Radiologic Technology Student Policy Manual
CYPRESS COLLEGE DEPARTMENT OF RADIOLOGIC TECHNOLOGY DEPARTMENT POLICIES FOR RADIOLOGIC TECHNOLOGY STUDENTS
Reviewed & Revised: December 2025
Policies are subject to change (refer to Trajecsys documents)
PREFACE
The Radiologic Technology Department Student Policy and Procedure manual is reviewed annually by the Department Faculty. Revisions to the department manual are reviewed by the Radiologic Technology Advisory Committee members
CYPRESS COLLEGE MISSION STATEMENT
Updated October 2023
Cypress College transforms lives through lifelong learning with educational opportunities including transfer to four-year institutions, associate degrees, certificates, and a baccalaureate degree. We are dedicated to forging academic and career pathways to support the achievement of our students, enhancing their economic mobility, fostering equity, and enriching society.
RADIOLOGIC TECHNOLOGY PROGRAM MISSION STATEMENT
Revised: 2018, 2023
The Cypress College Department of Radiologic Technology provides a high-quality education that fosters equity and prepares a diverse population of students with the entry-level skills needed to become competent, confident, and fully licensed radiographers. Reviewed: Yearly
PROGRAM PURPOSE
Updated August 2023
The purpose of the radiologic technology program is to prepare graduates who are competent in the art and science of radiography. The graduate of this program receives an associate degree in radiologic technology and is prepared to take the national registry examination by the American Registry of Radiologic Technologists (ARRT).
The primary responsibility of the program is to guide students in achieving their educational goals. The comprehensive curriculum provides broad opportunities for students to develop skills in conceptual understanding, analytical judgment, critical thinking, and the ability to problem solve in the performance of radiologic procedures. Clinical skills are developed that instill appropriate affective growth in providing care and responding to patient needs during imaging procedures.
PROGRAM GOALS AND STUDENT LEARNING OUTCOMES
1. Students will have the knowledge and skills to competently and safely perform radiographic procedures.
a. Students will apply positioning skills in all required radiographic examinations.
b. Students will select appropriate technical factors for radiographic examinations.
c. Students will practice radiation protection for all radiographic examinations.
d. Students will employ proper patient care techniques.
2. Students will develop the skills necessary to communicate effectively.
a. Students will demonstrate oral communication skills with doctors and staff technologists.
b. Students will demonstrate oral communication skills with patients.
3. Students will use critical thinking and problem-solving skills.
a. Students will be able to relate to and anticipate the needs of the doctors and technologists.
b. Students will be able to adjust to changes, situations, patient conditions, and deviation from the normal routine.
4. Students will evaluate the importance of professional development and growth.
a. Students will demonstrate knowledge of ethical requirements for an entry level radiographer along with ethical practices in a healthcare setting.
b. Students will understand their professional obligations upon gaining their ARRT status.
PROGRAM EFFECTIVENESS MEASURES
1. Students will complete the program.
2. Students will pass the national certification exam on the first attempt.
3. Students seeking employment will be gainfully employed within twelve months of graduation.
4. Graduates will be satisfied with their education.
5. Employers will be satisfied with the performance of newly hired technologists.
PROGRAM ACCREDITATION STATUS
The radiologic technology program has programmatic accreditation through the Joint Review Committee on Education for Radiologic Technology. College administrators, hospital personnel, and students may contact the JRCERT at:
JRCERT
20 North Wacker Drive, Suite 2850
Chicago, Illinois 60606-3182
Phone: (312) 704-5300
Fax: (312) 704-5304
E-mail: mail@jrcert.org Web Site: www.jrcert.org
Policy for Allegations of Non-Compliance with the JRCERT Standards
The radiologic technology program director will provide copies of the JRCERT Standards for an Accredited Education Program in Radiology Sciences to all first-year students enrolled in the program. If the student(s) believe that the program is in non-compliance with any of the Standards, the student(s) must follow the “Student grad Procedure” which is listed in the college catalog. The Campus Petitions Committee will notify the JRCERT to determine whether the program is in non-compliance with any of the Standards. If the JRCERT determines that the program is in non-compliance with any of the Standards, it is the responsibility of the program director to make the appropriate changes to be in compliance with the JRCERT. The program director will notify the JRCERT that the appropriate changes have been implemented.
When the JRCERT has determined that the program is in compliance with the Standards, the program director will notify the Campus Petitions Committee that the program is in compliance. All records and documentation will be held in confidence with the Campus Petitions Committee.
CLINICAL COORDINATOR – RADIOLOGIC TECHNOLOGY
Qualifications:
1. Shall have a valid unlimited license, CRT, from the California Department of Health Services.
2. Shall be registered, in good standing, in radiography by the American Registry of Radiologic Technologists.
3. Shall document a baccalaureate degree or suitable educational equivalent.
4. Shall document a minimum of two years of experience as an instructor in an accredited radiography program.
5. Shall document the equivalent of five years of full time professional experience as a radiographer.
6. Shall possess proficiency in curriculum development, supervision, instruction, evaluation and counseling.
7. Shall possess a valid California Fluoroscopy Permit.
Responsibility
1. Maintain open lines of communication with the program director.
2. Development of the program’s curriculum to assure that the JRCERT Standards and the California State minimum standards are met.
3. Promote the public relations aspect of the Cypress College radiologic technology program with all clinical personnel.
4. Provide for student counseling.
5. Maintain current student records.
6. Maintain and encourage valid evaluation of each student by the clinical education supervisor.
7. Maintain weekly clinical visitations for the purpose of consultation with radiologists, department managers, education supervisors, and staff, including student observation and evaluation.
8. Develop and revise student performance objectives to assure valid clinical learning experiences and performance standards.
9. Maintain surveillance of each education center regarding its validity as a part of the training consortium (i.e., numbers of students, rotational scheduling, patient exam load, etc.).
12. Encourage all clinical personnel to become student oriented as well as development of teaching skills.
13. Review the student clinical manual annually and make recommendations and revisions.
14. Maintain weekly hospital visitation reports.
15. Provide for competency-based performance objectives and evaluations.
16. Assurance that students are adequately prepared for the assigned clinical duties.
17. Maintain clinical education supervisor release time.
18. Duties include the responsibilities of didactic instructor.
19. Evaluate and observe student clinical performance during hospital visits.
20. Coordinate student rotational schedule so that the student will be able to complete the clinical timeline for competency of procedures and successfully complete the program.
21. Report all student injuries to the district risk manager within an appropriate time. Report to the district risk manager any patient injury that has occurred due to the student.
CLINICAL INSTRUCTOR (Preceptor) – RADIOLOGIC TECHNOLOGY PROGRAM
Duties and Responsibilities
1. Demonstrates knowledge of program goals, clinical objectives, and clinical evaluation system.
2. Provides students with appropriate and adequate clinical supervision, both direct and indirect in accordance with documented student competencies.
3. Provides student with appropriate and adequate clinical instruction.
4. Performs clinical progress, to include quarterly evaluations, and competency evaluation for each student assigned to their supervision.
5. Exhibits a positive professional attitude toward the student and the teaching profession.
6. Participates in continuing education to improve and maintain competency evaluation and professional skills.
7. Meets regularly with the college clinical coordinator to communicate student progress, strength, and weaknesses.
8. Assists in maintaining effective and well documented student clinical records in a timely manner.
9. Provides a positive role model for students.
10. Maintains confidentiality in accordance with program policies.
11. Participates in meetings and serves on the advisory committee.
Qualifications:
1. Graduate of a JRCERT accredited program in radiologic technology.
2. Valid certification with the American Registry of Radiologic Technologists.
3. Valid certification, unlimited practice, with the California Department of Health Services, Radiologic Health Branch.
4. Must have valid California Fluoroscopy Permit.
5. Shall document the equivalent of three years full time experience in diagnostic radiology.
6. Shall document proficiency in teaching methodologies.
7. Shall document at a minimum an associate degree or suitable educational equivalent.
HEALTH STATEMENT
The following statements identify the “Technical Precepts”, manipulative or sensory functions, appropriate to the profession of Radiologic Technology.
The Radiologic Technologist Student must:
Have sufficient strength, motor coordination, manual dexterity, mental or intellectual capacity, and sensory function to be able to:
1. Transport, move, lift, or transfer patients from a wheelchair or litter to an x-ray table, examination table, or to a patient bed with unlimited physical restrictions.
2. To maneuver a totally helpless adult to the side of a bed and to turn and position the patient.
3. To physically maneuver and support a helpless adult.
4. To extend the neck, lifting arms above the head and move the x-ray tube crane assembly approximately 750 lb. (moving weight).
5. Move, adjust, and manipulate a variety of radiographic equipment, including the physical transportation of portable x-ray, fluoroscopic and/or sonographic equipment in order to arrange the equipment and align it properly with respect to the patient and the image receptor according to the established procedures and standards of speed and accuracy.
6. Maneuver well enough to physically protect himself or herself from possible injury caused by emotionally disturbed or mentally challenged patients.
7. Physically place patients in the proper positions for the examination according to established procedure and standards of speed and accuracy.
8. Respond rapidly to situations involving health and safety of patients, providing physical and emotional support to the patient during radiographic and sonographic procedures requiring first aid and emergency care in the absence of or until the physician arrives.
9. Handle stressful situations related to technical and procedural standards of patient care situations.
10. Hear well enough (average of 30 decibels for both ears) to respond to directions or calls for help from individuals remote from the location of the student.
11. Communicate verbally in an effective manner in order to explain and direct patients as it relates to their examination.
12. Calculate and select proper technical exposure factors according to the individual needs of the patient and the requirements of the procedure with speed and accuracy.
13. View and evaluate the recorded images of a radiograph or sonogram for the purpose of identifying proper patient positioning, accurate procedural sequencing, proper radiographic exposure, and other technical qualities.
14. Full range of motion in both arms. No physical restrictions with upper and lower body movement.
15. Radiologic technology students must be able to stand and/or sit for length periods of time while doing procedures.
16. Radiologic technology students must have good eyesight, such as visual acuity, accommodation, and depth perception.
STUDENT HEALTH POLICY
Updated June 2017
All radiologic technology students admitted to the program are required to submit a medical examination of their health, by a licensed California physician, which includes laboratory tests certifying freedom from communicable disease. These tests conform to the policies of clinical areas utilized for student education. In addition, the physical provides an evaluation of the student’s ability to pursue his/her educational goals in relation to his/her health and the demands of the clinical environment. Contact Student Health and Wellness Center for information regarding physician’s examination and laboratory tests or see your family physician. Forms for physicals may be obtained from the department of radiologic technology. Send all completed records to the program director, department of radiologic technology for review of compliance. Medical records are confidential. Records will be filed in the department when complete.
Immunizations
The tests listed below are required for all students prior to clinical rotation:
Tuberculin Test 2 Step TB test or IGRA/QuantiFERON Gold Test. Diagnostic test for tuberculosis is required annually. Positive reactions will be referred for chest x-ray and follow up.
HB5AG Test for Hepatitis-B viral disease affecting the liver, contracted through blood products.
Anti HB5 Antibody test for immunity to Hepatitis B.
RPR Diagnostic test for Syphilis. Reported as reactive or nonreactive.
Rubeola Titer/Rubella Titer Test for immunity to measles and Rubella. If you have no immunity, you will be required to be vaccinated with “MMR”. You may also choose to be revaccinated and skip the titers. May be obtained free from the Student Health Services.
CBC Complete Blood Count.
Urinalysis An analysis of the components of the urine.
MMR You must prove that you are immune by titer or be vaccinated. Hospitals are requiring this test of their employees due to a measles epidemic.
Heptovax or Recombovax May be obtained at Public Health or Student Health and Wellness Center. Call (714) 484-7361
Tdap One Tdap documented in last 5 years.
Flu shot Yearly
Drug Screen… Some hospitals require a recent drug test from the student assigned.
Vaccinations may be obtained at the Student Health Services. MMR and Tetanus are given, at no charge. There is a fee for Hepatitis Vaccine. Students who have contra-indications to these vaccinations should present a physician’s letter. Some hospitals require drug screening.
Student Health Records (FERPA)
Approved February 2005
The Family Education Rights and Privacy Act (FERPA), not the Health Insurance Portability and Accountability Act (HIPAA), governs how campus health services may share student information with other parts of campus, according to a Department of Health & Human Services letter. Peter K. Chan, former regional manager of the DHHS Office for Civil Rights, noted in an October 2004 letter that “health records maintained by a school and directly related to the student (such as those in a school clinic) are considered to be education records under FERPA” and therefore not covered by HIPAA restrictions. Chan wrote the letter in response to a Harvard student’s complaint that Harvard violated HIPAA privacy rules when a school psychologist disclosed information about her to the Deans of Harvard’s summer school. For more information on FERPA, go to https://studentprivacy.ed.gov/ .
There are a number of clinical education center who require copies of the completed student health record. According to the above statement, student records sent to the clinical education center will not be in violation of HIPAA regulations.
Policy For Emergency Care of Students in Clinical Centers
Revised May 2017, May 2018
RISK MANAGEMENT
Procedure for Filing a Claim (Section 3b)
Contact: Tami Oh – District Director, Risk Management
Office Phone number: 714-808-4779
AFTER-HOURS (24/7) CONTACT Number: 714-412-9760
1. If injury is life-threatening, CALL 911.
2. If the injury is not life-threatening, call the Company Nurse at 1-888-770-0929, search code NOCCCD. A registered nurse will assess the severity of the injury and determine if medical treatment is required or provide instructions on self-care. If medical treatment is required, you will refer to one of the designated medical offices listed below (except for cumulative trauma injuries such as repetitive motion injury). Please note that the invoice for medical treatment with non-approved physicians will not be honored under the District’s Workers’ Compensation benefit program. Therefore, it is critical that the injured student is provided with accurate information. If you need to make a direct referral, please contact the district director, risk management. Refer the student to a facility that is closest or most convenient for the student. Please read carefully.
• Southern California Immediate Medical Center – La Mirada
(562) 802-0208
15330 Valley View Ave., #1, La Mirada, CA 90638
Located on Valley View Ave., north of Alondra Blvd., between Alondra and Gannet St., next to Ortho Mattress, Inc.
If the student is unable to drive due to the injury, a shuttle service to and from this center is available at no cost for the first visit.
• Concentra-La Palma (Open 24 hours, 7 days a week)
(714) 522-8020
40 Centerpointe Drive, La Palma, CA 90623
Located between Walker and Valley View Avenue on the north side of Orangethorpe Ave.
If the student is unable to drive due to the injury, call the center number and choose option #1 to speak to a staff at this location. A free taxi service is available for the first visit.
• ***Healthpointe Medical Group, Inc. & So. Cal Orthopedic Sports Medicine Center – La Mirada (Open 24 hours, 7 days a week)
(562) 921-0341
16702 Valley View Avenue, La Mirada, CA 90638
Located north of Artesia Blvd. and S. of 5 Fwy., on the east side of Valley View Avenue, inside an office park.
• ***Healthpointe Medical Group, Inc. & So. Cal Orthopedic Sports Medicine Center – Anaheim (Open M-F only, 8 a.m. – 6 p.m.)
(714) 956- 0803
1717 E. Lincoln Avenue, Anaheim, CA 92805
Located on north side of E. Lincoln Ave., between N. East St. and State College Blvd.
• First Care Industrial Med Center (***Healthpointe Medical Group, Inc. & S. Cal Orthopedic Sports Medicine Center) – Garden Grove (Open 24 hours, 7 days a week)
(714) 903-1100
7052 Orangewood Ave #6, Garden Grove, CA 92841
Located on the corner of Knott Ave. and Orangewood Ave.
***For Healthpointe Medical Group locations only: If the student is unable to drive due to the injury, a shuttle service to and from the medical facility is available at no cost for the first visit.
Other medical facilities EPO: If the listed facilities are not convenient, there are other medical facilities available within the District’s Exclusive Provider Organization (EPO). This program offers more choices for medical services for those students who are seeking alternate medical providers. To locate additional medical providers in the EPO, please refer student to the website at: https://hazelriggclaims.com/nocccdepo
• If the student refuses medical treatment, please complete the Refusal of Medical Treatment form
3. Provide the student with Employee’s Claim for Workers’ Compensation Benefits (DWC-1) form within 24 hours of knowledge of an injury/illness (along with all other forms in the Injured Employee’s Packet, which can be found on the district website or in MyGateway/District Forms tab/ Risk Management/Workers’ Compensation folder) in order to be compliant with the State requirement. Document the specific forms given and the date the forms were provided to the student. If the next day is a weekend or a holiday, please mail the claim form, or send it electronically.
a. If the injury warranted only one treatment, it is considered as a First Aid claim, and the student needs to complete only the Injured Employee’s Account of Injury/Illness form.
b. If the injury requires continued care beyond the first visit, then the student must complete the claim form in order to receive worker’s compensation benefits. Please encourage the student to return the completed forms to the district director, risk management immediately, if he/she wishes to pursue benefits under the district WC program. Delay in reporting a work-related injury/illness or in the filing of claim forms may jeopardize workers’ compensation benefits or delay the processing of the claim.
4. Notify the District Director, Risk Management immediately of any reported injury/illness at (714) 808-4779 office; (714) 412-9760 cell (24/7 contact number); or send e- mail to toh@nocccd.edu
5. Complete Manager’s Injury/Illness/Incident Report for every work-related injury, however minor the injury seems to be, for all students. Timely completion assists in the determination of whether a hazard exists that needs to be addressed promptly to alleviate further incidents. The completed form should be returned to the Risk Management office within 72 hours of the injury/illness. Please be sure to include any pertinent information you are aware of that can assist in determining if the claim is eligible for benefit, or if additional information is necessary for evaluation.
6. Temporary Total Disability (TTD) – Notify Risk Management when the student is medically unable to work (medical release must be submitted by the treating physician) and again when the student is medically released to return to work (release to return to work must be submitted by the treating physician prior to allowing the student to return to the workplace).
7. Return to Work – If the student returns to work with restrictions, each department must attempt to accommodate the restrictions of an injured worker. The duration of modified duty may vary depending upon the district’s business needs. For temporary accommodation, use the Modified Duty/Transitional Duty form to document. If you are not able to accommodate, please contact the risk management office immediately.
8. Designation of Personal Physician – Students have the right to seek the services of their personal physician for a work-related injury if they have an Employee’s Request for Pre- Designation of Physician form on file with the district office prior to an injury/illness. In the event of an emergency, the district retains the right to direct the student to the closest emergency facility available. Refer any inquiries regarding this matter to the district director, risk management.
9. Remind all students that it is the responsibility of the injured student to report all injuries/illnesses (no matter how minor) to their Clinical Coordinator and Clinical Instructor immediately.
Student Patient Contact
Students will be taught standard precautions to prevent transmission of Hepatitis and HIV from hospital patients to health care workers. They will be expected to learn and carry out procedures following the recommendations of the Center for Disease Control, Atlanta, Georgia for the protection of themselves and their clients. Accidental needle sticks and contamination by body fluids will be discussed, by instructors, in relation to reporting, treatment and follow up. Strict compliance is mandatory.
Communicable Disease Control
Updated June 2017
Communicable disease control is authorized and required by:
1. Education Code of California, section 76020
2. California Code of Regulations, Title 17
The Student Health and Wellness Center of Cypress College are charged by the statutes to identify and report specific diseases and conditions to Orange County Department of Communicable Disease Control and Epidemiology. The Student Health and Wellness Center does counseling/referral and advise students of legal requirements. Section 2508 of the California Code requires reporting of Communicable Disease by school officials.
Section 76020. Habits and Disease.
The governing body of any community college district may exclude students of filthy or vicious habits, or students suffering from contagious or infectious diseases.
The governing board of the community college may exclude from attendance on regular classes any student whose physical or mental disability is such as to cause his or her attendance to be inimical to the welfare of other students.
GUIDELINES FOR MAINTENANCE OF LABORATORY AREAS, SUPPLIES, AND EQUIPMENT
The following rules apply to the classroom and laboratory
Classroom
1. Upon entering the classroom, the classroom will be sufficiently illuminated. Obstacles that could endanger physical safety will be removed.
2. There will be no eating or drinking in the laboratory.
3. Chairs and classroom furniture should be placed in logical order at the end of the class period.
Laboratory Rooms (Live X-ray Equipment)
In order to facilitate maximum safety and/or quality control when utilizing the x-ray lab facilities, the following procedures shall be followed:
1. Laboratories in room 309 are under the control of the instructor.
2. Instructor will provide students with a copy of safety laboratory objectives.
3. All activities in the laboratories will be supervised by a CRT instructor.
4. No exposures will be made to a student in the x-ray room. All exposures are to be made with phantoms only.
5. The instructor must be present in the classroom/laboratory when exposures are being made by students.
6. All students will wear radiation badges appropriately during all laboratory sessions.
7. Instructors will observe all radiation safety policies.
8. Malfunction of equipment will be reported directly to the department director/coordinator verbally or in writing.
9. At the end of the lab session, the x-ray rooms will be left in an orderly fashion.
a. Phantoms will be stored appropriately.
b. Accessory items will be placed or stored appropriately.
c. X-ray machines will be turned off.
CALIFORNIA RADIATION CONTROL REGULATIONS – EQUIPMENT
Students who utilized all radiographic and Fluoroscopic Image Intensification equipment that are located on campus, Health Science Building – Room 309, and in the clinical education centers, will comply with all applicable radiation protection sections pertaining to the California Code of Regulations, Title 17.
ACADEMIC HONESTY POLICY
Revised March 2025
Students are expected to abide by ethical standards in preparing and presenting material which demonstrates their level of knowledge, and which is used to determine grades. Such standards are founded on basic concepts of integrity and honesty. Students will follow the Academic Honesty Policy which is located in the Cypress College Catalog.
Any instances of cheating, plagiarism, falsifying official documents, or engaging in other forms of dishonesty will not be tolerated. Such actions will be promptly reported to the Dean of Health Science, the Dean of Counseling and Student Development, and the Charger Assessment Team (ChAT). Violations of these integrity standards will result in immediate expulsion from the Radiologic Technology Program, with no eligibility for re-entry.
STUDENT SUPPORT SERVICES:
Updated December 2025
A list of Student Support Services is found in the Schedule of Classes.
1. Disability Support Services (DSS)
A student who feels he or she may need an accommodation based on the impact of a disability should contact Disability Support Services or visit DSS on the first floor of the Cypress College Complex. For students who have already been determined eligible for DSS services, please provide the instructor with the proper form from DSS in a timely manner, at the beginning of the semester and at least one week prior to the verified and identified need. Additionally, to ensure the health and safety of all students, those who feel they may need evacuation assistance in the event of an emergency should speak with me as soon as possible. Normal hours of operation are IN-PERSON Monday-Thursday 8:00 a.m.-6:00 p.m., and VIRTUALLY Monday-Thursday 8:00 a.m.-6:00 p.m. and Friday 8:00 a.m.-5:00 p.m. Phone: (714) 484-7104, Video Phone: (657) 777-4208, Email: dss-students@cypresscollege.edu, Virtual Chat: https://cypress.craniumcafe.com/disabilitysupportservicesfrontcounter
ACCESSIBILITY: In accordance with federal laws, including the Americans with Disabilities Act (ADA) and Sections 504 and 508 of the Rehabilitation Act, every effort was made to make this course accessible to all students. If you encounter a problem accessing anything in this course or require an academic adjustment based on the impact of a disability, please contact Disability Support Services (DSS)
2. Health Center
The Health Center is available to registered students and is located on the first floor of the Gymnasium II Building. Normal hours of operation are Monday-Thursday 8:00 a.m.-5:00 p.m. and remote Friday, 8:00 a.m.-12:00 p.m. Mental Health Telehealth appointments are also available Tuesday-Friday 5:00 p.m.–9:00 p.m. Phone: (714) 484-7361, Email: healthcenter@cypresscollege.edu
3. Library & Learning Resource Center (LRC)
The library is located on the second floor of the Library/Learning Resource Building, the LRC is on the first floor. Normal hours of operation are Monday-Thursday, 9:00 a.m.-6:00 p.m. The library is closed on Friday, Saturday, Sunday, and holidays. Text: (657) 214-4639, Phone: (714) 484-7125, Email: librarian@cypresscollege.libanswers.com, Zoom Appointments: https://cypresscollege.libcal.com/appointments
4. Advisement & Counseling: Students are encouraged to meet individually with a Health Science counselor to confirm eligibility for admission, verify completion of all required foundation coursework, evaluate transfer credit, and review progress toward fulfillment of program requirements, including identification of any outstanding academic or administrative items. The webpage for counselors and their e-mail addresses are located under Counseling on the Cypress College website at https://www.cypresscollege.edu/services/counseling/online-counseling/.
TITLE IX: Title IX is a federal law that prohibits sexual harassment and discrimination in any educational program or activity. At Cypress College, we are committed to providing an inclusive and equitable environment. If you experience any form of sexual harassment, discrimination, or misconduct, please contact the Title IX Coordinator at https://www.cypresscollege.edu/title-ix-at-cypress-college.
CHARGER ASSESSMENT TEAM (ChAT): Cypress College’s ChAT is dedicated to fostering the well-being and safety of our campus community. ChAT provides assistance to students experiencing distress or exhibiting concerning behavior. If you notice another student who may need help, please submit a referral to ChAT at http://www.cypresscollege.edu/chat. For immediate concerns involving threatening behavior or imminent danger, contact 911 and Campus Safety at (714) 484-7387.
BACKGROUND CHECK
Approved February 2005. Revised October 2023, May 2024
To meet the background check standards set forth by the Joint Commission, all students who are admitted into the radiologic technology programs will provide the program director/clinical coordinator with an appropriate background check. The background check is an applicant (student) funded service, in which the student must pay the appropriate fee. The student will be provided with an application to www.self-check.com, with the letter of acceptance into the program. The student background check must be completed and returned to the program director by the second week of August, which is prior to the start of the fall semester. The student will complete the application with fees either by mail or by processing through the web site of www.self-check.com
CPR CERTIFICATION POLICY
Students are required to have a valid American Heart Association CPR (BLS Provider) certification card at the start of the Externship and/or clinical training. The student will present a copy of their valid CPR card to the clinical coordinator and the clinical instructor prior to the start of the first day of clinical training. The student must maintain their CPR certification for the duration of clinical training. However, depending on the hospital policy, the student may be required to re- certify the CPR card annually at the facility that the student is assigned to. Failure to secure and maintain a valid CPR certification card will result in dismissal from the clinical facility until the student has successfully completed the CPR re-certification class. Extended time off from the clinical experience may result in a failing grade for the Externship and/or an extension of clinical training for the Internship which may result in a delay in the student’s eligibility to take the National ARRT examination.
PROFESSIONAL CONDUCT
1. Professional behavior is expected of all students, especially in the presence of patients and hospital staff.
2. Use of cell phones, either to talk or text, is prohibited during class and clinical training.
3. Smoking (in restricted areas), chewing gum, whistling, clowning, and horseplay are prohibited during clinical and classroom hours.
4. Students will not leave the radiology department without permission from their immediate education supervisor.
5. Students will not accept gratuities from patients.
6. Students will address all patients by their proper names.
7. Students will adhere to the Code of Ethics of the American Society of Radiologic Technologists.
8. Students shall adhere to the California Department of Health Services, Radiologic Health Branch, “Rules of Good Practice for Supervision and Operation of Medical Radiographic Equipment”. Student restrictions include:
a. Taking radiographs without being adequately supervised.
b. Exposing human beings to x-rays without an order (prescription) from a licentiate of the healing arts. Order of prescription may be a “standing written order” or a verbal order followed by a written prescription for x-ray examination.
c. Operating an x-ray machine without having proven that he/she can operate the particular equipment safely and effectively.
d. Taking x-rays that expose gonadal areas without using a gonadal shield.
e. Interpreting or making a diagnosis based on any radiograph.
f. Reporting on any diagnosis to a patient, except as ordered by a licentiate of the healing arts.
g. Performing venipuncture or arterial puncture or the administration of contrast materials.
h. Performing procedures not specifically authorized. Students have a temporary certificate for training purposes only. Students shall only operate x-ray equipment at the assigned clinical education center.
i. Using any title or designation indicating or implying the right to practice any of the healing arts.
j. Students shall not operate fluoroscopic equipment during exposure of a patient to ionizing radiation without direct supervision by a licensed CRT in fluoroscopy.
k. Students shall not perform mobile radiography without direct supervision.
ASRT CODE OF ETHICS
The ASRT Code of Ethics shall serve as a guide by which registered technologists and students may evaluate their professional conduct as it relates to patients, health care consumers, employers, colleagues, and other members of the health care team. The Code of Ethics is intended to assist Registered Technologists and students in maintaining a high level of ethical conduct and in providing for the protection, safety, and comfort of patients.
1. Radiologic technologists shall conduct themselves in a professional manner, responds to patient needs and supports colleagues and associates in providing quality care.
2. Radiologic technologists shall act to advance the principal objective of the profession to provide services to humanity with full respect for the dignity of mankind.
3. Radiologic technologists will deliver patient care and service unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination regardless of sex, race, creed, religion, or socioeconomic status.
4. Radiologic technologists will practice technology founded upon theoretical knowledge and concepts, utilize equipment and accessories consistent with the purposes for which they have been designed, and employs procedures and techniques appropriately.
5. Radiologic technologists shall assess situations, exercises care, discretion and judgment, assume responsibility for professional decisions, and act in the best interest of the patient.
6. Radiologic technologists shall act as an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment management of the patient and recognize that interpretation and diagnosis are outside the scope of practice for the profession.
7. Radiologic technologists shall utilize equipment and accessories, employ techniques and procedures, perform services in accordance with an accepted standard of practice, and demonstrate expertise in minimizing the radiation exposure to the patient, self and other members of the health care team.
8. Radiologic technologists shall practice ethical conduct appropriate to the profession and protect the patient’s right to quality radiologic technology and sonography care.
9. Radiologic technologists shall respect confidence entrusted in the course of professional practice, respect the patient’s right to privacy, and reveal confidential information only as required by law or to protect the welfare of the individual or the community.
10. Radiologic technologists shall continually strive to improve knowledge and skills by participating in educational and professional activities, sharing knowledge with colleagues and investigating new and innovative aspects of professional practice. One means available to improve knowledge and skill is through professional continuing education.
GROUNDS FOR DISMISSAL
Revised October 2023
Any instances of cheating, plagiarism, falsifying official documents, or engaging in other forms of dishonesty will not be tolerated. Such actions will be promptly reported to the Dean of Health Science, the Dean of Counseling and Student Development, and ChAT. Violations of these integrity standards will result in immediate expulsion from the Radiologic Technology Program, with no eligibility for re-entry.
Additionally, the following actions are considered violations of academic and behavioral conduct. Such violations will result in a deficiency notice indicating unsatisfactory performance and may also lead to immediate expulsion from the radiologic technology program, making the individual ineligible for re-entry.
1. Indifferent attitude toward patient care and insubordination toward supervisors, hospital staff, and physicians. Not following instructions or department protocol/procedures.
2. Failure to abide by the hospital dress regulations. Students must adhere to appropriate grooming and personal hygiene.
3. Poor clinical/classroom attendance.
4. Prolonged un-excused absences or chronic tardiness.
5. Repeated failure to phone the hospital education supervisor and clinical coordinator when unable to attend classroom/clinical training at the appointed time.
6. If the personality of the student is incompatible with the care and handling of patients.
7. If there is a breach of personnel rules and regulations of the clinical education center and/or college.
8. Reporting to the clinical education center or classroom under the influence of un- prescribed drugs and/or alcohol.
9. Failure to abide by the professional code of Ethics of the American Society of Radiologic Technologists.
10. Failure to abide by the clinical education center’s training schedule, to include adherence to appropriate 30-minute lunch/dinner breaks and 10-minute rest breaks.
11. Stealing hospital supplies and drugs.
12. Being unsafe and negligent by irradiating the wrong patient and/or performing the wrong patient examination.
13. Sexual harassment and/or sexual assault toward patients, hospital personnel, and other students.
14. Lack of retention of the clinical competencies. Repeated failure to follow instructions. An unsafe activity with a patient.
15. Inappropriate and /or unprofessional behavior demonstrated in the classroom and the clinical facility.
16. Sexually explicit and derogatory statements made toward: the patient; the hospital staff; and other students which are objectionable.
17. Operating the Fluoroscopic Image Intensification System, either stationary or mobile, to ionize the patient without direct supervision of a licensed CRT radiographer. The student who uses fluoroscopy for positioning of the patient for imaging purposes will be immediately dismissed from the program.
18. Performing venipuncture and/or administering contrast media either manually or by utilizing a mechanical injector outside the classroom. Venipuncture will be performed in the classroom under direct supervision.
19. When the student’s repeat/reject rate does not improve over the course of clinical training. A high repeat/reject rate during and after the second quarter of clinical training, RADT 255, is unsafe and unnecessarily irradiates the patient.
20. Any violations of student conduct listed in the College Catalog and the Cypress College Student Handbook.
21. Failure to comply with the clinical supervision and Repeat Procedures Policy.
22. Failure to comply with the Mobile/Portable Radiography & Fluoroscopy policy.
23. Students must maintain a minimum grade of “C” in all required radiologic technology and sonography courses to include all support courses listed in the curriculum in order to progress in the program.
24. Use of a cell phone during class or clinical training. Cell phone use is limited to break and lunch time.
25. Performing repeat images without direct supervision.
26. Performing portable exams without direct supervision.
Students who are dismissed from a clinical education center will not be transferred to another clinical education center nor will the student be considered for re-entry at a later date. The student(s) will receive a “W” grade if the dismissal is prior to the last day to withdraw with a W. An “F” grade will be assigned if the dismissal occurs after the last day to withdraw of the semester.
RE-ENTRY POLICY
Revised May 2013
Academic and Clinical Failure
Students with a clinical or class failure or dismissal are ineligible for re-entry to the program.
Withdrawal
Students who have withdrawn from a course or program due to: pregnancy, illness, family crisis, financial difficulty, or similar extenuating circumstances will be given special consideration for re-entry requests. However, a pre-determined number of clinical assignments could prevent the student from re-entry if all the clinical assignments are filled. Students shall not be eligible for re-entry to the program after two (2) withdrawals from any course in the program. Request for re-entry will be made by a letter to the program director for consideration. The letter must be written and submitted to the program director at least 12 weeks prior to the requested re-entry date. The written request should indicate actions the student has taken and/or conditions which have changed which would now lead toward successful continuation in the program. Supporting documents for the withdrawal are to be included in the request along with a plan of action on how the issue that caused the withdrawal was resolved.
The re-entry request can be emailed to the program director or sent to radiologic technology program director, Health Science Division, 9200 Valley View Street, Cypress, CA 90630.
The program director, program faculty, and selection committee will determine if re-entry will be granted. A re-entry request will only be considered once. The request for re-entry has to be within one year of the withdrawal date or the student is not eligible for re-entry.
Space Availability
Approved February 2005
Space availability in the program is determined by the annual student capacity of each hospital which is approved by the Joint Review Committee.
DEFICIENCY NOTICE POLICY
The deficiency notice form is to be completed with appropriate information in order to inform the students of their unsatisfactory performance or undesirable conduct. The following is a list of unsatisfactory or undesirable performances.
1. Unexcused absence or chronic tardiness.
2. Any violation of student conduct which is identified in the college catalog and Cypress College student handbook.
3. Classroom and clinical performance are below satisfactory.
4. Unprofessional conduct which is identified in the Department Policy Manual.
5. Any infringement that may lead to dismissal which is identified in the Department Policy Manual.
6. Unethical conduct which is identified in the Department Policy Manual.
7. Insubordinate and disrespectful attitude toward faculty and/or clinical staff.
8. Offensive personal hygiene.
9. Failure to progress according to the clinical timeline established in the Department Policy Manual.
10. Noncompliance with the academic honesty policy which is listed in the college catalog and the Cypress College Student Handbook.
11. Noncompliance with the classroom/laboratory protocol as identified in the Department Policy Manual.
12. Failure to notify the college clinical coordinator or college faculty of any type of clinical training related injury to oneself and/or the patient.
13. Noncompliance with the radiation monitoring policy which is listed in the Department Policy Manual.
14. Noncompliance with the Health Science Division’s Standard Precautions regarding infectious diseases.
15. Falsifying records, documents, clinical time sheets, exam logs and/or clinical evaluations.
16. Inappropriate communication, either written, verbal, or through any telecommunication system, that would be considered threatening, harassing, and/or discriminating to the faculty, clinical staff, and/or students.
17. Failure to maintain clinical competencies which will result in an increased repeat rate as identified in the Department Policy Manual.
18. Any conduct which would be considered unsafe to patients, clinical staff, and/or student(s).
19. Any breach of patient confidentiality.
20. Operating the fluoroscopic image intensification system without direct supervision by a licensed CRT.
21. Performing venipuncture and administering contrast media outside the classroom.
22. Noncompliance with the Clinical Supervision & Repeat Procedures policy.
23. Performing mobile/portable radiographs without direct supervision.
CYPRESS COLLEGE
DIVISION OF HEALTH SCIENCE
DEFICIENCY NOTICE
DATE:
STUDENT:
COURSE:
Your performance at the present time is not satisfactory.
Your attendance at the present time is not satisfactory.
INSTRUCTOR’S COMMENTS:
COURSE OF ACTION:
STUDENT COMMENTS:
INSTRUCTOR SIGNATURE STUDENT SIGNATURE
DRESS REGULATIONS – CLINICAL AREAS
Approved November 2010, Revised 2018
Grooming: Students in uniform are expected to demonstrate professionalism at all times. The students will adhere to the following dress regulations:
a. Clean and wrinkle free approved scrub attire, acceptable personal hygiene, such as, deodorant, antiperspirant, will be worn at all times during clinical training. No perfumes are allowed. Approved scrub attire is dictated by the training facility. The scrub uniform consists of a top and pants. Due to hospital dress code regulations no skirts or dresses are allowed.
b. Clean, closed toe shoes are to be worn with socks.
c. Approved scrub jacket or lab coat may be worn over scrub uniform.
d. The student will maintain clean hands and fingernails. (see fingernail policy)
e. Neat and clean hair styles are to be worn. Long hair has to be secured behind shoulders.
f. Sideburns and beards (where allowed) should be well-trimmed and clean.
g. No chest hair is to be seen above the scrub top neckline. Therefore, a T- shirt may be worn under the scrub shirt.
h. Excessive jewelry or makeup is not permitted.
i. All tattoos are to be covered and not visible.
j. Hair should be of a natural color.
k. Any piercing other than one in the earlobes are not to be worn. No tongue rings are allowed. Large earlobe piercing such as plugs are not allowed. When earrings are worn, only post-type is allowed. Earrings may not extend farther than the earlobe itself. Some hospital policies may prohibit male students from wearing jewelry.
l. Name tag and radiation dosimetry badge are to be worn daily. The student will have image markers with them at training. If the student arrives to training without any one of these items, then the student is to be sent home to retrieve them. Time will be deducted from training.
There are clinical facilities which require the student to purchase uniforms that are common to that particular radiology department. Students are responsible for purchasing any uniforms that are required by the education center/hospital.
Students that do not meet the criteria for proper dress code regulations will be dismissed from the facility until compliance with the dress code is established. The student will lose clinical hours. According to the Cypress College radiology policy, there is NO make-up time for hours lost.
Fingernail Hygiene Policy
Approved May 2004, Revised 2018
To promote patient safety, protection, and infection control across the continuum of care related to healthcare worker’s fingernails, both artificial and natural, the following standards have been established for all radiologic technology students.
1. No artificial fingernails (any non-natural overlay, wrap, or other additions applied to natural nail) or nail applications (any charms, jewels, stickers, rhinestones, etc. applied to the nail) may be worn during patient care activities.
2. Natural fingernails will be maintained at a professional length (the measurement of the fingernail as it extends beyond the fingertip viewed from the palmar surface of the hand).
3. Fingernail polish is prohibited: Any product applied to fingernails that can later be removed. (includes nail polish, Nailtiques, Pronail, Hard as Nails, etc.)
4. All students will comply with the Fingernail Policy.
HOSPITAL ORIENTATION
Approved October 2011
JRCERT Standard 4.4.
Students must be cognizant of clinical policies and procedures including emergency preparedness and medical emergencies.
All Cypress College radiologic technology students assigned to a clinical training facility are required to attend a hospital orientation on or before the start of clinical training in the second semester of the program (spring). A document indicating that the student has attended an orientation is submitted to the program director and placed in the student’s file.
RADIOLOGY EQUIPMENT ORIENTATION
17 CCR § 30305 (California Title 17)
• The user shall assure that all X-ray equipment under his jurisdiction is operated only by persons adequately instructed in safe operating procedures and competent in safe use of the equipment.
• The user shall provide safety rules to each individual operating X-ray equipment under his control, including any restrictions of the operating technique required for the safe operation of the particular X-ray apparatus, and require that the operator demonstrate familiarity with these rules.
• No user shall operate or permit the operation of X-ray equipment unless the equipment and installation meet the applicable requirements of these regulations and are appropriate for the procedures to be performed.
• Deliberate exposure of an individual to the useful beam for training or demonstration purposes shall not be permitted unless there is also a medical or dental indication for the exposure and the exposure is prescribed by a physician or dentist.
FLUOROGRAPHY ORIENTATION
17 CCR § 30423(g) (California Title 17)
Documentation of clinical training shall include an orientation check-off of each fluoroscopic room or portable fluoroscopy device prior to initial use. The check-off document shall, as it pertains to the particular room or device, include items necessary for safe and effective use of the equipment as determined by the school or affiliated clinical site.
FLUOROGRAPHY TRAINING REQUIREMENTS
17 CCR § 30423(2) (California Title 17)
The student shall document, separately, supervised clinical training of at least 40 hours in duration during which fluoroscopic procedures are performed. Procedures may be performed only if a holder of a current and valid radiology supervisor and operator certificate issued pursuant to section 30466 (Title 17), a fluoroscopy supervisor and operator permit issued pursuant to section 30466 (Title 17), or a radiologic technologist fluoroscopy permit issued pursuant to section 30451 (Title 17) is physically present to observe, verify, and correct as needed the performance of the individual operating the fluoroscopy equipment during the procedures. Performance, for purposes of this paragraph, means, and is limited to, the individual’s competence to effectively and safely use fluoroscopy equipment. Documentation of procedures performed shall include the name of the procedure, the date the procedure was performed, the facility name, including the physical location, where performed, and the name and certificate or permit number of the person observing and verifying performance.
MRI ORIENTATION
Revised August 2022
All students rotating through a Magnetic Resonance Imaging department must be screened and attend an orientation per that hospital’s policy and procedures. A signed document indicating completion of screening and orientation must be submitted to the clinical coordinator prior to the rotation. The MRI orientation form is in Appendix of the Radiologic Technology Department Policy manual.
Initial orientation and pre-screening documentation will be conducted in the first semester of the program, prior to the students’ externship.
RADIATION MONITORING POLICY
Revised August 2022, Updated August 2024
Students are required to pay a fee for the personal monitoring device during the program. The college will provide the radiation monitoring device. The badges will be replaced bi-monthly. The radiation badge report will be posted in the lab, room 309, Health Science Division, for student review within 10 days of receipt. The Radiation Safety officer will review badge reports to determine if any reading is above average and to determine if any action is needed. Each student will be instructed on the use, purpose, and placement of the monitoring device. If the monitoring device is lost or damaged, the student MUST notify the program director immediately to provide a replacement.
The replacement of a badge will incur a cost for the student. Consequently, they will be prohibited from continuing their clinical training until they receive the badge. In the meantime, the students may be assigned to administrative duties. If the student is unable to be assigned administrative duties, they will be sent home. Any missed days will necessitate the student to make them up.
A record of the radiologic technology student’s bimonthly report will be accessible to the hospital affiliate’s clinical instructor through the Trajecys online system. All student monitoring reports will be retained in the radiologic technology program office. If a student’s monitoring device report exceeds 100 mRem for a month, 200 mRem for a bimonthly report, or 300 mRem for a quarterly report, both the clinical instructor and the college clinical coordinator will discuss the reasons behind the overexposure with the student and provide recommendations to prevent future overexposures. This information will be documented on the “Radiation Monitoring Device Reading over 100 mRem” form, which is located on the next page of this text.
The report will contain the following:
1. Estimates of each individual’s dose, levels of radiation exposure, the cause of the elevated exposures, and corrective steps taken. (All included on the form).
2. The name, SS#, and date of birth on a separate page clearly labeled: Privacy Act Information: Not for Public Disclosure.
The program director will provide reports of individual exposures when requested by the RHB in accordance with Title 17. Reports will be provided to individuals who request dosimetry reports during enrollment in the radiologic technology program.
The Radiation Safety and Protection Program is located in the Appendix.
Cypress College Radiologic Technology Program
Documentation of Radiation Monitoring Device Reading over 100 mRem
Student: Date:
Clinical Site:
Radiation Monitoring Device Reading for the month of
If a student’s radiation monitoring device is over 100 mRem for any month, the following procedures will be followed and documented:
DATE
1. Discussion between the student and the college Clinical Coordinator concerning the reason for the over exposure.
2. Discussion by the College Clinical Coordinator with the Clinical Instructor concerning the reasons for the over exposure
3. Recommendations by both the College Clinical Coordinator and the Clinical Instructor to prevent future over exposures.
POSSIBLE REASONS AND RECOMMENDATIONS:
Signature of Student Date
Signature of College Clinical Coordinator Date
Signature of Clinical Instructor Date
This report is furnished to you under the provisions of the California State Department of Health Services Regulations: Standards for Protection Against Radiation. The RHB will be notified within 30 days of receiving the dosimetry report reading. You should preserve this report for future reference.
Revised November 2010
PREGNANCY POLICY
Revised May 2008
The following policy is in compliance with the Nuclear Regulatory Commission (NRC) regulations, 10 CFR Part 19.12 and Part 20.1208, for the radiation protection of the fetus of the expectant female student while assigned to the clinical and laboratory portion of their education.
If a student does suspect she is pregnant while enrolled in the radiologic technology program, she has the option of whether or not to inform program officials of her pregnancy. If the woman chooses to voluntarily inform officials of her pregnancy, she must notify the clinical coordinator and/or the program director immediately. The student must complete the Form Letter for Declaring Pregnancy. In the absence of this voluntary written disclosure, a student cannot be considered pregnant.
If the student chooses to disclose her pregnancy, she is allowed to make an informed decision based on her individual needs and preferences. The options include the following:
1. Continuing the educational program without modification of interruption.
2. Continuing the educational program with modification in assignments. These may include fluoroscopic procedures, mobile procedures, and nuclear medicine.
3. Leave of Absence from clinical assignments.
4. Leave of Absence from the program.
During the entire gestation period, the maximum permissible dose equivalent to the embryo/fetus should not exceed 0.5 Rem (NRC guidelines). A student who declares her pregnancy will wear two radiation monitoring badges while in the clinic and laboratory. One must be worn on the collar, over the lead apron when used, and one at the mid-abdominal area.
If the student chooses not to declare her pregnancy in writing, both the student and the embryo/fetus will remain subject to the same radiation dose limits as those applicable to other occupational workers.
The student may or may not be allowed to graduate at the scheduled date. This will be determined on an individual basis by the faculty depending on the student’s capacity to complete course requirements. The college clinical coordinator, student, and clinical instructor will review the student’s clinical rotation schedule to reduce procedures with large radiation exposures, e.g. portable, fluoroscopic, and special procedures. Any revision to the student clinical objectives may require an extension of clinical training. STUDENTS MUST COMPLETE ALL OF THE CLINICAL OBJECTIVES. If the student decides
to exit the program due to maternity leave, the student is expected to resume the program within one year or less. Otherwise, clinical and/or didactic placement in the program may be reassessed.
If the status of the student’s pregnancy changes or the student chooses to revoke the declaration of pregnancy, the student must do so in writing. Refer to the Form Letter Revocation of Declaration of Pregnancy. It is the policy of the program to instruct all students on radiation protection procedures with respect to the embryo/fetus.
Neither the North Orange County Community College District nor the student’s assigned clinical education center will be responsible for radiation injury to the student or the embryo/fetus if the student chooses to continue in the program during pregnancy.
DECLARATION OF PREGNANCY
TO:
In accordance with the NRC’s regulations at 10 CFR 20.128. “Dose to an Embryo/fetus”, I am declaring that I am pregnant. I believe I became pregnant in (only the month and year need be provided). I understand the radiation dose to my embryo/fetus during my entire gestation will not be allowed to exceed 0.5 Rem (5 millisievert) (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 training objectives during my pregnancy.
Signature of Student Date
Printed Name of Student
REVOCATION OF DECLARATION OF PREGNANCY
TO:
In accordance with the NRC regulations at 10 CFR 20.128, “Dose to an Embryo/Fetus”, I am revoking the declaration that I am pregnant. I understand the radiation dose to my embryo/fetus during my entire gestation could possibly exceed 0.5 Rem (5 millisievert). I also understand that the College Clinical Coordinator will adjust my clinical schedule to resume portables, fluoroscopy, and special procedures duties. Program extension may be dependent upon the duration of the declaration of pregnancy.
Signature of Student Date
Printed Name of Student
HEALTH SCIENCE DIVISION – STANDARD PRECAUTIONS
The following critical performance standards have been developed by the Center for Disease Control (CDC). It is the student’s responsibility to use them in all patient contact situations.
I. APPROPRIATE BARRIERS
A. Gloves
1. Worn when touching blood, body fluids, secretions, or excretions.
2. Worn when touching mucous membranes.
3. Worn when touching non-intact skin.
4. Worn when handling contaminated items or surfaces.
5. Worn when performing venipuncture.
6. Worn when performing vascular access procedures:
a. All parenteral injections.
b. Blood glucose monitoring
7. Changed after each contact with the patient.
8. Changed between tasks or procedures on the same patient after contact with contaminated material.
B. Masks and protective eyewear or face shields: Worn during procedures (e.g., suctioning) that are likely to generate droplets of blood or other body fluids to prevent exposure of mucous membranes of the mouth, nose and eyes.
C. Gowns and aprons: Worn during procedures that are likely to generate splashes of blood or other body fluid to protect skin and prevent soiling of clothing. Remove soiled gown as promptly as possible and wash hands to prevent transfer of microorganisms.
II. HAND AND SKIN CARE OF HEALTH CARE WORKER
A. Hands and other skin surfaces washed immediately and thoroughly if contaminated by blood, body fluid, secretions, or contaminated item.
B. Hands washed immediately after gloves are removed.
C. Hands and other skin surfaces dried thoroughly (lotion, etc.) to prevent chapping and fissures.
III. PERCUTANEOUS INJURY PRECAUTIONS
A. Needle stick Injury Prevention
1. Needles should not be recapped.
2. Needles should not be purposely broken or bent by hand.
3. Needles should not be removed from disposable syringes or otherwise manipulated by hand.
4. After use, disposable needles and syringes should
be placed in puncture-resistant container for disposal.
5. Puncture-resistant containers should be located close as practical to the use area.
6. Large-bore reusable needles should be placed in a puncture-resistant container for transport to reprocessing area.
B. Sharps (scalpels, instruments, razor blades)
1. Safety precautions employed during procedures and when cleaning used instruments.
2. Used instruments are placed in puncture-resistant container for disposal or transport.
IV. CPR
A. Anticipate potential for CPR minimizing the need for mouth-to-mouth resuscitation.
B. Mouth pieces, resuscitation bags, or other ventilation devices should be available for use in areas in which need for resuscitation is predictable.
C. Show competence in use of resuscitation bag in CPR class.
V. HEALTH CARE WORKER WITH COMPROMISED SKIN INTEGRITY
A. Prevent lesions by use of correct hand washing technique.
B. Cuticles intact.
C. Those health care workers who have exudative lesions or weeping dermatitis should refrain from all direct patient care and from handling patient-care equipment until the condition resolves.
VI. PREGNANT HEALTH CARE WORKER
A. All sexually active female health care workers of childbearing age should be especially aware of precautions and adhere strictly to precautions.
B. If a pregnant health care worker develops HIV infection the infant is at risk of infection, therefore, pregnant health care workers should strictly adhere to
precautions.
New Categories from the CDC:
1. STANDARD PRECAUTIONS – This category is very similar to what we have been calling Universal Precautions (UP). The difference is UP only applies to body fluids that could transmit HIV or Hepatitis (blood borne pathogens). STANDARD PRECAUTIONS are used with all body substances, including blood, body fluids, excretions, and secretions (except sweat), regardless of whether they contain visible blood. Non-intact skin and mucous membrane contact is also included.
2. AIRBORNE ISOLATION – This category combines some diseases previously in Strict, AFB, or Respiratory isolation. They are Tuberculosis, Chickenpox, Varicella Zoster in an immunocompromised patient, and Measles. All require a negative pressure room.
3. DROPLET ISOLATION – This category replaces the Respiratory isolation category for some diseases. Negative pressure is not required. Hemophilus influenza meningitis, Meningococcal disease, Pertussis, Influenza, Mumps, and Rubella. Some Group A Strep in children is included.
4. CONTACT ISOLATION – MRSA is now in this category. Antimicrobial soap must be used. The disease was formerly the Enteric isolation category and applies to infants, young children, or anyone diapered or incontinent. Resistant bacteria (MRSA,VRE), Clostridium difficile, RSV, Parainfluenza, Viral meningitis, Hepatitis A, Rotavirus, Shigella, and Glardia are also included in this category.
ABSENCE AND TARDINESS POLICY (CLASSROOM/CLINICAL FACILITY)
Revised May 2018
To satisfy the completion requirements outlined in California Code Title 17, Section 30421, and to qualify for CRT licensure and ARRT certification, students must complete a minimum of 1,850 hours of clinical education. Additionally, they must meet the specified competencies detailed in the ARRT “Clinical Competence Requirements” (2017).
Rationale: In an educational endeavor, students must learn and master many skills. The acquisition of these skills in all three domains, cognitive, psycho-motor, and affective must be guided by a set of “blueprints” which enable the students to grow and develop until all skills necessary for completion of the programs are mastered. This policy will reinforce the affective domain regarding work ethics, reliability and dependability, so that the graduate is capable of entering the profession at a job-entry level competency.
This program requires that the student be punctual and attend every class/clinical session. Any pre-planned absence must be requested in advance to the instructor/clinical coordinator for approval. An excused absence is when the student notifies the instructor (classroom) or clinical coordinator AND clinical instructor the morning before the start of their shift. Failure to notify either the Clinical Coordinator or Clinical Instructor will result in a deficiency notice and possible dismissal from the program.
In the classroom, if the student accumulates in any class more than a week’s absences (more than the number of times that the class meets per week), consecutive or nonconsecutive, an instructor may drop the student according to the drop deadline dates and in accordance with college policy.
Exams or quizzes missed due to excused absence must be scheduled by appointment prior to the next class session or a five percent penalty will be deducted from the student’s test score.
In clinical facility, the student is allowed 2 days of excused absence during June and July of Clinical Training I, 3 Days of excused absence from August to November during Clinical Training II, and 4 days of excused absence from December to May during Clinical Training III.
Absence of three or more consecutive days of illness when assigned into the clinical facility will require a health clearance statement from the student’s private physician or the student may report to the Student Health Service for an evaluation.
Excessive excused absences will result in a deficiency notice and a letter grade drop.
Any student who has one or more un-excused absences will be counseled and a deficiency notice will be documented. The student will be placed on probation, which may lead to dismissal from the program.
In the event of a worker’s compensation injury or a physical injury outside the clinical and classroom duties, a physician must indicate that the student is released to resume training with No Restrictions. A physician’s statement indicating limited duties and restrictions will not allow the student to resume clinical training and may also restrict classroom/laboratory participation.
THERE WILL BE NO SCHEDULED “MAKE UP” DAYS DURING CLINICAL TRAINING. EXCESSIVE ABSENCE FROM CLINICAL TRAINING MAY RESULT IN UNSATISFACTORY PERFORMANCE WHICH COULD LOWER THE STUDENT’S CLINICAL GRADE OR LEAD TO DISMISSAL FROM THE PROGRAM.
Tardiness in the classroom or clinical training facility will be documented as a deficiency notice, leading to probation. If the student fails to improve, dismissal from the program may result.
If a student is more than 30 minutes late to report for training, they must notify the clinical coordinator and the hospital as soon as possible. The clinical coordinator can be notified via phone message or email about the tardiness.
If a student leaves the hospital early for any reason, they must notify the clinical coordinator. Failure to do so will result in a deficiency notice. Additionally, failing to document accurate training hours at the hospital on the student’s time sheet will lead to dismissal from the program.
TRAJECSYS ONLINE TIME LOGS:
The student is expected to log in and out of the Trajecsys online system at the designated times. They should log in within 5 minutes of the training shift’s start and log out within 5 minutes at its end. Each student is permitted 5 time exceptions per semester without penalty. However, starting with the 6th time exception, the student will be penalized one full day (8 hours) of clinical training.
If there’s an internet issue with using a personal cell phone, the student can log in and out using the hospital computer.
Repeated failure to log in and out appropriately with the Trajecsys online system may result in disciplinary action, including dismissal.
TRAJECSYS ONLINE EXAM LOGS:
Updated January 2020
Students must diligently log their exams in Trajecsys. If a student fails to log in to any exams for more than two weeks, a two percent penalty per day will be deducted from their total score. However, if a student fails to log in to any exams for more than three weeks, they will receive a deficiency notice, resulting in a drop of one letter grade in their course grade.
Repeated failures to log in exams promptly using the Trajecsys online system may constitute grounds for dismissal.
JURY DUTY
Revised August 2024, February 2025
It is the student’s civic duty to attend jury duty. If a student receives a summons to appear for jury duty, the program director may write a letter to the county clerk, requesting that jury duty be postponed until the completion of the program. However, if the student decides to attend jury duty without requesting a postponement, a lengthy trial may interfere with their clinical training, necessitating an extension of clinical training. This may require enrollment in RADT 299 (Independent Study) and delay the student from taking the national ARRT examination.
HARDSHIP POLICY – CLINICAL INTERNSHIP
Revised May 2016
The Department of Radiologic Technology Hardship Policy aims to provide support to radiologic technology students in obtaining time off from clinical training when necessary. To request time off, students must submit a written letter at least two weeks in advance to the department clinical coordinator. It’s important to note that additional clinical training may be required to address any deficiencies in competencies, and the college clinical coordinator will determine the appropriate course of action.
I. BEREAVEMENT: The student must present appropriate documentation for immediate family members, including spouses, parents, grandparents, children, and siblings. The allowed travel time is 3 days within California and 5 days outside of California.
II. NON – ELECTIVE/EMERGENCY SURGERY: Written verification from the attending physician must be submitted to the college clinical coordinator. This verification should indicate the type of surgery performed and the necessary recovery time. Once the college clinical coordinator receives the written documentation from the physician, the student will be permitted to resume clinical training. However, this permission will only be granted if the physician has released the student from any physical restrictions imposed during training. The maximum duration of this training break is 10 days.
III. TERMINAL ILLNESS OF IMMEDIATE FAMILY: This includes parents, grandparents, spouse, children, siblings, and guardians.
In case of an emergency family crisis, the student will be granted clinical time off. To do so, the student must submit a written letter from the family physician, verifying the condition or illness of the family member, at least one week before being excused from clinical training or at the discretion of the college faculty.
The allowed time for clinical time off is 5 training days.
If a student’s competency level falls below standard, they may need to extend their clinical training. This could involve continuing the program and enrolling in RADT 299 (Independent Study). Extending clinical training will delay the student from taking the national ARRT examinations.
GRADING POLICY – CLASSROOM/CLINICAL EXPERIENCE
Maintenance of a 2.0 GPA (grade point average) is necessary. Any student failing below this average will be dropped from the radiologic technology program until the GPA is raised.
Students wishing to be reinstated to the program must contact the radiologic technology department director/coordinator.
“C” grade (2.0) or above is required in all courses and in the clinical internship.
a. Any student receiving less than a “C” grade in any of the courses will be suspended from the radiologic technology program and must repeat the course with a minimum of a “C” grade. Refer to re-entry policy.
b. Any student receiving less than a “C” grade in the clinical experience will not progress into the next clinical course until the course is repeated with a minimum of a “C” grade. Refer to re-entry policy.
c. A student must have a “C” grade (2.0) in each clinical course, as well as a “satisfactory” clinical evaluation for promotion and progression into the next clinical course.
GRADE CALCULATIONS
100 – 92 = A
91 – 82 = B
81 – 75 = C
74 – 65 = D
64 below = F
STUDENT RECORDS POLICY
Revised: January 2008, 2016
All student records, schedules, and evaluations will be maintained in the Health Science Division office for a minimum of five years. This includes written documentation, correspondence of students, clinical training time, evaluations, Procedure Chronicles (which includes repeat rate analysis), exam logs, competency evaluations, lab experiments, and completion certificates. These documents will be supervised by the program director.
Starting January 2016, the Trajecsys Report System will be used to document the student’s clinical training time, exam logs, competencies, evaluations, and terminal competencies. All other paper documents will be scanned and placed in the electronic student file. The paper documents will then be returned to the student or shredded.
STUDENT CLINICAL ASSIGNMENT FOR RADIOLOGIC TECHNOLOGY PROGRAM:
All radiologic technology student clinical assignments are determined by the program director with input from the program faculty. Students are not permitted to choose their clinical affiliate. Once an assignment is made, students are not allowed to move to another clinical site. Additionally, students cannot be assigned to a clinical site where they are currently employed, have relatives or friends working there, or where they are likely to encounter conflicts of interest. Once assigned to a clinical site, students are not permitted to be hired as employees of that facility during their clinical training. Students must adhere to their assigned schedule at all times, except in extreme emergencies. Changes to the clinical schedule must be requested in writing to the clinical coordinator. The written request for a change to the clinical schedule must be presented to the clinical coordinator two weeks before the requested change. Only the clinical coordinator can approve changes to the clinical assignment and schedule.
During the clinical assignment, students are responsible for all transportation to the clinical site.
The radiology student assignment and schedule will not include “on-call” shifts or shifts from 11:00 p.m. to 7:00 a.m.
SCHEDULE OVERVIEW
1st Semester (Fall): The students attend classes only. There is no hospital training.
2nd Semester (Spring): The student extern will train either on Monday and Thursday or on Tuesday and Friday, for 8 hours each day (day shift). This schedule is determined by the Clinical Coordinator of the program.
Summer Session: The student intern will engage in full-time training from Monday to Friday, with the possibility of evening and weekend shifts. Additionally, the student will attend four Thursday sessions (dates to be announced), from 1 to 5 pm, for RADT 196.
3rd Semester (Fall): The student will engage in full-time training from Monday to Friday, with the possibility of evening and weekend shifts. Instead of Thursdays, the student will attend the RADT 197 course once a month on Fridays. Additionally, a Radiation Therapy rotation is scheduled for this semester.
4th Semester (Spring): The student will continue full-time training from Monday to Friday, with the possibility of evening and weekend shifts. Training should not exceed 40 hours per week. No more than four Saturday shifts will be assigned during the semester. Weekend and evening schedules will be set by the Clinical Instructor and approved by the Clinical Coordinator. According to policy, the student will receive at least a three-week notice of any shift changes.
Modality rotations (CT, MRI, angio, etc.) will take place during this semester. The RADT 198 course will be held once a month on Fridays.
RADT 251 – RADIOLOGIC TECHNOLOGY EXTERNSHIP
Students will be assigned to a clinical facility for two days a week, each lasting eight hours. They can be scheduled on Monday/Thursday, or Tuesday/Friday. The training hours will be from 7:00 a.m. to 3:30 p.m., 7:30 a.m. to 4:00 p.m., or 8:00 a.m. to 4:30 p.m. During the spring semester, students will be attending evening classes at the college, starting at 5:00 p.m. or 5:30 p.m. on Tuesdays.
VENIPUNCTURE POLICY
The California Health & Safety Code section 106985 mandates that radiologic technologists receive sufficient training and education before performing venipuncture.
Cypress College radiologic technology students will acquire venipuncture education and training as part of their graduation requirements. Venipuncture training will be conducted in the RADT 162 (Special Procedures) during the second semester in spring.
Under direct supervision of a licensed radiologic technologist with venipuncture training and certification, students will perform venipuncture techniques on classmates. The instructor’s certificate will be displayed in the classroom.
All students must complete ten successful venipunctures. Additionally, students are expected to participate as recipients of venipunctures for other classmates. A release of liability will be signed by the student.
Each successful venipuncture performed by the student will be documented and signed by the instructor. This document will be retained in the student’s file and kept on record. A copy of this document will be provided to the student.
After completing ten successful venipunctures on a human being, the student will receive a completion certificate signed by the instructor. This certificate will be presented to the student upon successful completion of the RADT 162 (Special Procedures). The certificate will be copied and placed in the student’s file, which is maintained in the program director’s office.
RADT 254, 255, 256 – RADIOLOGIC TECHNOLOGY INTERNSHIP
Revised December 2012
The training schedule for radiologic technology students will not exceed forty hours per week, including classroom time. The forty-hour training week will begin on Monday and end on the following Sunday. Student training will not exceed five (5) days per week. Student clinical and didactic assignments cannot exceed 10 hours per day. When the student has an evening class, the equivalent number of hours will be deducted from the clinical training schedule. For instance, in the spring semester of radiologic internship, the students will attend the RADT 252 (Radiobiology) on Tuesday evenings from 5:00-8:00 p.m. Tuesday’s clinical training schedule for the student cannot exceed 5 hours while the class is in session. The student clinical schedule for that time frame will then be 37 hours per week.
ROTATION FOR EVENING/WEEKEND SHIFTS
Revised February 2021
Off-hour/weekend rotation was implemented as a crucial component to ensure the provision of a sufficient number and variety of radiographic exams, thereby enhancing the clinical experience and preparing students for successful graduation as radiographers. Since hospital imaging services are typically offered continuously, this rotation allows students to experience a different work environment beyond the conventional daytime shift of 5:00 a.m.-7:00 p.m.
Evening shifts:
• Training that begins late morning or early afternoon and ends by 11:00 pm.
Saturday/Sunday shifts:
• When a student trains on the Saturday and/or Sunday shift, then days during the same week will be taken off in lieu of the Saturday and/or Sunday.
• Students cannot train more than 40 hours in a week, from Monday to Sunday. Under no circumstances will a student train for more than 5 consecutive days.
The evening/weekend rotation will occur in the spring semester of internship when the student has become more competent in imaging procedures. The evening/weekend rotation schedule will be distributed at least three weeks in advance. The increased number and variety of trauma and emergency medical procedures performed during the evening/weekend rotation presents the opportunity for the student to complete the following learning objectives:
1. Experience greater total patient care.
2. Become more proficient utilizing innovative techniques to secure diagnostic radiographs of patients who may be unwilling or unable to cooperate.
3. Increase the feeling of self-confidence.
4. Demonstrate independent judgment and discretion in the performance of radiographic procedures.
5. Develop critical thinking and problem-solving skills.
6. Perform tasks involving preparation for the following day shift usually performed by off-hours/weekend personnel.
7. Observe/perform a wide variety of emergency/trauma examinations which tend to occur more often on off-hours/weekend shifts.
8. Be exposed to an off-hour/weekend shift and work environment to enhance job placement, advancement, as well as supervision abilities.
9. Experience an environment where there are fewer support personnel, which will allow the student to experience tasks not generally required of staff radiographers during the day shift.
All students that are assigned to an evening/weekend shift will be directly supervised by a staff radiographer until the student achieves competency, then indirectly supervised by a staff radiographer. Students will be allowed to complete competency evaluations during these shifts. A 1:1 student/staff ratio has to be maintained at all times. (The Evening/Weekend evaluation form is listed in Appendix C).
ROTATION FOR SURGERY
Revised/Approved by: Advisory Committee November 2009
Students must complete a minimum of 40 hours during the entire internship. Forty (40) hours of direct supervision must be completed. Students will be directly supervised when scheduled in surgery.
The learning objectives for surgery training will encompass the following:
1. Demonstrate proficiency in dressing for surgery, including:
a. Tucking hair into a surgical hat.
b. Wearing a face mask that covers the mouth and nose.
c. Tucking a scrub shirt into pants.
d. Wearing booties properly over shoes.
e. Removing all jewelry.
f. Following the proper procedure for exiting and re-entering the surgery suite.
2. Demonstrate proficiency in assembling radiographic equipment, including:
a. Cleaning equipment.
b. Draping and covering the X-ray tube/C-arm properly.
c. Placing the X-ray cassette in a sterile cover.
3. Demonstrate proficiency in performing radiographic procedures.
4. Observe and operate mobile fluoroscopic image intensification equipment (C-arm) under the direct supervision of a CRT who has a fluoroscopy permit.
ROTATION FOR SPECIAL IMAGING MODALITIES
Revised May 2016
The student is allowed to complete a minimum of 8 hours in each modality to be scheduled during internship. The modality evaluation must be completed and returned to the college clinical coordinator for each modality visited. Students may be rotated in the following modalities:
MRI* CT
Radiation Therapy Nuclear Medicine
Sonography Angiography
The learning objectives for special imaging modalities will include:
1. Demonstrate punctuality and dependability.
2. Demonstrate accuracy with room preparation.
3. Demonstrate proficiency in preparing the patient for the exam.
4. Adequate patient care procedures.
5. Adequate patient communication.
6. Ability to follow instruction.
*All students rotating through a magnetic resonance imaging (MRI) department must undergo screening and attend an orientation as per the hospital’s policy and procedures. Before starting their rotation, they must submit a signed document confirming completion of screening and orientation to the clinical coordinator. The MRI orientation form is available in Appendix E of the Radiologic Technology Department Policy manual. Initial orientation and pre-screening documentation will be conducted in the first semester of the program, prior to the students’ externship.
ADVANCED SPECIALTY ROTATIONS FOR CERTIFICATION
Advanced Specialty Rotations for ARRT Certification after graduation are considered rotations in other modalities after completing the required modality rotations (MRI, CT, radiation therapy, nuclear medicine, sonography, and angiography).
If a student has completed the required modality rotations, they may request extra time in an imaging modality they want to specialize in after graduation. They register with the ARRT and receive a number, which they can then log in to for exams that will contribute to the required number of exams needed for the ARRT Specialty Exam to gain certification. Advanced Specialty Rotations include MRI, CT, mammography, interventional radiology, and DEXA.
To request an Advanced Specialty Rotation, the student must email the clinical coordinator. The following conditions must be met:
1. The hospital where the student is training can provide the Advanced Specialty Rotation, or arrangements may be made by the clinical coordinator at another facility.
2. The student has completed ALL competencies required for the program.
3. The student has completed OR training and has a reasonable amount of experience in the specialty.
4. The hospital is willing to have the student train in the specialty rotation.
5. The student must be directly supervised in the Advanced Specialty Rotation if performing exams.
The number of hours spent in the Advanced Specialty Rotation depends on the modality’s patient schedule, personnel, clinical instructor, and clinical coordinator. If the conduct of the student prohibits an Advanced Specialty Rotation, it can be rescinded.
TERMINAL COMPETENCIES
Approved March 2007, Revised 2018
Students must complete the terminal competencies, as established by the ARRT, before the student is eligible to graduate. The terminal competencies are evaluated through successful completion of both the didactic and clinical courses within the master plan of education.
The graduate shall be able to:
1. Use oral and written communication.
2. Demonstrate knowledge of human structure, function, and pathology.
3. Anticipate and provide basic patient care and comfort measures.
4. Apply principles of body mechanics.
5. Perform basic mathematical functions.
6. Operate radiographic imaging equipment and accessory devices.
7. Position the patient and imaging system to perform radiographic examination and procedures.
8. Modify standard procedures to accommodate patient’s condition and other variables.
9. Process images.
10. Determine exposure factors to obtain diagnostic quality radiographs with minimum radiation exposure.
11. Adapt exposure factors for various patient conditions, equipment, accessories, and contrast media to maintain appropriate radiographic quality.
12. Practice radiation protection for the patient, self and others.
13. Recognize emergency patient conditions and initiate applicable treatment and basic life- support procedures.
14. Evaluate radiographic images for appropriate positioning and image quality.
15. Evaluate the performance of radiographic systems, know the safe limits of equipment operation, and report malfunctions to the proper authority.
16. Demonstrate knowledge and skills relating to quality assurance.
17. Exercise independent judgment and discretion in technical performance of medical imaging procedures.
18. Appropriate use and understanding of HIPAA, RIS, and PACS.
SUPERVISION OF CLINICAL STUDENTS
Revised November 2018, Revised May 2019
Radiologic technology students shall not take the place of staff. A 1:1 student/staff ratio will be maintained.
Student radiographers will be supervised at all times. There shall be no more than one student for each certified/registered radiographer (CRT/ARRT). Supervisory of less than full time equivalent staff does not count.
All radiographs taken by students shall be checked and evaluated by a certified radiographer prior to submission of the radiographs to the radiologist/physician for interpretation.
In accordance with the Joint Review Committee on Education in Radiologic Technology “Standards”, the policy for Direct and Indirect Supervision is as follows and is to be followed without exception by every student:
A. Direct Supervision:
In accordance with Standard Five, Objective 5.4 of the JRCERT Standards for an Accredited Educational Program in Radiologic Sciences, all medical imaging procedures are performed under direct supervision of a qualified practitioner until the student achieves competency. Direct observation of the student MUST occur in both the radiographic room and at the operator’s control panel. The following are parameters of direct supervision:
1. A qualified certified radiographer reviews the request for the procedure to determine the student’s ability to perform the procedure.
2. The qualified certified radiographer reviews and approves the student’s completed procedure.
3. Unsatisfactory procedures shall be repeated only under direct supervision.
Direct Supervision is required:
1. Whenever the student is repeating an unsuccessful radiographic examination
2. During all mobile radiographic and mobile fluoroscopic examinations (C-arm), regardless of the student’s level of progression or competency.
3. If the student has not previously demonstrated successful competency on the radiographic examination being performed.
Failure to comply with this policy will result in the filing of a Deficiency Notice/Report and may result in the student’s termination from the program.
Supervision of Repeat Radiographs
In accordance with Standard Five, Objective 5.4 of the JRCERT Standards, all unsatisfactory radiographs are to be repeated by the students under direct supervision of a qualified practitioner. Due to many influencing factors, repeating a patient’s radiograph(s) has the potential to compromise the safety and welfare of that patient, the student and other health care workers.
Therefore, it is this program’s policy that any student repeating radiograph(s), for any reason, must perform the repeat(s) under the direct supervision of a qualified staff radiographer, with no exceptions.
Failure to comply with this policy will result in the filing of a Deficiency Notice/Report and may result in the student’s termination from the program.
Mobile Radiography/Mobile Fluoroscopy (C-Arm) Revised/Approved by: Advisory Committee November 2009 Reviewed: May 2018
The performance of mobile radiography and mobile fluoroscopy has the potential to compromise the safety and welfare of the patient, student, and other health care workers. Therefore, it is this program’s policy, along with the RHB, that any student performing mobile radiography and mobile fluoroscopy (C-arm) must perform the examination(s) under the direct supervision of the qualified staff radiographer, with no exceptions. Direct supervision during mobile fluoroscopy exams will be by a CRT with a fluoroscopy permit.
Failure to comply with this policy will result in the filing of a Deficiency Notice/Report and the student will be immediately terminated from the program.
B. Indirect Supervision
In accordance with Standard Five, Objective 5.4 of the JRCERT Standards, all medical imaging procedures are performed under the indirect supervision of a qualified practitioner after a radiologic technology student demonstrates competency.
Indirect supervision is defined as that supervision provided by a qualified radiographer who is immediately available, within a “normal voice call” distance away from the radiographic room where the radiographic examination is being performed, to assist students regardless of the level of student achievement. This availability applies to “all areas where ionizing radiation equipment is in use”.
Failure to comply with this policy will result in the filing of a Deficiency Notice/Report and may result in the student’s termination from the program.
SUPERVISION OF STUDENTS USING PART TIME OR TEMPORARY CLINICAL STAFF FROM STAFFING AGENCIES
Revised March 2007
The radiologic technology student will not be assigned a clinical rotation during daytime and off-hour rotation when a majority of the clinical staff is from private staffing agencies. Part time and/or temporary employees from staff agencies do not provide the appropriate direct and/or indirect supervision, which is required by the JRCERT accreditation agency, to assist the student in completing the learning objectives and the educational timeline which is listed in this policy manual.
It is imperative that the ratio of student to permanent clinical staff of 1:1 be maintained during daytime and off-hour rotations. The college clinical coordinator has the responsibility and authority to change the student’s clinical rotation, during daytime and off-hour shifts if this policy is not being maintained.
REJECTED/DELETE IMAGE PROCEDURE
Advisory Committee approved, August 2015, 2022
Any images to be rejected or deleted by the student are to be approved only by the licensed CRT radiologist. The student cannot determine which images are to be rejected. The student may perform the reject/delete procedure but only after given approval by the CRT or radiologist. Rejecting/deleting images without permission may result in the student being dismissed from the hospital.
STUDENT TRANSFER FROM THE CLINICAL EDUCATION CENTER
Student(s) will be transferred from the clinical education center based on the following criteria:
1. If the clinical education center does not maintain current accreditation through the Joint Commission on Accreditation of Healthcare Organizations or JRCERT approved accrediting organizations.
2. If the clinical education center does not sign or terminates the written affiliation agreement.
3. If the clinical education center does not conform to the radiation safety standards as defined by federal and State regulations.
4. If the patient/client examination load decreases to a level in which the student(s) cannot achieve all of the competencies of the program.
5. If there is a significant reduction in the ratio of clinical education center staff to student(s).
6. If the clinical education center staff becomes deficient in their responsibility for student education and supervision. The clinical education center staff shall be supportive of the educational process. Refer to the policy on “strikes” and “work stoppages”.
CLINICAL SCHEDULES
Revised May 2010
The student will maintain a training schedule that is determined by the clinical instructor and approved by the clinical coordinator. Students will not make a schedule change unless approved by the clinical coordinator at least two weeks prior to the change. Students are not to be at the training facility at any time other than what the schedule reflects. If the student is at the training facility at any time other than their scheduled training hours, then the college insurance is negated, and the student will be responsible for any occurrences.
POLICY FOR HOLIDAYS
Revised November 2006, June 2021, June 2024
Radiologic technology students in the clinical experience will not attend clinical training during the following holidays:
New Year’s Day
Martin Luther King Day
Lunar New Year
President’s Day
Friday before Easter holiday Memorial Day
Juneteenth Fourth of July Labor Day Veterans’ Day
Thanksgiving Day and the day after College Winter Holiday
Students will not attend clinical training while the Cypress College campus is closed. The students may not accumulate compensatory time to be taken off before the end of the program. The radiologic technology program is a continuous twelve months of clinical training.
POLICY ON “STRIKES” AND “WORK STOPPAGES”
The clinical phase of the program shall provide a continuous environment for supervised competency based clinical education and experience to offer a sufficient and well- balanced variety of radiographic examinations and equipment.
Clinical supervisors who have been appointed to supervise and evaluation students according to learning objectives, have been identified for each clinical education center and their credentials registered with the Joint Review Committee on Education for Radiologic Technology.
The maximum hours of clinical and academic involvement shall not exceed a total of forty hours per week. Students shall not be exploited.
Clinical centers shall not substitute radiologic technology students for paid personnel to conduct the functions of the clinical education center.
Therefore, it is not in the best interest of the students nor the clinical education center to have students placed in an adversarial position against working employees.
Since the Joint Review Committee on Education for Radiologic Technologists shall consider that educational programs this involved in strikes and work stoppages (which could violate paragraphs 1,2,3,and 4 above, may not operate according to the plans submitted by this program and evaluated for accreditation) shall be suspended during the strike or work stoppage.
The following contingency plan will be in effect within eight hours when a strike or work stoppage is eminent:
1. Contingency plans will be developed by the Cypress College radiologic technology department director/coordinator and other participating clinical education centers when a strike or work stoppage seems eminent at any clinical education center.
2. The program medical advisor and advisory committee chairperson will be notified.
3. Students will be reassigned to a non-involved clinical education center based on authorization and consultation with the JRCERT, evaluations of clinical education center student capacity, supervision of students, and sound educational judgment.
4. Students will be assigned promptly to assure no time lost in their educational program.
5. Progress and competency evaluations will continue.
6. Striking radiology clinical education centers will be requested to continue the student stipend. However, if the strike proceeds beyond sixty days, students may be permanently reassigned to the substitute clinical education center for the duration of the program. If the strike or work stoppage ends prior to sixty days, students may be reassigned to their original facility for the duration of the program.
Student Grievance Policy/Petitions and Appeals
The following Grievance Policy, also known as Petitions and Appeals, is found in the Cypress College Catalog. The online link to this policy is https://catalog.nocccd.edu/cypress-college/complaints-disputes-grievances-and-appeals/
Petitions for Exception and general appeals that relate to policies on admissions, readmission after academic dismissal, graduation, degree and certificate requirements, grades and credit, repetition of courses, academic renewal, withdrawals, etc., should be directed to the Admissions and Records Office. Guidelines and procedures will be made available.
ACADEMIC APPEALS: Inevitably, with the numerous interpersonal interactions that take place on a college campus, disagreements with instructors may happen. If such a situation occurs, students have the option to follow these procedures:
Procedures
a. Discuss the matter with the appropriate staff member, preferably in private, and try to resolve the issue.
b. Consultation with your counselor may also be helpful. If the problem cannot be resolved at that level, the following due process procedures are available to the student.
c. Consultation with the Student Advocate at Associated Students may also be helpful. The Student Advocate is an elected member of the Student Government who can help the students to follow the procedures in presenting grievances.
d. Students in vocational programs may need to see the department coordinator/director. Programs that deal with patient/client safety and accrediting agencies have additional policies located in their program handbooks and regulations.
e. Students who have not been able to resolve classroom problems through an interview with their instructors and the department coordinator/director may consult with the division dean.
f. If the problem is not resolved to the student’s satisfaction the student may file an appeal with the Campus Petitions Committee. Petition forms are available from the division deans or from the Office of Instruction.
g. A student dissatisfied with the result of his/her appeal to the Campus Petitions Committee may appeal to the college president.
h. Student appeals from the college president may go to the district chancellor.
i. Students dissatisfied with their appeal to the district chancellor may make a final appeal to the district board of trustees.
POLICY FOR PROGRAM COMPLETION CERTIFICATION
Revised November. 2006, October 2023, March 2025
Radiologic technology students must apply for the Associate of Science degree or the certificate of completion of the program during the final spring semester of the program. Radiologic technology students will be provided with a program completion certificate, which is approved and recognized by California Department of Public Health, Radiologic Health Branch. This completion certificate will be awarded to the student upon successful completion of the radiologic technology program during the program pinning ceremony.
POLICY FOR ARRT NATIONAL EXAMINATION
Radiologic Technology students will qualify and take the national American Registry of Radiologic Technologists examination upon successful completion of the radiologic technology program and/or degree requirements for Cypress College.
STUDENT CLINICAL ASSIGNMENT AND TIMELINE FOR CLINICAL PROGRESS
The department of radiologic technology has full authorization and control in assigning students into the clinical education center. The student clinical activities training schedule is under the direction of the college clinical coordinator. The clinical activities schedule is designed to assist the clinical instructor and the clinical student in achieving the goals of the radiologic technology program.
The clinical assignments are the most meaningful and important activities in which the students are engaged. The students will transfer knowledge from theory to application of skills in performing diagnostic radiographic procedures. As time progresses and experience is gained, the student’s level of competency will increase.
TIMELINE FOR CLINICAL PROGRESS
Revised May 2017, March 2022
This timeline serves as a tool to assess the radiologic technology student’s progress in clinical training over a one-year period. It is a generic timeline that can be customized to accommodate individual hospital rotation schedules. Failure to meet the timeline may lead to lower scores on clinical and competency evaluations. A score below a “C” grade on any evaluation may result in dismissal from the training facility and the program.
TIMELINE
END OF JUNE
The student should be able to perform the following skills with minimal or no assistance, and no prompting:
1. Perform clinical procedures under the direct supervision of the radiographer who will critique student radiographic images.
2. Stock the room.
3. Process the paperwork/input information into the computer
4. Know the location of fire extinguishers and fire alarms, memorize department codes for fire, cardiac arrest, and any other codes specified by the department administrators.
5. Transfer patients from wheelchairs and stretchers to and from x-ray tables using the principles of good body mechanics.
6. Demonstrate special care when transferring patients with specific medical apparatus and/or conditions, i.e. IV solutions, catheters, oxygen, casts and splints, chest tubes, drains, etc. Employ the appropriate medical asepsis and sterile technique.
7. Direct patients how to properly dress for procedures. Drape patients appropriately to maintain dignity and modesty.
8. Manipulate the x-ray machine:
a. turn on/off
b. perform room warm up
c. identify and operate kV, mA, and time controls
d. operate AEC controls
e. operate tomographic controls
f. adjust vertical distance for tabletop vs Bucky
g. operate and adjust tube/table locks
h. adjust for tube angles
i. report equipment malfunctions to the supervisor.
9. Develop methods to accurately measure anatomic parts.
10. Develop and maintain a technique book for assigned rotations and procedures. Learn imaging routines and protocols for image identification.
11. Learn department image processing procedures.
12. Learn hospital layout.
13. Learn department procedure for the preparation of contrast media administration.
14. Adhere to all hospital and college policies.
15. Attempt to perform the following exams with direct supervision:
a. PCXR/CXR, ribs and sternum
b. Upper and lower extremities
c. Portable abdomen
d. Abdomen, abdominal series and small bowel series.
16. Practice Standard Precautions and integrate professional behavior and ethics into the clinical practice.
17. Adhere to all department policies regarding patient confidentiality to include HIPAA procedures.
18. Practice as a member of the health care team.
19. Update exams into Trajecsys weekly.
TIMELINE
END OF JULY:
In addition to previously listed objectives, the student will be able to :
1. Use appropriate immobilization devices.
2. Set up sterile fields/trays without contamination.
3. Prepare apparatus for contrast injection.
4. Dress appropriately for type of isolation required.
5. Operate oxygen and suction apparatus.
6. Prepare an IV solution set.
7. Monitor BP and pulse.
8. Locate surgery suite and adhere to required dress code. Assist the technologist with procedures by moving the portable and C-arm fluoroscope, and processing images.
9. Start to develop image analysis skills.
10. Perform the following exams with direct supervision:
a. portable CXRs
b. routine CXRs, wheelchair CXRs, and stretcher CXRs
c. supine and upright abdomens
d. upper and lower extremities such as hands, fingers, toes and ankles.
e. pelvis
11. Learn scheduling and sequencing of radiographic and fluoroscopic examinations
12. Complete orientation checklist to all fluoroscopy equipment, including C arm.
13. Adapt patient care skills for individual needs such as gender, age, religion, sexual orientation, disabilities, special needs, ethnicity or culture.
14. Adapt patient positioning skills to compensate for anatomical variations, body habitus, pathology, age, and patient condition.
15. Integrate the use of appropriate and effective written and oral and nonverbal communication with patients, the public, and members of the health care team.
16. Update exams into Trajecsys weekly.
17. Submit documentation for RADT 254 (Clinical Internship I)
a. First Internship evaluation
b. Fluoroscopy Equipment Orientation
c. 11 competency evaluations of the following procedures:
• chest routine
• chest AP and lateral, (wheelchair or stretcher)
• portable chest
• thumb or finger (min. 3 views)
• hand (min. 3 views)
• wrist (min. 3 views)
• elbow (min. 3 views)
• foot (min. 3 views)
• ankle (min. 3 views)
• pelvis
• abdomen supine (KUB)
TIMELINE
END OF AUGUST:
In addition to the previously listed objectives, the student will be able to:
1. Manipulate fluoroscopy equipment (with direct supervision):
a. turn on/off
b. perform room warm up
c. identify and operate kV, mA, and time controls
d. operate AEC controls
e. adjust vertical distances for overhead images
f. operate and adjust fluoro tube/table locks
g. adjust compression devices
h. adjust computer monitors
i. adjust distance for images requiring tube angles
j. utilize grids/grid caps
2. Continue surgery experience with direct supervision
3. Develop a technique book for assigned rotations and procedures:
a. digital/PACS image acquisition
b. exposure index
c. radiation protection
d. teleradiology
e. retrieve and view images using PACS
f. examine procedure requests for errors and take corrective action
4. Continue to develop nursing /patient care skills:
a. vital signs
b. patient assessment and clinical history
c. equipment
d. patient emergencies
e. documentation and charting
f. infection control
g. patient and family education
h. cultural and socioeconomic sensitivity
i. medical error reduction.
j. psychosocial support to the patient and family
5. Continue to develop image analysis skills
6. Learn image purging procedure with direct supervision
7. Continue to develop image critique skills
8. Perform the following exams with direct supervision:
a. cystograms and voiding cystograms
b. routine digestive system exams, myelograms, HSGs, and ERCPs
c. spines, ribs and bony thorax
d. upper and lower extremities
e. all portable exams
TIMELINE
9. Perform the following exams with indirect supervision (previous competencies):
a. routine CXRs, wheelchair CXRs, and stretcher CXRs
b. supine and upright abdomens
c. upper and lower extremities such as hands, fingers, toes and ankles
d. pelvis
10. Update exams into Trajecsys weekly
END OF SEPTEMBER:
In addition to the previously listed objectives, the student will be able to:
1. Develop technique book for assigned rotations and procedures
2. Continue developing image analysis skills.
4. Perform the following exams with direct supervision:
a. hysterosalpingogram, myelograms, and ERCPs
b. spines and SI joints
c. bony thorax
d. trauma radiography
e. all portable exams
f. upper and lower extremities
g. decubitus abdomen and chest exams
5. Differentiate between emergency and non-emergency procedures
6. Learn the role of the health care team members in disaster drill situations
7. Update exams into Trajecsys weekly
END OF OCTOBER:
In addition to the previously listed objectives, the student will be able to:
1. Develop technique book for assigned rotations and procedures
2. Perform the following exams with Direct supervision:
a. hysterosalpingograms, myelograms, and ERCPs
b. SI joints
c. bony thorax
d. spines
e. ribs
f. trauma radiography
g. decubitus abdomen and chest exams
h. all portable exams
3. Update exams into Trajecsys weekly
TIMELINE
END OF NOVEMBER
In addition to the previously listed objectives, the student will be able to:
1. Develop technique book for assigned rotations and procedures
2. Perform the following clinical procedures under indirect supervision with the understanding that all images are still critiqued by the supervising radiographer:
chest abdomen supine (KUB)
abdomen upright chest AP (wheelchair or stretcher)
wrist hand
knee foot
finger pelvis
3. Perform the following exams with direct supervision:
a. skull/facial/sinuses procedures
b. arthrography
4. Perform the following exams with direct supervision:
a. bony thorax
b. all portable exams
c. upper and lower extremities
d. spines
e. Hysterosalpingograms
f. ERCPs, upper and lower GIs
g. myelograms
h. cystograms and voiding cystograms
i. decubitus abdomen and chest exams
5. Analyze radiographic images for errors and take corrective action with direct supervision
6. Update exams into Trajecsys weekly
END OF DECEMBER
In addition to the previously listed objectives, the student will be able to:
1. Develop a technique book for assigned rotations and procedures.
2. Perform the following exams with Direct supervision:
a. Skull/facial/sinuses procedures
b. Arthrography
c. Hysterosalpingograms
d. ERCPs, upper and lower GIs
e. Myelograms
f. Cystograms and voiding cystograms
g. Decubitus abdomen and chest exams
h. All portable exams
3. Update exams into Trajecsys weekly.
4. Submit documentation for RADT 255 (Clinical Internship II) – Due to Clinical Coordinator in DECEMBER:
a. second Internship evaluation
b. nursing skills evaluation
c. C-arm ORIENTATION (not evaluation)
d. reception/X-ray Information Technology evaluation
TIMELINE
e. 16 competency evaluations of the following procedures: geriatric chest routine*
forearm humerus
shoulder (min. 3 views)
trauma upper extremity (non-shoulder) tibia-fibula
knee (min. 3 views) trauma lower extremity
cervical spine (min. 5 views) thoracic spine
lumbar spine (min. 5 views)
hip
abdomen upright
esophagus or dysphasia study portable abdomen
portable orthopedic
END OF JANUARY
In addition to the previously listed objectives, the student will be able to:
1. Train evenings and weekend rotations.
2. Observe the following exams with direct supervision:
a. Interventional procedures:
i. angiography
ii. pacemakers
iii. DSA
b. arthrography
c. skull/facial/sinuses procedures
d. hysterosalpingograms
e. ERCPs, upper and lower GIs
f. myelograms
g. cystograms and voiding cystograms
h. decubitus abdomen and chest exams
i. all portable exams
3. Perform the following exams with indirect supervision:
chest routine abdomen supine UGI series abdomen upright small bowel elbow
wrist hand hip
knee foot ribs
finger pelvis L-spine
forearm ankle
shoulder humerus
tibia-fibula chest AP (wheelchair or stretcher)
C-spine trauma upper extremities (non-shoulder)
T-spine trauma lower extremities
TIMELINE
4. Interns will be participating in modality rotations and will be under the Direct supervision of personnel in those areas
5. Update exams into Trajecsys weekly
END OF FEBRUARY
In addition to the previously listed objectives, the student will be able to:
1. Schedule a rotation into angiography/special procedures.
2. Perform the following exams with Direct supervision:
a. angiography
b. pacemakers
c. DSA
d. skull/facial/sinuses procedures
e. arthrography
f. all portable exams
g. hysterosalpingograms
h. ERCPs, upper and lower GIs
i. myelograms
j. cystograms and voiding cystograms
k. decubitus abdomen and chest exams
3. Update exams into Trajecsys weekly.
END OF MARCH
In addition to the previously listed objectives, the student will be able to:
1. Schedule rotations in CT, MRI, Radiation Therapy, or Ultrasound.
2. Perform the following radiographic exams with direct supervision:
a. angiography
b. pacemakers
c. DSA
d. arthrography
e. all portable exams
f. hysterosalpingograms
g. ERCPs, upper and lower GIs
h. myelograms
i. cystograms and voiding cystograms
j. skull/facial/sinuses
3. Perform the following exams with Indirect supervision: trauma C-spine, chest X-ray (6 yrs or younger) upright abdomen, trauma shoulder (scapular or transthoracic) C-arm procedure/surgery (orthopedic) dysphagia studies, trauma hip femur
4. Update exams into Trajecsys weekly
TIMELINE
5. Submit documentation for RADT 256 (Clinical Internship III) – Due to Clinical Coordinator in MARCH:
12 competency evaluations of the following procedures: ribs, pediatric chest routine (6 years or younger) clavicle, trauma shoulder (scapular Y, transthoracic, or axillary) geriatric upper extremity*, femur, trauma hip (cross-table lateral) geriatric lower extremity*, trauma cervical spine (cross-table lateral), UGI series or BE series, small bowel series, surgical C-arm orthopedic procedure (requiring manipulation around a sterile field to obtain more than one projection in multiple planes)
*A geriatric patient is defined as one that’s physically or cognitively impaired as a result of aging
END OF APRIL
In addition to the previously listed objectives, the student will be able to:
1. Schedule rotations in Nuclear Medicine and other specialized imaging modalities.
2. Perform the following radiographic exams with direct supervision:
a. angiography
b. pacemakers
c. DSA
d. arthrography
e. all portable exams
f. hysterosalpingograms
g. ERCPs, upper and lower GIs
h. myelograms
i. cystograms and voiding cystograms
j. skull/facial/sinuses
k. C-arm procedure/surgery (orthopedic)
3. Perform the following exams with Indirect supervision: trauma C-spine, femur, chest X-ray (6 yrs or younger) upright Abdomen, trauma shoulder (scapular, transthoracic or axillary) dysphagia studies, trauma hip
4. Update exams into Trajecsys weekly
END OF MAY
1. Update exams into Trajecsys weekly.
2. Submit documentation for RADT 256 (Clinical Internship III) – Due to clinical coordinator in MAY
a. Third Internship evaluation
b. Weekend/evening evaluation
End of Timeline
APPENDIX A
NOCCCD DISTRICT POLICIES
NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT POLICIES
Updated March 2025
The North Orange County Community College District (NOCCCD) Policies can be found on the district website: https://www.nocccd.edu/policies-and-procedures
A student may go to this website at any time to review the most current NOCCCD policies.
Board Policies
Board Policy (BP) is the voice of the board of trustees and defines the general goals and acceptable practices for the operation of the district. It implements federal and state laws and regulations. The board, through policy, delegates authority to and through the chancellor to administer the district. The chancellor and district employees are responsible to reasonably interpret board policy as well as other relevant laws and regulations that govern the district.
Administrative Procedures
Administrative Procedures (AP) implement board policy, laws, and regulations. They address how the general goals of the district are achieved and define the operations of the district. They include details of policy implementation, responsibility, accountability, and standards of practice. Although procedures may be developed by the chancellor, managers, faculty, and staff, it is the administrators/managers who are held responsible for upholding the specific information delineated in the procedures. Administrative procedures do not require board action. Not all board policies have a related administrative procedure.
The district policies include: The board of trustees, general institution, academic affairs, student services, business and fiscal affairs, and human resources.
Included for convenience in this policy manual are a few of the more pertinent policies that may pertain to students in the program. The board policy is provided, but if further information is needed about notification and/or resolution, people to contact, and procedures, the administrative procedures on the website should be reviewed: https://www.nocccd.edu/policies-and-procedures
BP 3410 Unlawful Discrimination
NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
NON-DISCRIMINATION STATEMENT
Reference:
Education Code Sections 66250, et seq.; 72010, et seq., and 87100 et seq.; Title 2 Sections 10500 et seq.; Title 5 Sections 53000, et seq. and 59300 et seq.; Penal Code Section 422.55 Government Code Sections 12926.1, 12940 et seq., and 12954; Labor Code Section 1197.5; ACCJC Accreditation Eligibility Requirement 20 WASC/ACS Criterion 2, Indicator 2.1
1.0 The policy of the North Orange County Community College District is to provide an educational, employment, and business environment, including but not limited to, access to its services, classes, and programs in which no person shall be unlawfully denied full and equal access to the benefits of, or be unlawfully subjected to discrimination on the basis of ethnic group identification, national origin, religion, age, sex, gender, gender identification, gender expression, race, color, medical condition, genetic information, ancestry, sexual orientation, marital status, physical or mental disability, pregnancy, or military and veteran status, or as otherwise prohibited by state and federal statutes, or because he or she is perceived to have one or more of the foregoing characteristics, or based on association with a person or group with one or more of these actual or perceived characteristics.
The following person is designated by the North Orange County Community College District as the Responsible Officer/Section 504 and Title IX Coordinator for receiving and coordinating the investigation of all unlawful discrimination complaints filed pursuant to section 59328 of Title 5 of the California Code of Regulations, and for coordinating compliance with Section 504 of the Rehabilitation Act of 1973 and Title II of the Americans with Disabilities Act of 1990, Title IX of the Education Amendments of 1992, and response to discrimination complaints related thereto:
Position: Vice Chancellor, Human Resources Address: 1830 W. Romneya Drive
Anaheim, CA 92801-1819
Telephone: 714-808-4826
Discrimination/Sexual Harassment, Complaints, and Filing Procedures
Students, employees, interns, and volunteers who believe they have been subjected to unlawful discrimination, including sexual harassment, or who seek information regarding the district’s Unlawful Discrimination Policy should contact the Office of the Vice Chancellor, Human Resources.
2.0 The district is committed to equal opportunity in educational programs, employment, and all access to institutional programs and activities.
3.0 The policy of the North Orange County Community College District is to comply with the accessibility requirements of Section 508 of the Rehabilitation Act of 1973 in the development, procurement, maintenance, or use of electronic or information technology and respond to and resolve unlawful discrimination complaints regarding accessibility. Such complaints will be treated as complaints of discrimination on the basis of disability.
4.0 Employees, students, or other persons acting on behalf of the district who engage in unlawful discrimination or harassment as defined in Administrative Procedure 3410, Unlawful Discrimination or by state or federal law may be subject to discipline, up to and including discharge, expulsion, or termination of contract.
5.0 The chancellor shall establish administrative procedures that ensure all members of the college community can present complaints regarding alleged violations of this policy and have their complaints heard in accordance with the Title 5 regulations and those of other agencies that administer state and federal laws regarding nondiscrimination.
6.0 No district funds shall be used for membership, or for participation involving financial payment or contribution on behalf of the district or any individual employed by or associated with it, to any private organization whose membership practices are discriminatory on the basis of ethnic group identification, national origin, religion, age, sex, gender, gender identification, gender expression, race or ethnicity, medical condition, color, genetic information, ancestry, sexual orientation, marital status, physical or mental disability, pregnancy, military and veteran status, or because an individual is perceived to have one or more of those characteristics.
7.0 In so providing, the North Orange County Community College District hereby implements the provisions of the California Government Code Sections 11135 through 11139.5, The Sex Equity in Education Act (Ed. Code Section 66250, et seq.), Education Code Section 212.5, Title VI of the Civil Rights Act of 1964 (42 U.S. Code Section 2000d), Title IX of the Education Amendments of 1972 (20 U.S. Code Section 1681), Section 504 of the Rehabilitation Act of 1973 (29 U.S. Code Section 794), the American with Disabilities Act of 1990 (42 U.S. Code section 12100, et seq.), and the Age Discrimination Act (42 U.S. Code Section 6101).
See Administrative Procedure 3410, Unlawful Discrimination https://www.nocccd.edu/policies-and-procedures
BP 3430 Prohibition of Harassment
Reference:
Education Code Sections 212.5, 44100, 66252, and 66281.5;
Government Code Sections 12940 and 12950.1;
Title VII of the Civil Rights Act of 1964, 42 U.S. Code Section 2000e
1.0 The policy of the North Orange County Community College District is to provide an educational, employment, and business environment including but not limited to access to its services, classes, and programs in which no person shall be subjected to unlawful harassment and where such environment is free from unwelcome sexual advances, requests for sexual favors, sexual favoritism, or other verbal or physical conduct or communications constituting sexual harassment. It shall also be free of other unlawful harassment, including but not limited to harassment that is based on: ethnic group identification, national origin, religion, age, sex, gender, gender identification, gender expression, race, color, medical condition, genetic information, ancestry, sexual orientation, marital status, physical or mental disability, pregnancy, or military and veteran status, or as otherwise prohibited by state and federal statutes, or because he/she is perceived to have one or more of the foregoing characteristics, or based on association with a person or group with one or more of these actual or perceived characteristics.
2.0 Students, employees, interns, and volunteers who believe they have been harassed or retaliated against in violation of this policy should immediately report such incidents by following the procedures described in Administrative Procedure 3410, Unlawful Discrimination.
2.1 The following person is designated by the North Orange County Community College District as the Responsible Officer for receiving and coordinating the investigation of all unlawful discrimination complaints, including sexual harassment:
Position: Vice Chancellor, Human Resources
1830 W. Romneya Drive
Anaheim, CA 92801-1819
Telephone: 714-808-4826
3.0 The chancellor shall establish procedures that define harassment on campus or in connection with district-sponsored events. The chancellor shall further establish procedures for employees, students, interns, volunteers, and other members of the campus community that provide for the investigation and resolution of complaints regarding harassment and discrimination, and procedures for students to resolve complaints of harassment and discrimination. All participants are protected from retaliatory acts by the district, its employees, students, and agents.
4.0 District Administrative Procedure 3410, Unlawful Discrimination provides the definitions of all forms of unlawful harassment and contains information regarding the specific rules and procedures for reporting charges of harassment and pursuing available remedies. The following applies for the distribution of this policy:
4.1 This policy shall be displayed in a prominent location in the main administrative building of each campus or other areas where notices regarding the institution’s rules, regulations, procedures, and standards of conduct are posted.
4.2 The policy shall be provided to students as part of any orientation program conducted for new students at the beginning of each quarter, semester, or summer session, as applicable.
4.3 This policy shall be provided to all faculty, administrators, and staff at the beginning of the first quarter or semester of the school year, or at the time that there is a new employee hired.
4.4 This policy shall appear in any publication of the district that sets forth the comprehensive rules, regulations, procedures, and standards of conduct for the institution.
See Administrative Procedure BP 3430 Prohibition of Harassment
Reference https://www.nocccd.edu/documents/bp-3430-prohibition-harrassment
BP 3550 Drug Free Environment and Drug Prevention Program
Reference:
Drug Free Schools and Communities Act 20 U.S. Code Section 1145g, 34 C.F.R. Sections 86.1, et seq. Drug Free Workplace Act of 1988, 41 U.S. Code Section 702 1.0
1.0 The district shall be free from the unlawful possession, use or distribution of illicit drugs and alcohol by students and employees.
1.1 The unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in all facilities under the control and use of the district.
1.2 Any student or employee who violates this policy will be subject to sanctions (consistent with local, state, or federal law) up to and including expulsion or termination of employment and referral for prosecution.
2.0 The chancellor shall assure that the district distributes annually to each student and employee the information required by the Drug-Free Schools and Communities Act Amendments of 1989 and complies with other requirements of the Act.
See Administrative Procedure 3550
https://www.nocccd.edu/documents/bp-3550-drug-free-enviornment-and-drug-prevention
BP 4250 Probation, Dismissal, and Readmission
Reference:
Education Code Section 70902 subdivision (b)(3); Title 5 Sections 55031 through 55034
1.0 Credit Program Students
1.1 Probation and Dismissal
1.1.1 Application of Provisions: This policy shall apply to all registered students equally, regardless of previous degrees earned or the number of units in which a student is enrolled, except that grades earned elsewhere prior to admission in a college within the North Orange County Community College District shall not be considered in determining probationary status.
1.1.2 For the purpose of this policy, semesters shall be considered consecutive based on the student’s enrollment pattern, excluding the summer session.
1.1.3 Standards of Scholastic Probation:
1.1.3.1 Academic Probation: A student who has attempted at least 12 semester units shall be placed on academic probation if the student has earned a cumulative grade point average below 2.0.
1.1.3.2 Progress Probation: A student who has enrolled in a total of at least 12 semester units shall be placed on progress probation when the percentage of all units in which the student has enrolled and for which entries of “W” (Withdrawal), “I” (Incomplete), “NC” (No Credit), and “NP” (No Pass) were recorded reaches or exceeds fifty percent (50%).
1.1.4 Notification, Recording, and Appeal of Scholastic Probationary Status:
1.1.4.1 Each college will make a reasonable effort to notify students when they are placed on scholastic probation.
1.1.4.2 Students on scholastic probation shall be automatically considered “conditional” registrants with their programs subject to limitations, conditions and/or adjustments as determined by the colleges.
1.1.4.3 A student who is placed on scholastic probation may submit an appeal in accordance with administrative procedure.
1.1.5 Removal from Scholastic Probation: A student on academic probation shall be removed from probation when the student’s accumulated grade point average is 2.0 or higher. A student on progress probation shall be removed from probation when the percentage of units in the categories of “W,” “I,” “NC,” and “NP” drops below fifty percent (50%).
1.1.6 Standards for Scholastic Dismissal:
1.1.6.1 A student who is on academic probation shall be subject to dismissal if the student has earned a cumulative grade point average of less than 2.0 in all units attempted in each of two (2) consecutive semesters excluding summer sessions.
1.1.6.2 A student who is on progress probation shall be subject to dismissal if the cumulative percentage of units in which the student has been enrolled for which entries of “W,” “I,” “NC,” and “NP” are recorded in at least two (2) consecutive semesters reaches or exceeds fifty percent excluding summer sessions.
1.1.6.3 A student whose academic performance warrants Scholastic Dismissal but in the third consecutive semester achieves a grade point average of 2.0 or higher, or receives grades of “W,” “NC,” “I,” and “NP” for less than fifty percent (50%) of the current semester units enrolled, will not be dismissed, and notation of dismissal will not appear on the student’s transcripts.
1.1.7 Notification, Recording, and Appeal of Scholastic Dismissal Status:
1.1.7.1 Each college shall make a reasonable effort to notify a student who is subject to academic and/or progress dismissal no later than the beginning of the fall semester each academic year.
1.1.7.2 Scholastic dismissal will be permanently noted on the student’s transcript.
1.1.7.3 A student who is dismissed may submit a written appeal in compliance with administrative procedure.
1.1.8 Readmission: A dismissed student will be considered for readmission by filing a written petition of appeal/readmission. If readmitted, the student shall continue on academic probation until a cumulative grade point average of 2.0 or higher has been achieved, and/or progress probation until the percentage completed is greater than fifty percent (50%) of the units, which the student has attempted. Appeals/Readmission may be granted, denied, or postponed according to criteria established by administrative procedure.
2.0 Non-Credit Program Students
2.1 Probation and Dismissal
2.1.1 Non-credit terms shall be considered consecutive based on the student’s enrollment pattern commencing with the student’s initial enrollment.
2.1.2 Standards of Scholastic Probation: A student who has enrolled at North Orange Continuing Education (NOCE) shall be placed on program probation when the requirements for academic progress as defined by the department are not met. An NOCE student will not be placed on program probation in their initial term of enrollment.
2.1.3 Notification, Recording, and Appeal of Scholastic Probationary Status: NOCE will make a reasonable effort to notify students when they are placed on scholastic probation.
2.1.4 Removal from Scholastic Probation: An NOCE student placed on program probation shall be removed from probation when the academic progress requirements as set forth by the department are met.
2.1.5 Standards for Scholastic Dismissal:
2.1.5.1 An NOCE student on program probation shall be subject to dismissal if the academic progress requirements are not met for two consecutive terms, or equivalent thereof, in which the student was enrolled.
2.1.5.2 An NOCE student whose academic performance warrants Scholastic Dismissal but is in the third consecutive term or the equivalent thereof meets the academic progress requirements will not be dismissed and notion of dismissal will not appear on the student’s transcripts.
2.1.6 Notification, Recording, and Appeal of Scholastic Dismissal Status: NOCE shall make a reasonable effort to notify a student who is subject to progress dismissal no later than the beginning of the term in which the standards of the progress dismissal are met.
2.1.7 Readmission: A dismissed student will be considered for readmission by filing a written petition of appeal/readmission. If readmitted, the NOCE student shall continue on program probation until the academic progress requirements as set forth by the department are met. Appeals/Readmission may be granted, denied, or postponed according to criteria established by administrative procedure.
See Administrative Procedure 4250, Probation, Dismissal, and Readmission.
https://www.nocccd.edu/documents/bp-4250-probation-dismissal-and-readmission
BP 5500 Standards of Student Conduct and Discipline
Reference:
Education Code Section 66300 and 66301 ACCJC Accreditation Standards I.C.8 and 10
WASC/ACS Criterion 2, Indicators 2.1, 2.2, and 2.4; Criterion 8, Indicator 8.4
1.0 Standards of Student Conduct
For purposes of this policy, the term “District” as used herein means the North Orange County Community College District, Cypress College, Fullerton College, North Orange Continuing Education, the Anaheim Campus, and other entities operated by, or property under the control of, the North Orange County Community College District.
Students enrolling in the programs and services of the North Orange County Community College District assume an obligation to conduct themselves in a manner compatible with the function of the Colleges and North Orange Continuing Education as educational institutions. A student who violates the standards of student conduct shall be subject to disciplinary action including, but not limited to, the removal, suspension or expulsion of the student. Misconduct, which constitutes “good cause” for disciplinary action includes, but is not limited to, the following:
1.1 Disruptive behavior, willful disobedience, habitual profanity or vulgarity, the open and persistent defiance of the authority of, or persistent abuse of, District personnel, or violating the rights of other students.
1.2 Failure to identify oneself when requested to do so by District officials acting in the performance of their duties.
1.3 Cheating, plagiarism in connection with an academic program (including plagiarism in a student publication), or engaging in other academic dishonesty.
1.4 Dishonesty, forgery, alteration, or misuse of District documents, records, or identification, or knowingly furnishing false information to the District.
1.5 Misrepresentation of oneself or of an organization to be an agent of the District.
1.6 Causing, attempting to cause, or threatening to cause physical injury or physical or verbal abuse or any threat of force or violence, to the person, property, or family of any member of the college community, whether on or off District property as defined above.
1.7 Willful misconduct which results in injury or death to a student or to District personnel, or which results in the cutting, defacing, or other damage to any real or personal property of the District.
1.8 Unauthorized entry into, unauthorized use of, or misuse of property of the District.
1.9 Stealing or attempting to steal District property or private property on District premises, or knowingly receiving stolen District property or stolen private property on District premises.
1.10 Causing or attempting to cause damage to District property, or to private property on District premises.
1.11 Unlawful use, sale, possession, offer to sell, furnishing, or being under the influence of any controlled substance listed in the California Health and Safety Code, section 11053 et seq., an alcoholic beverage, or an intoxicant of any kind, or any poison classified as such by Schedule D in Section 4160 of the Business and Professions Code or other State law defining controlled substance while on District property, or at a District function; or unlawful possession of, or offering, arranging or negotiating the sale of any drug paraphernalia, as defined in the California Health and Safety Code, section 11014.5.
1.12 Willful or persistent smoking in any area where smoking has been prohibited by law or by regulation of the District.
1.13 Possession, sale, use, or otherwise furnishing of explosives, dangerous chemicals, deadly weapons or other dangerous object including, but not limited to, any facsimile firearm, knife or explosive on District property, or at a District function, without prior written authorization of the Chancellor, college president, School of Continuing Education Provost, or authorized designee.
1.14 Engaging in lewd, indecent, or obscene behavior on District property, or at a District function.
1.15 Violation of municipal, state, or federal laws in connection with attendance in programs or services offered by the District, or while on District property or at District-sponsored activities.
1.16 Soliciting or assisting another to do any act (including the purchasing, transporting or consumption of any controlled substance), while under the supervision of a District official, which would subject a student to expulsion, suspension, probation, or other discipline pursuant to this policy.
1.17 Attempting any act constituting cause for disciplinary action as identified in the above sections of this policy.
1.18 Sexual assault or sexual exploitation regardless of the victim’s affiliation with the District.
1.19 Committing sexual harassment as defined by law or by District policies and procedures.
1.20 Engaging in harassing or discriminatory behavior based on disability, gender, gender identity, gender expression, nationality, race or ethnicity, religion, sexual orientation, or any other status protected by law.
1.21 Engaging in physical or verbal intimidation or harassment of such severity or pervasiveness as to have the purpose or effect of unreasonably interfering with a student’s academic performance, or District employee’s work performance, or of creating an intimidating, hostile or offensive educational or work environment.
1.22 Engaging in physical or verbal disruption of instructional or student services activities, administrative procedures, public service functions, authorized curricular or co-curricular activities or prevention of authorized guests from carrying out the purpose for which they are on District property.
1.23 Stalking, defined as a pattern of conduct by a student with intent to follow, alarm, or harass another person, and which causes that person to reasonably fear for his or her safety, and where the student has persisted in the pattern of conduct after the person has demanded that the student cease the pattern of conduct. Violation of a restraining order shall, without more, constitute stalking under this policy.
1.24 Persistent, serious misconduct where other means of correction have failed to bring about proper conduct or where the presence of the student causes a continuing danger to the physical safety of students or others.
1.25 Engaging in expression which is obscene, libelous, or slanderous according to current legal standards, or which so incites students as to create a clear and present danger of the commission of unlawful acts on District property, or the violation of the lawful administrative procedures of the District or the substantial disruption of the orderly operation of the District.
1.26 Use of the District’s computer systems or electronic communication systems and services for any purpose prohibited by Administrative Procedure 3720, Computer & Electronic Communication Systems, or for any act constituting cause for disciplinary action as provided in this policy.
2.0 No student shall be suspended from a college or North Orange Continuing Education program or expelled unless the conduct for which the student is disciplined is related to college, North Orange Continuing Education or District activity or attendance.
3.0 Any violation of law, ordinance, regulation or rule regulating, or pertaining to, the parking of vehicles, shall not be cause for removal, suspension, or expulsion of a student.
4.0 The Chancellor shall establish procedures for the imposition of discipline on students in accordance with the requirements for due process of law. The procedures shall identify potential disciplinary actions including, but not limited to, the removal, suspension or expulsion of a student.
5.0 The Chancellor shall establish procedures by which all students are informed of the rules and regulations governing student behavior.
See Administrative Procedure 5500
https://www.nocccd.edu/documents/bp-5500-standards-student-conduct-and-discipline
BP 5140 Disabled Student Services
Reference:
Education Code Sections 67310 and 84850; Title 5, Sections 56000 et seq. and 56027
1.0 Students with verified disabilities shall receive reasonable accommodations pursuant to federal and state requirements in all applicable programs in the district.
2.0 The Disabled Students Services (DSS) program shall be the primary provider for academic adjustments, auxiliary aids, services, or instruction that facilitate equal educational opportunities for students with disabilities as mandated by federal and state laws.
3.0 DSS services and accommodations shall be available to students with verified disabilities. The services to be provided include, but are not limited to, academic adjustments, accessible facilities, accessible equipment and technologies, instructional programs, and specialized counseling.
4.0 No student with disabilities is required to participate in the DSS program. However, students requesting accommodations are required to provide evidence verifying the disability.
5.0 The chancellor shall assure that district DSS programs conform to all requirements established by the relevant law and regulations. The chancellor shall also establish procedures to implement this policy that assure response in a timely manner to accommodation requests involving academic adjustments and for an individualized review of each such request, and permits interim decisions on such request pending final resolution by the appropriate administrator or designee.
See Administrative Procedure 5140
https://www.nocccd.edu/documents/bp-5140-disabled-student-programs-and-services
APPENDIX B – JRCERT Standards
Standards for an Accredited Educational Program in Radiography
Adopted by:
The Joint Review Committee on Education in Radiologic Technology – April 2010
The Joint Review Committee on Education in Radiologic Technology (JRCERT) is dedicated to excellence in education and to the quality and safety of patient care through the accreditation of educational programs in the radiologic sciences.
The JRCERT is the only agency recognized by the United States Department of Education (USDE) and the Council on Higher Education Accreditation (CHEA) for the accreditation of traditional and distance delivery educational programs in radiography, radiation therapy, magnetic resonance, and medical dosimetry. The JRCERT awards accreditation to programs demonstrating substantial compliance with these STANDARDS.
Introductory Statement
The Joint Review Committee on Education in Radiologic Technology (JRCERT) Standards for an Accredited Educational Program in Radiography are designed to promote academic excellence, patient safety, and quality healthcare. The Standards require a program to articulate its purposes; to demonstrate that it has adequate human, physical, and financial resources effectively organized for the accomplishment of its purposes; to document its effectiveness in accomplishing these purposes; and to provide assurance that it can continue to meet accreditation standards.
The JRCERT is recognized by both the United States Department of Education (USDE) and the Council for Higher Education Accreditation (CHEA). The JRCERT Standards incorporate many of the regulations required by the USDE for accrediting organizations to assure the quality of education offered by higher education programs. Accountability for performance and transparency are also reflected in the Standards as they are key factors for CHEA recognition.
The JRCERT accreditation process offers a means of providing assurance to the public that a program meets specific quality standards. The process not only helps to maintain program quality but stimulates program improvement through outcomes assessment.
There are six (6) standards. Each standard is titled and includes a narrative statement supported by specific objectives. Each objective, in turn, includes the following clarifying elements:
• Explanation – provides clarification on the intent and key details of the objective.
• Required Program Response – requires the program to provide a brief narrative and/or documentation that demonstrates compliance with the objective.
• Possible Site Visitor Evaluation Methods – identifies additional materials that may be examined and personnel who may be interviewed by the site visitors at the time of the on-site evaluation in determining compliance with the particular objective. Review of supplemental materials and/or interviews is at the discretion of the site visit team.
Regarding each standard, the program must:
• Identify strengths related to each standard
• Identify opportunities for improvement related to each standard
• Describe the program’s plan for addressing each opportunity for improvement
• Describe any progress already achieved in addressing each opportunity for improvement
• Provide any additional comments in relation to each standard
The self-study report, as well as the results of the on-site evaluation conducted by the site visit team, will determine the program’s compliance with the Standards by the JRCERT Board of Directors.
Standards for an Accredited Educational Program in Radiography
Table of Contents
Standard One: Accountability, Fair Practices, and Public Information
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.
Standard Two: Institutional Commitment and Resources
The sponsoring institution demonstrates a sound financial commitment to the program by assuring sufficient academic, fiscal, personnel, and physical resources to achieve the program’s mission.
Standard Three: Faculty and Staff
The sponsoring institution provides the program adequate and qualified faculty that enable the program to meet its mission and promote student learning.
Standard Four: Curriculum and Academic Practices
The program’s curriculum and academic practices prepare students for professional practice.
Standard Five: Health and Safety
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.
Standard Six: Programmatic Effectiveness and Assessment: Using Data for Sustained Improvement
The extent of a program’s 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.
Standard One: Accountability, Fair Practices, and Public Information
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.
Objectives:
1.1 The sponsoring institution and program provide students, faculty, and the public with policies, procedures, and relevant information. Policies and procedures must be fair, equitably applied, and readily available.
1.2 The sponsoring institution and program have faculty recruitment and employment practices that are nondiscriminatory.
1.3 The sponsoring institution and program have student recruitment and admission practices that are nondiscriminatory and consistent with published policies.
1.4 The program assures the confidentiality of student educational records.
1.5 The program assures that students and faculty are made aware of the JRCERT Standards for an Accredited Educational Program in Radiography and the avenue to pursue allegations of noncompliance with the Standards.
1.6 The program publishes program effectiveness data (credentialing examination pass rate, job placement rate, and program completion rate) on an annual basis.
1.7 The sponsoring institution and program comply with the requirements to achieve and maintain JRCERT accreditation.
Standard Two: Institutional Commitment and Resources
The sponsoring institution demonstrates a sound financial commitment to the program by assuring sufficient academic, fiscal, personnel, and physical resources to achieve the program’s mission.
Objectives:
2.1 The sponsoring institution provides appropriate administrative support and demonstrates a sound financial commitment to the program.
2.2 The sponsoring institution provides the program with the physical resources needed to support the achievement of the program’s mission.
2.3 The sponsoring institution provides student resources.
2.4 The sponsoring institution and program maintain compliance with United States Department of Education (USDE) Title IV financial aid policies and procedures, if the JRCERT serves as gatekeeper.
Standard Three: Faculty and Staff
The sponsoring institution provides the program adequate and qualified faculty that enable the program to meet its mission and promote student learning.
Objectives:
3.1 The sponsoring institution provides an adequate number of faculty to meet all educational, accreditation, and administrative requirements.
3.2 The sponsoring institution and program assure that all faculty and staff possess the academic and professional qualifications appropriate for their assignments.
3.3 The sponsoring institution and program assure the responsibilities of faculty and clinical staff are delineated and performed.
3.4 The sponsoring institution and program assure program faculty performance is evaluated and results are shared regularly to assure responsibilities are performed.
3.5 The sponsoring institution and/or program provide faculty with opportunities for continued professional development.
Standard Four: Curriculum and Academic Practices
The program’s curriculum and academic practices prepare students for professional practice.
Objectives:
4.1 The program has a mission statement that defines its purpose.
4.2 The program provides a well-structured curriculum that prepares students to practice in the professional discipline.
4.3 All clinical settings must be recognized by the JRCERT.
4.4 The program provides timely, equitable, and educationally valid clinical experiences for all students.
4.5 The program provides learning opportunities in advanced imaging and/or therapeutic technologies.
4.6 The program assures an appropriate relationship between program length and the subject matter taught for the terminal award offered.
4.7 The program measures didactic, laboratory, and clinical courses in clock hours and/or credit hours through the use of a consistent formula.
4.8 The program provides timely and supportive academic and clinical advisement to students enrolled in the program.
4.9 The program has procedures for maintaining the integrity of distance education courses.
Standard Five: Health and Safety
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.
Objectives:
5.1 The program assures the radiation safety of students through the implementation of published policies and procedures.
5.2 The program assures each energized laboratory is in compliance with applicable state and/or federal radiation safety laws.
5.3 The program assures that students employ proper safety practices.
5.4 The program assures that medical imaging procedures are performed under the appropriate supervision of a qualified radiographer.
5.5 The sponsoring institution and/or program have policies and procedures that safeguard the health and safety of students.
Standard Six: Programmatic Effectiveness and Assessment: Using Data for Sustained Improvement
The extent of a program’s 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.
Objectives:
6.1 The program maintains the following program effectiveness data:
• five-year average credentialing examination pass rate of not less than 75 percent at first attempt within six months of graduation,
• five-year average job placement rate of not less than 75 percent within twelve months of graduation, and
• annual program completion rate
6.2 The program analyzes and shares its program effectiveness data to facilitate ongoing program improvement.
6.3 The program has a systematic assessment plan that facilitates ongoing program improvement.
6.4 The program analyzes and shares student learning outcome data to facilitate ongoing program improvement.
6.5 The program periodically reevaluates its assessment process to assure continuous program improvement.
Awarding, Maintaining, and Administering Accreditation
A. Program/Sponsoring Institution Responsibilities
1. Applying for Accreditation
The accreditation review process conducted by the Joint Review Committee on Education in Radiologic Technology (JRCERT) is initiated by a program through the written request for accreditation sent to the JRCERT, on program/institutional letterhead. The request must include the name of the program, the type of program, and the address of the program. The request is to be submitted, with the applicable fee, to:
Joint Review Committee on Education in Radiologic Technology
20 North Wacker Drive, Suite 2850
Chicago, IL 60606-3182
Submission of such information will allow the program access to the JRCERT’s Accreditation Management System (AMS). The initial application and self-study report will then be available for completion and submission through the AMS.
2. Administrative Requirements for Maintaining Accreditation
a. Submitting the self-study report or a required progress report within a reasonable period of time, as determined by the JRCERT.
b. Agreeing to a reasonable site visit date before the end of the period for which accreditation was awarded.
c. Informing the JRCERT, within a reasonable period of time, of changes in the institutional or program officials, program director, clinical coordinator, full-time didactic faculty, and clinical preceptor(s).
d. Paying JRCERT fees within a reasonable period of time. Returning, by the established deadline, a completed Annual Report.
e. Returning, by the established deadline, any other information requested by the JRCERT.
Programs are required to comply with these and other administrative requirements for maintaining accreditation. Additional information on policies and procedures is available at www.jrcert.org.
Program failure to meet administrative requirements for maintaining accreditation will lead to Administrative Probationary Accreditation and potentially result in Withdrawal of Accreditation.
B. JRCERT Responsibilities
1. Administering the Accreditation Review Process
The JRCERT reviews educational programs to assess compliance with the Standards for an Accredited Educational Program in Radiography.
The accreditation process includes a site visit.
Before the JRCERT takes accreditation action, the program being reviewed must respond to the report of findings.
The JRCERT is responsible for recognition of clinical settings.
2. Accreditation Actions
Consistent with JRCERT policy, the JRCERT defines the following as accreditation actions:
Accreditation, Probationary Accreditation, Administrative Probationary Accreditation, Withholding Accreditation, and Withdrawal of Accreditation (Voluntary and Involuntary).
For more information regarding these actions, refer to JRCERT Policy 10.200.
A program or sponsoring institution may, at any time prior to the final accreditation action, withdraw its request for initial or continuing accreditation.
Educators may wish to contact the following organizations for additional information and materials:
Accreditation:
Joint Review Committee on Education in Radiologic Technology 20 North Wacker Drive, Suite 2850
Chicago, IL 60606-3182
(312) 704-5300
www.jrcert.org
Curriculum:
American Society of Radiologic Technologists 15000 Central Avenue, S.E.
Albuquerque, NM 87123-3909
(505) 298-4500
www.asrt.org
Certification:
American Registry of Radiologic Technologists 1255 Northland Drive
St. Paul, MN 55120-1155 (651) 687-0048
www.arrt.org
Copyright © 2020 by the JRCERT
Subject to the condition that proper attribution is given and this copyright notice is included on such copies, the JRCERT authorizes individuals to make up to one hundred (100) copies of this work for non-commercial, educational purposes. For permission to reproduce additional copies of this work, please write to:
JRCERT
20 North Wacker Drive
Suite 2850
Chicago, IL 60606-3182
(312) 704-5300
(312) 704-5304 (fax)
mail@jrcert.org (e-mail)
www.jrcert.org
APPENDIX C
Radiation Safety Protocol for Radiologic Technology Students Radiation Safety and Protection Program
The purpose of the radiation safety program is to protect students and faculty and to provide information on established radiation safety guidelines for students while attending clinical and lab training.
All clinical facilities associated with Cypress College radiologic technology program have been recognized by the California Department of Public Health, Radiologic Health Branch (CDPH- RHB). All clinical facilities have been issued and have posted Clinical Affiliation Notifications. All clinical facilities have FAC registrations as required by the CDPH-RHB.
All students are given instruction in radiation protection methods in RADT 146 Introduction to Radiologic Technology which is a prerequisite course. All students will be instructed on x-ray machine use during the first lab meeting in the first fall semester in both RADT 150 Radiographic Positioning and RADT 148 Radiologic Techniques.
All students are required to adhere to radiation safety rules at all times. They are responsible for their safety as well as the safety of their patients and other staff members. This includes time spent in the energized lab at school as well as the clinical training site. These areas include surgery, emergency department, fluoroscopy, etc.
Radiation detection devices, dosimetry badges, are provided for each student by the college for the duration of the program. Radiation exposure reports are posted online (Trajecsys) for students to review. These reports are kept in an electronic file in the program director’s office, room 200, Technical Education Building III.
Students are not allowed to hold patients and/or image receptors during radiographic procedures in the hospital training site. Students are not allowed to make exposures in the lab setting without an instructor present. Students are expected to follow the radiation safety rules presented in the department policy manual.
All students must complete an orientation on all radiology and fluoroscopy equipment on campus as well as the training hospital before operating that equipment. Fluoroscopy orientation forms for clinical training are in Appendix E of the Radiologic Technology Department Policy manual.
All students rotating through a Magnetic Resonance Imaging department at the training facility must be screened and attend an orientation per that hospital’s policy and procedures. A signed document indicating completion of screening and orientation must be submitted to the clinical coordinator prior to the rotation. The MRI orientation form is in Appendix E of the Radiologic Technology Department Policy manual.
Failure to abide by the radiation safety and protection program may lead to dismissal from the Cypress College radiologic technology program.
Cypress College Radiation Safety and Protection Program Policies and Procedures
I. Organization and Administration
Document the delegation and responsibility for each aspect of the radiation program and provisions for ensuring enforcement of radiation safety policies and procedures.
Radiation Safety Officer
The radiologic technology program is approved by the California Department of Public Health, Radiologic Health Branch. The radiation safety officer duties are the responsibility of the clinical coordinator and the program director. The letter of acceptance of these duties are kept in the radiation protection policy manual in the program director’s office along with the letter of acceptance from the supervisor and operator.
A. Radiation Safety Officer responsibilities of the Clinical Coordinator:
The clinical coordinator is the primary RSO. Qualifications:
• Holds, at a minimum, a baccalaureate degree,
• Is proficient in curriculum development, supervision, instruction, evaluation, and academic advising,
• Documents two years clinical experience in the professional discipline,
• Documents a minimum of one year of experience as an instructor in a JRCERT-accredited program, and
• Holds American Registry of Radiologic Technologists current registration in radiography or equivalent (i.e., unrestricted state license for the state in which the program is located).
Duties:
1. Uploads dosimetry reports to the Trajecsys online system for students to review. These reports are to be posted within 10 days of receipt. Students are notified by email when reports are posted.
2. Evaluate dosimetry reports to ensure compliance of minimal exposure (not to exceed 0.5 rem/year).
3. File dosimetry reports for each student from each affiliated hospital to the electronic class file in the radiology department network drive.
4. Investigate and complete paperwork for student monitoring devices reports exceeding 100 mRem for any month, or 200 mRem for bimonthly report, or 300 mRem for a quarterly report.
5. Discuss recommendations to prevent future over exposures with any student who has an increase in exposure that is not consistent with training duties.
B. Radiation Safety Officer responsibilities of the Program Director:
The Program Director is the secondary RSO. Qualifications:
• Holds, at a minimum, a master’s degree,
• Is proficient in curriculum design, program administration, evaluation, instruction, and academic advising,
• Documents three years clinical experience in the professional discipline,
• Documents two years of experience as an instructor in a JRCERT- accredited program, and
• Holds American Registry of Radiologic Technologists current registration in radiography or equivalent (i.e., unrestricted state license for the state in which the program is located).
Duties:
1. Develop a set of rules which must be followed by each student in order to:
a. Obtain diagnostic quality radiographs with minimum exposure to the patient.
b. Protect patient and personnel from unnecessary exposure.
2. Provide dosimetry devices for Extern and Intern students.
3. Receive and evaluate dosimetry reports for all students in the laboratory setting.
4. Maintain x-ray machine compliance with RHB regulations, Title 17, Subchapter 4, Section 30100.
5. Maintain x-ray tube registration with the RHB, Title 17, Subchapter 4, Section 30100
6. Update and maintain operating and safety procedure manual.
7. Oversee RADT 260 (Fluoroscopy Permit Course) monitoring of all students in the course performing any laboratory procedures.
8. Oversee student instruction of x-ray machine operation.
9. Oversee quality control and record maintenance of each x-ray machine in the laboratory and ancillary equipment.
II. ALARA Program
The student shall use, to the extent practicable, procedures and engineering controls based upon sound radiation protection principles to achieve occupational doses and doses to members of the public that are as low as is reasonably achievable (ALARA) and document procedures addressing this requirement.
• Students are instructed in ALARA principles in several courses associated with the Cypress College radiologic technology program. These courses include:
RADT 146 Introduction to Radiography, Unit 6, Radiation Protection
RADT 148 Radiographic Techniques, Lecture and Lab
RADT 150 Radiographic Positioning I, Lecture and Lab
RADT 247 Radiographic Positioning II, Lecture and Lab
RADT 251 Radiology Externship, Unit 2, Fluoroscopy
RADT 252 Radiobiology and Radiation Protection (Health Physics)
• Additionally, students are oriented to the radiology equipment at the beginning of the program during the lab portion of RADT 150 and RADT
148. Students are provided with the Radiology Department Policy and Procedure Manual which includes Radiation Safety for Students and Rules for the Laboratory at the start of the program.
III. Dosimetry Program
All registrants are responsible for the protection of individuals that enter the registrants’ controlled areas. The registrant is also responsible for ensuring that the public is protected, and the public dose does not exceed the limits found in 10 CFR 20.
• Students are required to pay a fee for the personal monitoring device of TLD type while the student is in the radiologic technology program. Each student will be instructed as to the use, purpose, and placement of the monitoring device. If the monitoring device is lost or damaged, the student MUST notify the program director immediately to provide a replacement.
• The radiation monitoring device will be supplied by the college from Radiation Detection Company. The control badge will be under control of the program director. All dosimetry devices, including the control badge, will be replaced bi-monthly.
• The radiation dosimetry badge report from Radiation Detection Company will be provided for student review within 10 days of receipt. The report will be uploaded onto the Trajecsys program. The Radiation Safety officer will review badge reports to determine if any reading is above average and to determine if any action is needed.
• Under no circumstances will a student train in a radiology department of any affiliated hospital without wearing a dosimetry badge.
• If the student’s monitoring device report exceeds 100 mRem for any month, or 200 mRem for bimonthly report, or 300 mRem for a quarterly report, both the clinical instructor and the college clinical coordinator will discuss, with the student, reasons concerning the over exposure and recommendations to prevent future over exposures. This information will be documented on the “Radiation Monitoring Device Reading over 100 mRem” form, which is located in the Department Policy Manual.
• The program director will provide reports of individual exposures when requested by the RHB in accordance with 17 CCR 30255. Reports will be provided to individuals who request dosimetry reports during enrollment in the radiologic technology program.
• No minors are accepted into the radiologic technology program at Cypress College.
• The pregnancy policy is in compliance with the Nuclear Regulatory Commission (NRC) regulations, 10 CFR Part 19.12 and Part 20.1208, for the radiation protection of the fetus of the expectant female student while assigned to the clinical and laboratory portion of their education.
• If a student does suspect she is pregnant while enrolled in the radiologic technology program, she has the option of whether or not to inform program officials of her pregnancy. If the woman chooses to voluntarily inform officials of her pregnancy, she must notify the clinical coordinator and/or the program director immediately. The student must complete the Form Letter for Declaring Pregnancy in the Department Policy Manual. In the absence of this voluntary written disclosure, a student cannot be considered pregnant.
• If the student chooses to disclose her pregnancy, she is allowed to make an informed decision based on her individual needs and preferences. The options include the following:
• Continuing the educational program without modification of interruption.
• Continuing the educational program with modification in clinical assignments. These may include fluoroscopic procedures, mobile procedures, and any nuclear medicine rotation.
• Leave of Absence from clinical assignments.
• Leave of Absence from the program.
• During the entire gestation period, the maximum permissible dose equivalent to the embryo/fetus should not exceed 0.5 Rem (NRC guidelines). A student who declares her pregnancy will wear two radiation monitoring badges while in the clinic and laboratory. One must be worn on the collar, over the protective apron when used, and one at the mid-abdominal area under the protective apron. The fetal badge will be provided by the College and replaced monthly until delivery.
• If the student chooses Not to Declare her pregnancy, in writing, the student and the embryo/fetus will continue to be subjected to the same radiation dose limits that apply to other occupational workers.
• The student may or may not be allowed to graduate at the scheduled date. This will be determined on an individual basis by the faculty depending on the student’s capacity to complete course requirements. The college clinical coordinator, student, and clinical instructor will review the student’s clinical rotation schedule to reduce procedures with large radiation exposures, e.g. portable, fluoroscopic, and special procedures. Any revision to the student clinical objectives may require an extension of clinical training. Students must complete all of the clinical objectives. If the student decides to exit the program due to maternity leave, the student is expected to resume the program within one year or less. Otherwise, clinical and/or didactic placement in the program may be reassessed.
• If the status of the student’s pregnancy changes or the student chooses to revoke the declaration of pregnancy, the student must do so in writing. Refer to the Form Letter Revocation of Declaration of Pregnancy, page 28 of the Department Policy Manual. It is the policy of the program to instruct all students on radiation protection procedures with respect to the embryo/fetus.
• Neither the North Orange County Community College District nor the student’s assigned clinical education center will be responsible for radiation injury to the student or the embryo/fetus if the student chooses to continue in the program during pregnancy.
• A radiation monitoring device will be supplied by the college from Radiation Detection Company of TLD or OSL type to the faculty. The control badge will be under control of the program director. Faculty dosimetry devices, including the control badge, will be replaced bi- monthly.
• Students have access to their dosimetry report through Trajecsys. Upon graduation, dismissal, suspension, or voluntary withdrawal, the student may download the dosimetry report of their cumulative dose acquired while in the program.
IV. Area Monitoring and Control
A. Radiation Area Monitoring
The need for area monitoring shall be evaluated and documented.
• There is no radiation exposure present outside of the laboratory radiographic rooms. No radioactive substances are used in this program.
• During radiographic exposure of phantoms by the student, the door to the room must be closed. This results in zero dose to the control area.
B. Instrument Calibration and Maintenance
• Radiology equipment maintenance and calibration is originally performed by the installers of the equipment. This report is sent to the CDPH-RHB for documentation.
• Subsequent equipment maintenance and calibration are to be performed by a service engineer from the manufacture of the x-ray equipment, in the event equipment operation is considered faulty or does not meet QA guidelines.
V. Radiologic Controls
A. Entry and Exit Controls
The need for area monitoring shall be evaluated and documented.
• The radiology lecture room, HS 309, houses two live radiology labs. The door to this room is always locked, except during lecture or lab time. Only administrative personnel and instructors have access to the keys.
• To make an exposure, the door to the lab room must be closed. Circuit breaker panels are locked by a key, and only lab instructors have the key to unlock them and access the radiology control panel for power.
• Diagrams of exit routes are posted outside the radiology lecture room, just to the left of the door entrance, for students to view. Every semester, emergency drills are conducted to practice evacuating the building during an emergency.
B. Posting
Areas that are required to be posted should be identified in the Radiation Protection Program, in addition to procedures for ensuring that such areas are properly posted. Also, include procedures for ensuring that areas or rooms containing as the only source of radiation are posted with a sign or signs that read “CAUTION X-RAY”. Identify who is responsible for maintaining those signs and/or labels. In addition, certain documents must be posted. This requirement is found in 17 CCR 30255 (b).
Conspicuously post:
• A current copy of the 17 CCR, incorporated sections of 10 CFR 20, and a copy of operating and emergency procedures applicable to work with sources of radiation.
• A current copy of Department Form RH 2364 (Notice to Employees) in a sufficient number of places to permit individuals working in or frequenting any portion of a restricted area to observe a copy on the way to or from such area.
• Any notice of violation involving radiological working conditions or any order issued pursuant to the Radiation Control Law and any required response from the registrant.
• Both radiology labs in room 309, Technical Education III building, have signs posted on the door that indicate “Caution X-ray”.
• The “Notice to Employees” is posted on the bulletin board in lecture room 309, adjacent to the radiology labs also in room 309.
• Faculty RHB licenses are posted on the bulletin board in lecture room 309, adjacent to the radiology labs also in room 309.
• A current copy of the 17 CCR, incorporated sections of 10 CFR 20, is kept in the program director’s office, Technical Education III building, room 200. The location of this information is posted on the bulletin board in lecture room 309, adjacent to the radiology labs also in room 309. There is also a copy on the bookshelf in room 309.
• Radiation Machine Registration Certificate # FAC 16627 is posted on the wall in the program director’s office, Technical Education III building, room 200.
• There are no radioactive materials present in the Health Science Division building, radiologic technology department.
• No notice of violations has been issued and therefore are not posted. If any notice is issued it will be posted on the bulletin board in room 309, Technical Education Building III.
C. Disposal of Equipment
Registrants shall report in writing to the Department the sale, transfer, or discontinuance of use of any reportable source of radiation.
• Any disposal of equipment is reported in writing to the CDPH/RHB using form RH2261 within 30 days of disposal. Any new equipment installed is reported in writing to the CDPH/RHB using form RH2261 within 30 days of installation.
D. Other Controls
The registrant should evaluate the need for other controls in addition to those mentioned above. The following items should be considered:
• Types of controls used to reduce or control exposure to radiation, such as positioning aids, gonadal shielding, protective aprons, protective gloves, mobile shields, etc.
• Procedures for routine inspection/maintenance of such controls.
• Radiation protection devices are provided in the laboratory setting. These devices include gonadal shielding (contact type), protective aprons and gloves. These items are visually inspected for damage.
• No humans are exposed at any time in the Cypress College Radiology program. Any exposures are made on phantoms or lab equipment.
• Students are required to utilize gonadal shielding on phantoms to develop safe practices for a clinical setting. Students are required to utilize gonadal shielding when simulating radiographic exams on other students (no exposures are made).
VI. Emergency Exposure Situations and Radiation Accident Dosimetry
Identify any possible emergency exposure situations or radiation accidents and document procedures to address such, to include dose assessment.
• Students are not permitted to be in the lab room during the exposure to the phantom during lab sessions.
• Students are not permitted to hold patients during radiographic procedures in the clinical setting.
• Students must wear protective apparel during all fluoroscopic procedures in the lab and clinical settings.
• Any exposure or radiation accident in the lab or hospital setting will result in a deficiency notice for the student responsible for the exposure. The incident will be documented, and the student will receive counseling on preventing future occurrences. If the exposure dose is undetermined, consultation with a radiation physicist may be necessary.
• If a student has been accidentally exposed in the lab or clinical setting, then the radiation badge worn by that student will be submitted for reading to determine the amount of exposure. If the reading exceeds 100 mRem for any month a “Radiation Monitoring Device Reading over 100 mRem” form will be completed and placed in the student’s file. This form is found in the Department Policy Manual.
VII. Record Keeping and Reporting
All record keeping and reporting requirements are specified in regulations. Document the applicable requirements and commitments to compliance. The facility must also maintain all records of the Radiation Protection Program, including annual program audits and program content review.
• The program director and clinical coordinator are responsible for maintaining all required records for the students in the radiologic technology program at Cypress College.
• Radiation badge reports are kept in the program director’s office along with the Documents File in the online Trajecsys system. Reports are to be kept indefinitely by Landauer, Inc. (previously used) and Radiation Detection Company (currently used). Any radiation dosimetry incident reports (over 100 mRem for any month, etc.) are kept in the student file.
• Affiliation agreements with the training hospitals are current and kept in the Health Science Division Administrative Assistant’s office in a labeled filing cabinet and also electronically in the Health Science Division network drive.
• Annual reports to the Joint Review Committee on Education in Radiologic Technology are kept in the program director’s office, room 200, Technical Education III building or in the Radiology network drive.
• Student transcripts and college documents are kept on file in the Cypress College Admissions and Records office.
• Student applications to the radiologic technology program are maintained at the Health Science Division counseling office, Technical Education III building or on their electronic application system.
• Maintenance and calibration reports are maintained in the Health Science Division office, room 200, Technical Education III building. These reports are kept for the life of the machine while installed at Cypress College.
VIII. Reports to Individuals
The RSO shall provide reports of individual exposure when requested in accordance with 17 CCR 30255. Document procedures addressing this requirement.
• The program director will provide reports of individual exposures when requested by the RHB in accordance with 17 CCR 30255. Reports will be provided to individuals who request dosimetry reports during enrollment in the RADT program.
IX. Training
A. Operating and Safety Procedures
Updated March 2025
All registrants are required to have a written operating and safety procedure manual. This may be the operating manual that comes with a radiation unit which may include safety procedures. However, if safety procedures are not included in the manual they must be developed. These safety procedures must be posted on the machine or where the operator can observe them while using the machine.
Radiation machine training documents are required by all students. The RSO shall:
• Inform all individuals working in or frequenting any part of a controlled area about the presence of radiation in those areas.
• Instruct such individuals in the health protection problems associated with exposure to radiation, in precautions or procedures to minimize exposure, instruct such individuals in, and instruct them to observe, to the extent within their control, the applicable provisions of department regulations for the protection of personnel from exposures to radiation occurring in such areas.
• Instruct such individuals of their responsibility to report promptly to the RSO any condition which may lead to or cause a violation of department regulations or unnecessary exposure to radiation, and of the inspection provisions of 17 CCR 30254.
• Instruct such individuals in the appropriate response to warnings made in the event of any unusual occurrence or malfunction that may involve exposure to radiation and advise such individuals as to the radiation exposure reports which they may request pursuant to 17 CCR 30255.
• Each laboratory room is equipped with safety and specification manuals provided by the manufacturer of the x-ray equipment (GE).
• The radiology labs provide machine operation and safety training as part of the course curriculum and laboratory practicum, along with the portable x-ray unit (GE).
• Students are under direct supervision by a CRT faculty when operating radiographic equipment, stationary or mobile, for exposures in the campus labs.
• The main power supply breaker for the control panel is located in the lab area and is locked. The keys to the panels are kept by the lab instructors.
• The power controls are of “dead man” type. The exposure terminates when the operator releases the pressure to the exposure switch.
• The equipment has built in safety features to prevent overload to the tubes.
• Education and training on radiation safety and protection are provided to the students through the courses within the program along with the prerequisite courses.
• Contained in the Department Policy Manual:
In order to facilitate maximum safety and/or quality control when utilizing the x-ray lab facilities, the following procedures shall be followed:
1. Laboratories 309A and 309C and the GE Portable x-ray machine, are under the control of the instructor.
2. Instructor will provide students with a copy of safety laboratory objectives.
3. All activities in the laboratories will be supervised by a CRT instructor.
4. No exposures will be made with a student in the x-ray room.
5. If an exposure is made with the portable x-ray machine, it will be on a phantom inside one of the lead lined lab rooms. If the exposure is made in the main room the students will go into the lead lined lab rooms during exposure by the instructor.
6. The instructor must be present in the classroom/laboratory when exposures are being made by students.
7. All students will wear radiation badges appropriately during all laboratory sessions.
8. Instructors will observe all radiation safety policies.
9. Malfunction of equipment will be reported directly to the department director/coordinator verbally or in writing.
10. At the end of the lab session, the x-ray rooms will be left in an orderly fashion.
a. Phantoms will be stored appropriately.
b. Accessory items will be placed or stored appropriately.
c. X-ray machines will be turned off.
• California Radiation Control Regulations – Equipment Students that utilized all stationary and mobile radiographic and Fluoroscopic Image Intensification equipment that are located on campus, health science building Room 309, and in the clinical education centers, will comply with all applicable radiation protection sections pertaining to the California Code of Regulations, Title 17,Chapter 5, Subchapter 4, Subchapter 4.5, Group 3, Article 4, Section 30305 and Section 30307.
B. Quality Assurance Programs
Document and explain quality assurance programs for your radiation machines. The explanation should include the types of checks that are done, the interval at which they are done, what actions are taken if problems are noted, and who is responsible for those checks. Such checks should be performed on the machine to ensure that it is functioning properly and that all safety controls are in effect.
• Quality control checks are performed on a yearly basis, or as needed, in the RADT 148 Radiographic Technique labs. These QC checks include: reproducibility, linearity, and X-ray/light field congruence.
• Students also conduct experiments for effects on density and contrast by mAs and kV, scatter radiation, distance, and grids. CR equipment experiments include mAs and kV effects on S/EI values and sensitivity of imaging plates.
• The program director is responsible to oversee quality assurance/control for the equipment. If problems occur, faculty will immediately report it to the director. If the equipment is deemed unsafe, the equipment will not be used by the students until the problem is corrected or repaired.
C. Regulations
Maintenance of all applicable regulations is required.
• The radiology technology faculty, along with the advisory committee members and the dean of health science, maintains and annually reviews the policies and procedures of the program. Compliance to the CDPH- RHB and to the JRCERT standards and regulations are also maintained.
X. INTERNAL AUDIT PROCEDURES
The registrant must audit the Radiation Protection Program on an annual basis. Documentation of the annual audits may be requested during inspection. The following items should be addressed depending on the scope of the radiologic health protection problems:
• Identification of inspection types and program audits conducted, to include radiation machines, personnel and procedures.
• Identification of the individuals who are responsible for performing inspections and/or audits.
• Identification of where and at what intervals the inspections and/or audits are conducted.
• Procedures for conducting the inspections and/or audits.
• Instructions on identification of proper use of instrumentation if staff performs machine maintenance or fluoroscopic monitoring.
• The program director is responsible for radiation machine safety policies, department policy and procedures. These policies are reviewed annually. All changes in policies are approved by the advisory committee members and the dean of health science.
• The RSO (program director and clinical coordinator share duties) review the radiation safety and protection program annually.
• Policies and procedures are annually reviewed and updated by the advisory committee members as needed.
End of Radiation Safety and Protection Program Manual
Reviewed May 2020
CYPRESS COLLEGE DEPARTMENT OF RADIOLOGIC TECHNOLOGY SPECIAL MODALITY EVALUATION
Student Name: Clinical Facility:
Date: Evaluator:
What modality was the student observing? Please circle the appropriate modality:
• Radiation Therapy (1 day or 5 days)
• Nuclear Medicine (1 to 3 days)
• MRI (1 to 3 days)
• Special Procedures (1 to 3 days)
• Sonography (1 to 3 days)
• CT (3 days, 24 hours) – please use CT Evaluation form
Performance Level
Good Poor N/A
Does the student demonstrate punctuality and dependability?
Linens changed: Does the student demonstrate accuracy with room preparation?
Assists with patients: Does the student demonstrate accuracy with room preparation?
Is the student’s attitude toward patient care appropriate?
Is the student able to follow instructions?
How many hours of observation time has the student had in this department?
Comments related to needed improvement or unsatisfactory performance:
Revised October 2017
End of Evaluation
ORIENTATION/COMPETENCY FOR FLUOROSCOPY (C-Arms)
C-Arms (s):
STUDENT’S NAME:
ORIENTATION DATE:
Competency Verification KEY:
DO= DIRECT OBSERVATION
I= IDENTIFIED LOCATION
R= REVIEWED POLICY/PROCEDURE
V= VERBALIZES UNDERSTANDING OF THE PROCEDURE OR POLICY
Student Responsibility Performance/ learning objectives verified
by (use above Key): DO, I, R, V Validated by
(must initial) Student
Initials (verifies understanding) Comments
Verifies Correct procedure to be done:
If unclear, seeks help from supervisor or MD
Verifies Correct patient (utilizing 3 patient identifiers), correct date, correct time, correct body part
Demonstrates 3rd patient identifier as picking correct patient and accession # from work list
Demonstrates Power on
Demonstrates Emergency shut down for unit
Demonstrates selecting patient from “work list” vs “Patient list”
Properly transport the c-arm and associated monitor module
Properly connect both units to each other and to power source
Enter patient information
Determine and activate appropriate protocol
Change/modify technique
Operate all c-arm motions and locks
Restore spacer cone (if applicable)
how to power down/disconnect/return unit to storage area
Adheres to radiation safety for both self and patient:
• Possible pregnancy?
• Shield abdomen as appropriate.
• Wears lead appropriate
• Thyroid shield available
• Lead glasses available
• Shields available
• Fluoro shield in place if exam warrants it.
• Utilizes distance and time as appropriate.
Student Responsibility Performance/ learning objectives verified
by (use above Key): DO, I, R, V Validated by
(must initial) Student
Initials (verifies understanding) Comments
Sets fluoroscopic exam as appropriate for part imaged and age appropriate.
Is knowledgeable for fluoroscope controls and buttons and can assist as needed using:
Fluoro collimation Last Image Hold
# of frames per second
Change image correctly when patient prone and/or head at opposite end of table.
Reset fluoro timer. FNR
Understands and can demonstrate how to remove and/or replace fluoro shield.
Demonstrates how to review images prior to sending to PACS. And can change white on black per Radiologist preference.
Can EDIT exam to obtain fluoro time as needed.
Documents, on control sheet, fluoro time, MD doing exam and dose used for each procedure.
Fluoroscopic Competencies verified by (print name) Initials Signature and Date
Competency for: (Print Student’s name) Student Signature Date completed
ORIENTATION/COMPETENCY FOR FLUOROSCOPY (Fluoro Room)
Fluoro Room(s):
STUDENT’S NAME:
ORIENTATION DATE:
Competency Verification KEY:
DO= DIRECT OBSERVATION
I= IDENTIFIED LOCATION
R= REVIEWED POLICY/PROCEDURE
V= VERBALIZES UNDERSTANDING OF THE PROCEDURE OR POLICY
Student Responsibility Performance/ learning objectives verified by (use above Key):
DO, I, R, V Validated by
(must initial) Student
Initials (verifies understanding) Comments
Verifies Correct procedure to be done: If unclear, seeks help from supervisor. or MD
Verifies Correct patient (utilizing 3 patient identifiers), correct date, correct time
Demonstrates 3rd patient identifier as picking correct patient and accession # from work list
Demonstrates Power up and power down
Demonstrates Emergency shut down for table (Red Button on table)
Demonstrates selecting patient from “work list” vs “Patient list”
Demonstrates correct placement of footboard and insures it is locked into place.
Demonstrates use of Fluoro tower lock. Importance of having the lock on (so tower will not injure a patient while fluoroscopy is being performed).
Moves tower into position without undo force.
Demonstrates foot step safety:
1. Is patient small enough to utilize foot step vs mobile foot stool?
2. Difficult for patient to climb onto table?
3. Is it easier to stand the table up to get patient on/off the table?
4. Get help as needed and as appropriate.
Demonstrates table safety:
• Patient not holding onto sides of table.
• Patient is not moved to vertical w/o personnel in room to monitor
• Student Responsibility Performance/ learning objectives verified by (use above Key):
DO, I, R, V Validated by
(must initial) Student
Initials (verifies understanding) Comments
• Patient not left alone w/o proper supervisor or safety devices in place.
• Table pad is strapped to table
• Fluoro tower lock is in place, if appropriate
Adheres to radiation safety for both self and patient:
• Possible pregnancy?
• Shield abdomen as appropriate.
• Wears lead appropriate
• Thyroid shield available
• Lead glasses available
• Shields available
• Fluoro shield in place if exam warrants it.
• Utilizes distance and time as appropriate.
Sets fluoroscopic exam as appropriate for part imaged and age appropriate.
Is knowledgeable for fluoroscope controls and buttons and can assist as needed using:
Fluoro collimation Last Image Hold
# of frames per second
Change image correctly when patient prone and/or head at opposite end of table.
Reset fluoro timer.
Understands and can demonstrate how to remove and/or replace fluoro shield.
Demonstrates how to review images prior to
sending to PACS. And can change white on black per Radiologist preference.
Can EDIT exam to obtain fluoro time as needed.
Documents, on control sheet, fluoro time, MD doing exam and dose used for each procedure.
Fluoroscopic Competencies verified by (print name) Initials Signature and Date
Competency for: (Print Student’s name) Student Signature Date completed
MRI ORIENTATION AND SCREENING
Student:
MRI Supervisor:
Facility:
This student has successfully completed the MRI orientation per hospital policy. The student has been appropriately screened for magnetic wave and radiofrequency hazards. This qualifies the student to now begin the MRI rotation.
MRI Supervisor- signature Date
Student –signature Date
Radiographic Procedures Chronicle / Repeat Rate Analysis
Revised:
January 2008
February 2009
Directions:
1. All radiographic images must be reviewed by the imaging department staff.
2. The student must indicate whether the procedure was completed under Direct or Indirect Supervision. Refer to the Student Supervision Policy listed in this manual.
3. All repeat procedures MUST be completed under Direct Supervision and must be documented on the Procedure Chronicle directly under the procedure or view that was not adequate for physician interpretation. The reason for the repeated view or procedure must be listed on the Procedures Chronicle.
4. The student will identify the patient by listing the Patient’s Medical Record Number, which must be accessed from the hospital RIS, HIS, or PACS databases which are password protected.
5. The Radiographic Procedures Chronicle must be downloaded into the Trajecsys program.
6. The student will document procedures that have been performed by the student, either directly or indirectly supervised.
7. No procedures performed by the clinical staff will be documented. The Procedures Chronicle is exclusively for student documentation of completed procedures.
8. Students will document observation of procedures in the Procedures Chronicle.
RADIOLOGIC TECHNOLOGY PROGRAM RADIOGRAPHIC PROCEDURE CHRONICLE
Student Name:
Clinical Facility:
Month/Year
DATE PROCEDURE ***Patient ID # DS IS # OF IMAGES
TAKEN # OF REPEAT
IMAGES REASON FOR REPEAT Exam Reviewed
By
RADIOLOGIC TECHNOLOGY PROGRAM RADIOGRAPHIC PROCEDURE CHRONICLE
Student Name:
Clinical Facility:
Month/Year
DATE PROCEDURE ***Patient ID # DS IS # OF IMAGES
TAKEN # OF REPEAT
IMAGES REASON FOR REPEAT Exam Reviewed
By
RADIOLOGIC TECHNOLOGY PROGRAM RADIOGRAPHIC PROCEDURE CHRONICLE
Student Name:
Clinical Facility:
Month/Year
DATE PROCEDURE ***Patient ID # DS IS # OF IMAGES
TAKEN # OF REPEAT
IMAGES REASON FOR REPEAT Exam Reviewed
By
RADIOLOGIC TECHNOLOGY PROGRAM RADIOGRAPHIC PROCEDURE CHRONICLE
Student Name:
Clinical Facility:
Month/Year
DATE PROCEDURE ***Patient ID # DS IS # OF IMAGES
TAKEN # OF REPEAT
IMAGES REASON FOR REPEAT Exam Reviewed
By
