of the students appeal. The decision of the Provost or designee is final. Middlesex Community College reserves the right to make changes or exceptions to this policy or procedure as needed. Accepted: 2/96 Revised: 9/04, 8/12, 1/13, 9/14, 4/17, 8/21, 7/22, 7/23, 5/24, 5/5/2025 HEALTH DIVISION STATEMENT ON TITLE IX COMPLIANCE AND REPORTING The 51 Health Division, and all of its members (faculty and staff) are committed to providing a learning environment free of discrimination in any manner. We abide by all related laws, policies and procedures, outlined in our  HYPERLINK "/humanresources/affirmativeaction.html" \h Policy on Affirmative Action (PAA). It is important to note that if a student shares information with an 51 faculty or staff member that would be protected under Title IX, such as pregnancy status and sex-based harassment as defined in the PAA, the faculty or staff member is required to notify the Title IX Coordinator. This step ensures that students are informed about the resources, protections, and supportive measures available to them. The purpose of this policy is to provide students with the support and assistance they may need in a safe and confidential manner. If students have any questions or concerns, they should not hesitate to reach out to the Title IX office directly for further guidance at  HYPERLINK "mailto:titleix@middlesex.edu" \h titleix@middlesex.edu . RADIATION PROTECTION GUIDELINES FOR PREGNANT STUDENTS AND FACULTY Should a student or faculty member become pregnant while employed / enrolled in the Radiography Program, she is under NO requirement to declare her pregnancy status to any individual associated with the program. Should she voluntarily elect to declare her pregnancy status, she may do so by using the Form letter for Declaring Pregnancy, and submitting it to the Program Director. If the student or faculty member declares she is pregnant, she may at any time, undeclare her pregnancy status for any reason. She will do so by informing the Program Director in writing. At that time her status will revert to that in effect before her declaration. Should she elect NOT to declare her pregnancy status, or undeclare her pregnancy, it is understood that the program is under no requirement to afford any measures with regard to radiation safety other than those, which are routinely afforded to all radiography students and faculty. Should she declare and submit the declaration form to the Program Director, the following measures will become effective for the duration of her pregnancy or declaration, while she is enrolled within or employed by the program: 1. The Program Director or Clinical Preceptor will initiate the use of the form entitled "Radiation Received During Gestational Period". 2. The student will be counseled by the Radiation Safety Officer (Clinical Coordinator) regarding methods to protect herself from ionizing radiation, and she will be asked to read the previously distributed Regulatory Guide 8.13, and or NCRP Report No. 54 and the Technical Bulletin Radiation Safety Considerations for the Declared Pregnant Worker. 3. The student must wear a radiation monitor at all times when working with ionizing radiation. An additional badge will be worn at waist level and must not leave the hospital property at any time except when being sent out for processing and reading. 4. Students will have the option to continue their clinical education without modification, during the entire gestational period. 5. Rotations evaluations, and/or clinic time missed because of pregnancy must be made up. The student will assume the responsibility of meeting with the Clinical Coordinator and Clinical Preceptor to plan this make-up time. 6. Under no circumstance will any student (pregnant or not) hold or assist in holding a patient or image receptor during a radiographic exposure. 7. The student must bring to the Program Director, as soon as possible, written permission from her physician permitting her to continue her clinical assignments. 8. The student will not be permitted to receive a cumulative radiation dose exceeding 0.5 rem (500 millirems) during the gestation period. The following will be done to ensure that the limit is not exceeded: The radiation monitor reports will be carefully monitored during the gestation period noting averages and trends that may cause the cumulative exposure to exceed the limit. The results will be shared with the student following receipt of each exposure report. The student will be counseled by the Radiation Safety Officer (Clinical Coordinator) if and when the cumulative radiation dose during the gestation period reaches 250 mrem. Form Letter for Declaring Pregnancy This form letter is provided for your convenience. To make your declaration of pregnancy, you may fill in the blanks in this form letter and give it to your employer or you may write your own letter. Declaration of Pregnancy To: (Name of the facility LRPO, your supervisor or other employer representative) Radiation Safety for the Declared Pregnant Worker I am declaring that I am pregnant. I believe I became pregnant in ______________, (only the month and year need be provided). I understand that my occupational radiation dose during my entire pregnancy will not be allowed to exceed 0.5 rem (5 millisieverts) (unless that dose has already been exceeded between the time of conception and submitting this letter). I also understand that meeting the lower dose limit may require a change in job or job responsibilities during my pregnancy. If I find out that I am not pregnant, if my pregnancy is terminated, or wish to undeclare my pregnancy for any reason, I will promptly inform you in writing that my pregnancy has ended. (Your signature) (Your name printed) (Date) See College handbook and websites below for additional information regarding student pregnancy. Title IX regulations. https://www2.ed.gov/about/offices/list/ocr/docs/dcl-know-rights-201306-title-ix.html Regulatory Guide 8.13  HYPERLINK "http://www.ehs.ucr.edu/radiation/regulatoryguide8.13.pdf" http://www.ehs.ucr.edu/radiation/regulatoryguide8.13.pdf NCRP Report No. 54. https://ncrponline.org/shop/reports/report-no-054-medical-radiation-exposure-of-pregnant-and-potentially-pregnant-women-1977/ RADIATION DOSIMETRY REPORT MIDDLESEX COMMUNITY COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM SAMPLE RADIATION DOSIMETRY REPORT Students Name: Date: ____________ Dosimeter report: Deep: Shallow: Whole Body: The dosimeter report for the period of ________________ has been reviewed by the student and program faculty. ________________________________________ Student Signature ________________________________________ Program Faculty Signature Notice: Dose limit for any single quarterly reading is 80 mrem or above. The Radiation Safety Officer (Clinical Coordinator) will investigate all instances in which dose limits are exceeded. The student will then be counseled as to the appropriate course of action and review radiation safety practices. accidental exposures due to badges left on aprons, etc., will be documented where proven. RADIATION RECEIVED DURING GESTATION PERIOD Students Name: __________________________________________________ Social Security Number: ___________________________________________ Date Notification Received: ________________________________________ Estimated Delivery Date: __________________________________________ Cumulative radiation exposure prior to start of gestation: _________________ Written permission to continue program received from physician dated: ______________ Record of all radiation received during gestation period (in mr.): Period From Through MR Students Initial Shallow Deep 1. _____________ _________ ______________ ______________ 2. _____________ _________ ______________ ______________ 3. _____________ _________ ______________ ______________ 4. _____________ _________ ______________ ______________ 5. _____________ _________ ______________ ______________ 6. _____________ _________ ______________ ______________ 7. _____________ _________ ______________ ______________ 8. _____________ _________ ______________ ______________ 9. _____________ _________ ______________ ______________ 10. _____________ _________ ______________ ______________ Student counseled regarding radiation protection by one or more of the following: Signed: _____________________________________________ Date: ____________ Radiation Safety Officer Signed: _____________________________________________ Date: ____________ Program Director Signed: _____________________________________________ Date: ____________ Clinical Preceptor My signature acknowledges that I have received counseling on radiation safety measures to protect my fetus and that I have read NCRP Report 53 and 54, or Regulatory Guide 8.13. Signed: _____________________________________________ Date: ____________ ACCIDENT REPORT: Blood and Body Fluid Exposure Name_______________________________________________ Student ID #______________________ Address______________________________________________Telephone________________________ Occupation________________________Date of Birth______/______/_______/ Age________ Gender ( ) M ( ) F Date of Accident_________ Time of Accident________ Clinical facility where accident occurred____________ Hepatitis B Vaccine status: Dose #1_______ #2_______ #3_______ Last Tetanus/Diphtheria booster: ________ PLEASE DESCRIBE: Type of exposure (e.g., needlestick/sharps injury; mucous membrane contact with potentially infectious fluids: body part affected. Use back of form if necessary) The volume of blood or body fluid involved and duration of exposure__________________________________ INITIAL ACTIONS: Immediate first aid consisted of______________________________________________________ Time______ Notification of Clinical Supervisor/Program Coordinator__________________________________ Time______ Referral site for serological testing/post exposure prophylaxis evaluation (name of hospital emergency center or physician)________________________________________________________________________Time______ If testing is declined by exposed person, that person must read and sign below. DECLINATION OF TESTING AND FOLLOW-UP I have been informed and understand the importance of baseline testing for the Hepatitis B and C viruses and HIV and evaluation for post exposure prophylaxis immediately after an accidental exposure to blood and body fluids. The importance of receiving future follow-up testing at six weeks, twelve weeks, and six months from the date of exposure has also been discussed with me; however, I decline to have testing at this time. Signature____________________________________________________________ Date_________________________ SOURCE PATIENT: Name (if known)________________________________ Address_________________________________________ Consent and referral for serological testing to______________________________________ Time_____________ If no testing, please explain on back of form__________________________________________________________ WITNESS: Name_________________________________Address______________________________ Telephone________________ Signature of person filing report___________________________________________________ Date: ________________ IMPORTANT RETURN REPORT TO THE HEALTH SERVICE OFFICE AT YOUR CAMPUS WITHIN 24 HOURS OF ACCIDENT Campus Center, Bldg. 8,Bedford Campus OR City Bldg., Ground Floor, Lowell Campus RADIATION SAFETY REVIEW MIDDLESEX COMMUNITY COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM RADIATION SAFETY REVIEW ______________________________________ has exceeded the maximum dose equivalent of 80 mrem during the following quarter: __________________________. The dosimeter report has been reviewed and signed by the student. He/she has been given a radiation safety review and can describe means in which to adhere to the concept of ALARA and understands the importance of practicing good radiation safety measures. Student Signature_____________________________________ Date___________________ Program Director Signature_____________________________ Date___________________ MRI SAFETY REVIEW MR SAFETY POLICY Students may complete an observational rotation in MRI during Clinical Practicum 5 once all competency requirements are met. For student safety, all students must complete the MRI safety orientation and MRI screening which reflect current American College of Radiology (ACR) MR safety guidelines. All students will view the MRI Safety Training Video (see video link below) provided by the program in the first semester prior to starting Clinical and complete an MRI Safety Screening document similar to those used for patients (see screening document below). Students with any type of internal metallic devices cannot enter an MRI exam room unless the device is certified as MRI safe. Due to the nature of MR imaging, this rotation may be contraindicated for a variety of issues. Students are required to complete a second MRI Safety Screening Document during Clinical Practicum 3, in case their safety status has changed. Students must notify the program in writing immediately should their status change at any time during the program. MRI Safety video link: You may need to copy and paste this link into your browser.  HYPERLINK "https://youtube/mMQyY4qF_Xo" https://youtube/mMQyY4qF_Xo Magnetic Resonance Screening Form for Students Magnetic resonance (MR) is a medical imaging system in the radiology department that uses a magnetic field and radio waves. This magnetic field could potentially be hazardous to students entering the environment if they have specific metallic, electronic, magnetic, and/or mechanical devices. Because of this, students must be screened to identify any potential hazards of entering the magnetic resonance environment before beginning clinical rotations. Pregnancy Notice: The declared pregnant student who continues to work in and around the MR environment should not remain within the MR scanner room or Zone IV during actual data acquisition or scanning. Remember: The magnet is always on! Name: Date:  Circle Yes or No1. Have you had prior surgery or an operation of any kind?YesNoIf yes to question 1, please indicate the date and type of surgery: Date: Surgery Type: ___________ 2. Have you had an injury to the eye involving a metallic object (e.g. metallic slivers, foreign body)?YesNo If yes to question 2, please describe:________________________3. Have you ever been injured by a metallic object or foreign body (e.g.,BB, bullet, shrapnel, etc.)?YesNoIf yes to question 3, please describe: Please indicate if you have any of the following:Aneurysm clip(s)YesNoCardiac pacemakerYesNoImplanted cardioverter defibrillator (ICD)YesNoElectronic implant or deviceYesNoMagnetically-activated implant or deviceYesNoNeurostimulator systemYesNoSpinal cord stimulatorYesNoCochlear implant or implanted hearing aidYesNoInsulin or infusion pumpYesNoImplanted drug infusion deviceYesNoAny type of prosthesis or implantYesNoArtificial or prosthetic limbYesNoAny metallic fragment or foreign bodyYesNoAny external or internal metallic objectYesNoHearing aidYesNoOther device: YesNo I attest that the above information is correct to the best of my knowledge. I have read and understand the entire contents of this form, the MRI safety policy, viewed the MRI safety video and have had the opportunity to ask questions regarding the information on this form. Should any of this information change, I will inform my program director. Signature of Person Completing Form: Date  The student has not identified any contraindications to entering MR Zone III or IV. The student has identified contraindications to entering MR Zones III and IV. The student has been advised not to progress past MR Zone II unless screened by an MR Level II Technologist onsite at each clinical setting. Form Information Reviewed by: Print name Signature Title____________ ORIENTATION FORMS MIDDLESEX COMMUNITY COLLEGE RADIOLOGIC TECHNOLOGY PROGRAM ORIENTATION FORMS CONFIDENTIALITY AGREEMENT  MIDDLESEX COMMUNITY COLLEGE RADIOLOGY PROGRAM CONFIDENTIALITY AGREEMENT As a student of Middlesex Community College enrolled in the Radiologic Technology Program, I agree to maintain a patients right to confidentiality. I understand that the use and disclosure of a patients protected health information for other than clinical reasons is punishable by law and will result in dismissal from the program. Print Name: _____________________ Signature: _______________________ Date: ___________________________ GRADE RELEASE AUTHORIZATION  Radiologic Technology Program Grade Release Authorization I.__________________________, do authorize Middlesex Community College to release my grades to my Clinical Preceptor as required for academic purpose. Signature: _______________________________ Date : ________________________ CLINIC TRANSFER POLICY  Radiologic Technology Program Clinic Transfer Policy I____________________ understand that as a student in the Radiologic Technology Program, I am required to participate in clinical practicums. I also understand that I will perform at an indicated skill level and in an appropriate manner. If I am dismissed from a clinical site because of inappropriate behavior, patient care infractions or failure to meet clinical objectives, the program is not obligated to transfer me to another clinical site. Consequently, I will be dismissed from the program. Signature: _______________________________ Date : ________________________ NON INVASIVE SKILLS PRACTICE POLICY 51 CONSENT FORM FOR PARTICIPATION IN NON INVASIVE SKILLS PRACTICE I, _______________________________________, a student in the Radiologic Technology (Print Name) Program, acknowledge that as part of the Radiologic Technology Program, I will need to practice a number of skills in order to be able to perform them correctly in the healthcare setting. In order to do so, the students in this program serve as patients for one another as they learn and practice these skills. I further acknowledge that I had the opportunity to discuss with the faculty any concerns that I have about participating as a patient in this program and all my questions have been answered to my satisfaction. I have been advised that my participation as a practice patient is strictly voluntary and understand that my grade will not be affected if I choose not to participate as a practice patient. However, I also understand that I will be assessed and graded on my ability to adequately perform the skills on another student in the lab setting. I knowingly and voluntarily consent to participate as a practice patient for my classmates to practice said skills on me. I further understand that participation is for educational purposes only and not for providing diagnostic medical information. I am at least eighteen (18) years of age, fully competent to sign this agreement, and am voluntarily seeking to participate as a practice patient. If I am not eighteen (18) years of age, then I will have a parent or legal guardian read and execute this agreement. I understand that by signing this document, I am representing that I understand all of its terms and conditions and fully intend to be bound by the same. I also understand that I may wish to consult with an attorney prior to signing this document. This document shall be construed in accordance with the laws of the Commonwealth of Massachusetts. Signature of Student: _________________________________________ Date: ___________ Parent or Guardian signature: ___________________________________Date: ___________ (if applicable) NOTIFICATION TO STUDENTS OF RANDOM DRUG SCREENING ANALYSIS REQUIREMENT Please be advised that students enrolled in the Radiologic Technology Program at Middlesex Community College will be required to undergo and pass random drug screening analysis in order to be eligible for placement at a clinical facility. Students who either fail to pass, refuse to submit to, or fail to schedule and take a drug screening analysis within the designated time frame will be deemed ineligible for clinical placement, which will negatively impact their status in the program. If you have any questions pertaining to this policy, please contact the Dean of Health. By my signature, I acknowledge that I have been provided with the 51 Drug Screening Policy and notification that I am required to undergo and pass a drug screening analysis. I am aware that, refusing to submit to, failing to schedule and take a drug screening analysis or failure to submit to or pass the drug screening analysis will result in my being ineligible to participate in clinical education and consequently I will be dismissed from the program. STUDENT NAME (PRINTED) STUDENT SIGNATURE DATE NOTICE OF RANDOM DRUG SCREENING ANALYSIS DATE: TO: You are hereby notified that you are required to report for random drug screening as a condition of participating in the Radiologic Technology Program at Middlesex Community College. POLICIES AND PROCEDURES  Radiologic Technology Program Policies and Procedures I, ______________________________, have read and understand the Student Handbooks, college, program, and clinical policies. The policies and procedures are clear and questions have been answered by the Radiologic Technology Program Director, Clinical Coordinator, or Clinical Preceptor. I have signed this form indicating that I have read and understand and will comply with the policies and procedures at Middlesex Community College. Signature: _______________________________ Date : ________________________ CLINICAL AFFILIATE ASSIGNMENT  Below is a list of the hospitals that you will be assigned to for the clinical education component of the Radiologic Technology Program. You will be required to rotate to at least two of the Clinical sites. Students must be willing to commute up to 100 miles at their own expense for clinical rotations and may be required to pay for parking. Hospital Location BI-Lahey Hospital and Medical Center Burlington, MA Mass General Brigham at Newton Wellesley Hospital Newton, MA Tufts Medicine, Lowell General Hospital, Saints Campus Lowell, MA BI-Lahey Winchester Hospital Winchester, MA Emerson Hospital Concord, MA RADIATION DOSIMETER BADGE INFORMATION Print Clearly NameDOBStudent ID Number LEAD MARKERS All students are required to have one set (two is recommended) of markers to use at the clinical sites. These markers signify the correct side which you are imaging and have initials to represent who imaged the patient. The lead markers can be ordered from the website pbmarker.com. Please order the right marker in red and the left marker in blue, using your three initials. Please order model 13a.       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Yh>HOLL cjhSآk] HH";F!R΅mu(BXu[]ekP~(($\9BDF{O"e@>&дf x4PBRQI(3 |pa!L7%E{EbXry)q&uy: &^ RRjHFtaTN陾ʵ#+\Me3N1M0TZh\E1h8Ȅ X5k ,}( }Yp-PD``g" B[bUN ;-W[OHb5L[ []$QAF+5j`bO7-20Xlro&I/s3A#.xac\0yV"!/\ S`[>--CˎAO&"`% |R=T,F\U0}<9C@+Z (" qPG8TZnǴWF+0R(DM4fZ4BnǰV& PIN^UvčzFźE4S쾑rx)4JɗT9+Ump˂u3P;Вx jP \ft~x vTd yf0Y 07`6\(rfyfw 9It4$W E"Ȭúsx?/8Nޡ!]@.E(P>9>L)xֈѨ$CQ\VmFA@!{)y2؛O-)!G&:Fc{$ m",?Nzՙ ID LHQA(v)%DÈ-J_Z*)\=j9Q,K¬GPhEXPOuudY犫|8/ s&Hw~J,fQhQ 3ހ~O=3<} WxDDUBji.|@m"D0VZH'%CD/rFB-^>iB5]h$ 4ǀkFE6 a=[q?m0|MΣ7nT,Z]m~2Ra;QL Y(dȔ"1n UXzK`l~>:Z9:̕e0x62 eac\0(e $A U*B̭}&/2Q][bATr tŠ  E#(Z8CРGɼP# 'Eh!&3T" ozJLuYV2 <)k֘E DfM 1i*{3?JyN Y@H ^op қ#*zxR2?2?Z)&%J% *9njIH~u7QCJ(0484 Jq P,6:HUGf] )P/Ͱ!3@;OA9 ԍR |[ثbJ"p{! T@,GL4qƑr(#=pIlQWAHc`! F!Z 0C6#_?% e +폺^@cZ jنm+5X T x: H7̟AF3])h/A Ѐ&Mj:̥*C&Uzg. `v–D1D y?jDd 4<  C A?   !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~      !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstuvwxyz{|}~Root Entry  FZ"Q@ Data WordDocument ObjectPool 0QZ"Q_977224750F0Q@QCompObjxObjInfoOlePres000zf  !"$ &FMicrosoft ClipArt GalleryMS_ClipArt_GalleryMS_ClipArt_Gallery9q(All Categories)C:\CLIPART\Logo_mcc.epshb&C.bRb:}Rb&C.b}}Rb0}(All Categories)C:\CLIPART\Logo_mcc.epsC3 Rf )3  t  t&& - !t-C tt(t+ ~|~?0080  000p080`80 0 `0`` `h 0 0 0  0d `4 000!   `d 000 C` 0`0  8C` 0`0  0#` 0`0  p#` h`0?`` `0 ` `0  X ` 00 0X ` 00 `8`  0 `8` 0 `0@`0<` 00000<0~x? ?~0?<p???xxx>xx~ x|xpxx|x>x0xx xx0xxxxxx`xxx x0xxx xxxxxx xxxxxxx8xxxx<x?xxx<x0x0xx<x0x0`xx<xpxp<`xx<<0xx<x0xx<xpxpxxx<x0x0xx|x0x0  xxxxx xxxx@xxxxx xxxx><`xxxx|0>xxx8xxxx~xx??~??? ?? ????????? ?  ???? ???????? ???????? ? ??       ???  ?&&&%fd%MSEPS Preamble [Softek v3.6] /pp_save save def /showpage {} def /s_rebeko 66 dict def s_rebeko begin /pict_box_x1 123 def /pict_box_y1 279 def /pict_box_x2 494 def /pict_box_y2 511 def /scale_the_picture false def /B { { /pict_y1 exch def /pict_x1 exch def /pict_y2 exch def /pict_x2 exch def } stopped not { /scale_the_picture true def } if } def - "- t&%scale_the_picture { /pict_y2 pict_y2 pict_y1 add def /pict_x2 pict_x2 pict_x1 add def /scale_x pict_x2 pict_x1 sub pict_box_x2 pict_box_x1 sub div def /scale_y pict_y2 pict_y1 sub pict_box_y1 pict_box_y2 sub div def /pict_kx pict_x1 scale_x pict_box_x1 mul sub def /pict_ky pict_y1 scale_y pict_box_y2 mul sub def pict_kx pict_ky translate scale_x scale_y scale } if end &%%!PS-Adobe-2.0 EPSF-1.2 %%Creator: FreeHand 3.1 %%Title: 51 (2 Line) %%CreationDate: 8/11/93 12:49 PM %%BoundingBox: 123.2445 278.8116 493.61 511.408 %%DocumentProcSets: FreeHand_header 3 1 %%DocumentSuppliedProcSets: FreeHand_header 3 1 %%ColorUsage: Color %%DocumentProcessColors: Cyan Magenta Yellow Black %%DocumentFonts: Symbol %%+Times-Roman %%DocumentNeededFonts: Symbol %%+Times-Roman %%FHPathName: Macintosh HD:good logos:51 (2 Line) %%EndComments %%BeginProcSet: FreeHand_header 3 0 /FHIODict 30 dict def FHIODict begin /bdf{bind def}bind def /d{setdash}bdf /h{closepath}bdf /H{}bdf /J{setlinecap}bdf /j{setlinejoin}bdf /M{setmiterlimit}bdf /n{newpath}bdf /N{newpath}bdf /q{gsave}bdf /Q{grestore}bdf /w{setlinewidth}bdf /u{}bdf /U{}bdf /sepdef{ dup where not { FreeHandSepDict } if 3 1 roll exch put }bdf /` {false setoverprint end %. FreeHandDict /-save0- save def pop pop pop pop pop concat userdict begin /showpage {} def 0 setgray 0 setlinecap 1 setlinewidth 0 setlinejoin 10 setmiterlimit [] 0 setdash newpath /languagelevel where {pop languagelevel 1 ne{false setstrokeadjust}if}if } bdf /~ {end -save0- restore FreeHandDict begin }bdf /FreeHandDict 191 dict def FreeHandDict begin /currentpacking where{pop true setpacking}if /xdf{exch def}bdf /ndf{1 index where{pop pop pop}{dup xcheck{bind}if def}ifelse}bdf /min{2 copy gt{exch}if pop}bdf /max{2 copy lt{exch}if pop}bdf /isLino statusdict /product get (Lino) anchorsearch{pop pop true}{pop false}ifelse def /dr{transform .25 sub round .25 add exch .25 sub round .25 add exch itransform}bdf /C{dr curveto}bdf /L{dr lineto}bdf /m{dr moveto}bdf /printerRes gsave matrix defaultmatrix setmatrix 72 72 dtransform abs exch abs max grestore def /maxsteps 256 def /calcgraysteps { currentscreen pop exch printerRes exch div exch 2 copy sin mul round dup mul 3 1 roll cos mul round dup mul add 1 add dup maxsteps gt {pop maxsteps} if } bdf /bottom -0 def /delta -0 def /frac -0 def /left -0 def /numsteps -0 def /numsteps1 -0 def /radius -0 def /right -0 def /top -0 def /xt -0 def /yt -0 def /df currentflat def /tempstr 1 string def /clipflatness currentflat def /inverted? 0 currenttransfer exec .5 ge def /level2 /languagelevel where {pop languagelevel 1 ne}{false}ifelse def /colorexists level2 { statusdict/processcolors known {statusdict/processcolors get exec}{1}ifelse 4 eq def } {systemdict/setcmykcolor known def} ifelse /tc1 [0 0 0 1] def /tc2 [0 0 0 1] def /fc [0 0 0 1] def /sc [0 0 0 1] def /concatprocs{ /packedarray where {pop dup type /packedarraytype eq 2 index type /packedarraytype eq or}{false}ifelse { /proc2 exch cvlit def/proc1 exch cvlit def proc1 aload pop proc2 aload pop proc1 length proc2 length add packedarray cvx } { /proc2 exch cvlit def/proc1 exch cvlit def /newproc proc1 length proc2 length add array def newproc 0 proc1 putinterval newproc proc1 length proc2 putinterval newproc cvx }ifelse }bdf /storerect{/top xdf/right xdf/bottom xdf/left xdf}bdf /rectpath{newpath left bottom m left top L right top L right bottom L closepath}bdf /i{dup 0 eq {pop df dup} {dup} ifelse /clipflatness xdf setflat }bdf version cvr 38.0 le {/setrgbcolor{ currenttransfer exec 3 1 roll currenttransfer exec 3 1 roll currenttransfer exec 3 1 roll setrgbcolor}bdf}if /gettint{0 get}bdf /puttint{0 exch put}bdf /vms {/vmsv save def} bdf /vmr {vmsv restore} bdf /vmrs{vmsv restore /vmsv save def}bdf /eomode{ {/filler /eofill load def /clipper /eoclip load def} {/filler /fill load def /clipper /clip load def} ifelse }bdf /CD{/NF exch def{exch dup/FID ne 1 index/UniqueID ne and{exch NF 3 1 roll put} {pop pop}ifelse}forall NF}bdf /MN{1 index length/Len exch def dup length Len add string dup Len 4 -1 roll putinterval dup 0 4 -1 roll putinterval}bdf /RC{4 -1 roll /ourvec xdf 256 string cvs(|______)anchorsearch {1 index MN cvn/NewN exch def cvn findfont dup maxlength dict CD dup/FontName NewN put dup /Encoding ourvec put NewN exch definefont pop}{pop}ifelse}bdf /RF{dup FontDirectory exch known{pop 3 -1 roll pop}{RC}ifelse}bdf /FF{dup 256 string cvs(|______)exch MN cvn dup Fo&%ntDirectory exch known {exch pop findfont 3 -1 roll pop}{pop dup findfont dup maxlength dict CD dup dup /Encoding exch /Encoding get 256 array copy 7 -1 roll {3 -1 roll dup 4 -2 roll put}forall put definefont}ifelse}bdf userdict begin /BDFontDict 20 dict def end BDFontDict begin /bu{}def /bn{}def /setTxMode{av 70 ge{pop}if pop}def /gm{m}def /show{pop}def /gr{pop}def /fnt{pop pop pop}def /fs{pop}def /fz{pop}def /lin{pop pop}def end /MacVec 256 array def MacVec 0 /Helvetica findfont /Encoding get 0 128 getinterval putinterval MacVec 127 /DEL put MacVec 16#27 /quotesingle put MacVec 16#60 /grave put /NUL/SOH/STX/ETX/EOT/ENQ/ACK/BEL/BS/HT/LF/VT/FF/CR/SO/SI /DLE/DC1/DC2/DC3/DC4/NAK/SYN/ETB/CAN/EM/SUB/ESC/FS/GS/RS/US MacVec 0 32 getinterval astore pop /Adieresis/Aring/Ccedilla/Eacute/Ntilde/Odieresis/Udieresis/aacute /agrave/acircumflex/adieresis/atilde/aring/ccedilla/eacute/egrave /ecircumflex/edieresis/iacute/igrave/icircumflex/idieresis/ntilde/oacute /ograve/ocircumflex/odieresis/otilde/uacute/ugrave/ucircumflex/udieresis /dagger/degree/cent/sterling/section/bullet/paragraph/germandbls /registered/copyright/trademark/acute/dieresis/notequal/AE/Oslash /infinity/plusminus/lessequal/greaterequal/yen/mu/partialdiff/summation /product/pi/integral/ordfeminine/ordmasculine/Omega/ae/oslash /questiondown/exclamdown/logicalnot/radical/florin/approxequal/Delta/guillemotleft /guillemotright/ellipsis/nbspace/Agrave/Atilde/Otilde/OE/oe /endash/emdash/quotedblleft/quotedblright/quoteleft/quoteright/divide/lozenge /ydieresis/Ydieresis/fraction/currency/guilsinglleft/guilsinglright/fi/fl /daggerdbl/periodcentered/quotesinglbase/quotedblbase /perthousand/Acircumflex/Ecircumflex/Aacute /Edieresis/Egrave/Iacute/Icircumflex/Idieresis/Igrave/Oacute/Ocircumflex /apple/Ograve/Uacute/Ucircumflex/Ugrave/dotlessi/circumflex/tilde /macron/breve/dotaccent/ring/cedilla/hungarumlaut/ogonek/caron MacVec 128 128 getinterval astore pop /fps{ currentflat exch dup 0 le{pop 1}if { dup setflat 3 index stopped {1.3 mul dup 3 index gt{pop setflat pop pop stop}if} {exit} ifelse }loop pop setflat pop pop }bdf /fp{100 currentflat fps}bdf /clipper{clip}bdf /W{/clipper load 100 clipflatness fps}bdf end%. FreeHandDict end%. FHIODict %%EndProcSet %%EndProlog %%BeginSetup FHIODict begin FreeHandDict begin 123.2445 278.8116 493.61 511.408 storerect rectpath clip newpath /onlyk{false}ndf /ccmyk{dup 5 -1 roll sub 0 max exch}ndf /setcmykcolor{1 exch sub ccmyk ccmyk ccmyk pop setrgbcolor}ndf /setcmykcoloroverprint{4{dup -1 eq{pop 0}if 4 1 roll}repeat setcmykcolor}ndf /findcmykcustomcolor{5 /packedarray where{pop packedarray}{array astore readonly}ifelse}ndf /setcustomcolor{exch aload pop pop 4{4 index mul 4 1 roll}repeat setcmykcolor pop}ndf /setseparationgray{1 exch sub dup dup dup setcmykcolor}ndf /setoverprint{pop}ndf /currentoverprint false ndf /colorimage{pop pop [5 -1 roll/exec cvx 6 -1 roll/exec cvx 7 -1 roll/exec cvx 8 -1 roll/exec cvx /cmykbufs2gray cvx]cvx image} %. version 47.1 on Linotronic of Postscript defines colorimage incorrectly (rgb model only) version cvr 47.1 le isLino and{userdict begin bdf end}{ndf}ifelse /customcolorimage{ colorexists { aload pop pop 4 array astore setimagecmyk currentcolortransfer {ik mul ik sub 1 add}concatprocs 4 1 roll {iy mul iy sub 1 add}concatprocs 4 1 roll {im mul im sub 1 add}concatprocs 4 1 roll {ic mul ic sub 1 add}concatprocs 4 1 roll setcolortransfer /magentabuf 0 string def /yellowbuf 0 string def /blackbuf 0 string def {invbuf dup length magentabuf length ne {dup length dup dup /magentabuf exch string def /yellowbuf exch string def /blackbuf exch string def}if dup magentabuf copy yellowbuf copy blackbuf copy pop}concatprocs {magentabuf}{yellowbuf}{blackbuf}true 4 colorimage } { pop image } ifelse }ndf /separationimage{image}ndf /newcmykcustomcolor{6 /packedarray where{pop packedarray}{array astore readonly}ifelse}ndf /inkoverprint false ndf /setinkoverprint{pop}ndf /overprintprocess{pop}ndf /setspotcolor {spots exch get 0 5 getinterval exch setcustomcolor}ndf /currentcolortransfer{curren&%ttransfer dup dup dup}ndf /setcolortransfer{systemdict begin settransfer end pop pop pop}ndf /getcmyk { dup length 4 eq {aload pop} {aload pop spots exch get 0 4 getinterval aload pop 4 {4 index mul 4 1 roll}repeat 5 -1 roll pop} ifelse }bdf /setimagecmyk{ getcmyk/ik xdf /iy xdf /im xdf /ic xdf }ndf /autospread{pop}ndf /fhsetspreadsize{pop}ndf /fhsetspreadallow{pop}ndf /strokeopf false def /fillopf false def /R{0 ne /strokeopf xdf}bdf /O{0 ne /fillopf xdf}bdf /filler{fill}bdf /F{fc fhsetcolor fillopf setoverprint false autospread gsave /filler load fp grestore false setoverprint}bdf /f{closepath F}bdf /S{sc fhsetcolor strokeopf setoverprint true autospread {stroke}fp false setoverprint}bdf /s{closepath S}bdf /B{fc fhsetcolor fillopf setoverprint gsave /filler load fp grestore sc fhsetcolor strokeopf setoverprint true autospread {stroke}fp false setoverprint}bdf /b{closepath B}bdf /setcolorscreen where{pop}{/setcolorscreen{setscreen pop pop pop pop pop pop pop pop pop}bdf}ifelse /fhsetcolor{dup length 4 eq {aload overprintprocess setcmykcolor} {aload 1 get spots exch get 5 get setinkoverprint setspotcolor} ifelse }ndf /settextcolor{ dup fhsetcolor textblackopf { dup length 4 eq {onlyk{3 get 1.0 eq{true setinkoverprint}if}{pop}ifelse} {pop} ifelse } {pop}ifelse }ndf /ka{/fc xdf}bdf /Ka{/sc xdf}bdf /xa{/fc xdf} bdf /Xa{/sc xdf} bdf /bc2[0 0]def /bc4[0 0 0 0]def /absmax{2 copy abs exch abs gt{exch}if pop}bdf /calcstep { {calcgraysteps}{maxsteps}ifelse tc1 length 4 eq { 0 1 3 {tc1 1 index get tc2 3 -1 roll get sub }for absmax absmax absmax } { bc2 tc1 1 get 1 exch put tc1 gettint tc2 gettint sub abs } ifelse mul abs round dup 0 eq{pop 1}if dup /numsteps xdf 1 sub dup 0 eq{pop 1}if /numsteps1 xdf }bdf /cblend{ tc1 length 4 eq { 0 1 3 {bc4 exch tc1 1 index get tc2 2 index get 1 index sub frac mul add put }for bc4 } { bc2 tc1 gettint tc2 gettint 1 index sub frac mul add puttint bc2 } ifelse fhsetcolor }bdf /logtaper{/frac frac 9 mul 1 add log def}bdf FHIODict begin /origmtx matrix currentmatrix def /iminv false def /invbuf{0 1 2 index length 1 sub{dup 2 index exch get 255 exch sub 2 index 3 1 roll put}for}bdf /cmykbufs2gray{ dup length 0 1 3 -1 roll 1 sub {4 index 1 index get 4 index 2 index get 4 index 3 index get 4 index 4 index get 255 exch sub ccmyk ccmyk ccmyk pop 5 mul exch 45 mul add exch 14 mul add -6 bitshift 2 index 3 1 roll put}for 4 1 roll pop pop pop }bdf end /textopf false def /textblackopf true def /curtextmtx{}def /otw .25 def /msf{dup/curtextmtx xdf makefont setfont}bdf /makesetfont/msf load def /curtextheight{.707104 .707104 curtextmtx dtransform dup mul exch dup mul add sqrt}bdf /ta{1 index {tempstr 0 2 index put tempstr 2 index gsave exec grestore tempstr stringwidth rmoveto 5 index eq{6 index 6 index rmoveto}if 3 index 3 index rmoveto }forall 7{pop}repeat}bdf /sts{settextcolor textopf setoverprint/ts{awidthshow}def exec false setoverprint}bdf /stol{/xt currentlinewidth def setlinewidth settextcolor textopf setoverprint newpath /ts{{false charpath stroke}ta}def exec false setoverprint xt setlinewidth}bdf /currentpacking where{pop false setpacking}if /spots[1 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