2300 Fall Hill Ave. Suite 260 Fredericksburg, VA 22401

Student/Clinical

Handbook

2019 - 2020

ALL POLICIES AND PROCEDURES ARE SUBJECT TO CHANGE AT THE DISCRETION OF THE

SCHOOL OF RADIOLOGIC TECHNOLOGY. STUDENTS WILL BE NOTIFIED IN WRITING OF ANY

CHANGES.

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TABLE OF CONTENTS

PROGRAM OVERVIEW 7

Mission Statement 7

Vision 7

Program Goals & Student Learning Outcomes 7

Program Effectiveness 8

ADVISORY COMMITTEE 9

ADMISSION REQUIREMENTS 9

ADMISSION PROCESS 10

CURRICULUM / PROGRAM OF STUDY 16

COURSE DESCRIPTIONS 17

GRADING SCALE 19

GRADUATION 19

ACADEMIC INTEGRITY/HONOR CODE 20

ACADEMIC PROGRESS 21

ACADEMIC RECORDS 21

STUDENT RIGHTS 22

FERPA 22

ASSESSMENT AND EVALUATION 23

Testing 24

Assignments 24

Workbooks 24

Discipline 24

ATTENDANCE / MAKE-UP TIME 25

DISMISSAL FROM THE SCHOOL OF RADIOLOGIC TECHNOLOGY 28

DUE PROCESS PROCEDURE 29

GRADE APPEAL 31

EDUCATIONAL IMPROVEMENT PLAN 31

ELECTRONIC DEVICES 31

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EMPLOYMENT 32

FACILITIES 32

School of Radiologic Technology 32

Radiology Library 32

FINANCIAL ASSISTANCE 35

Leadership Development 32

COMMUNITY SERVICE 32

NON-DISCRIMINATION 33

SOCIAL MEDIA – Please Refer to Policy in Appendix 33

STUDENT RECOGNITION 33

STUDENT SEMINARS 33

STUDENT SERVICES 34

TECHNICAL FUNCTIONS CRITERIA Error! Bookmark not defined.

TIME OFF/SCHOOL BREAKS 34

TRANSFER OF CREDIT/STUDENTS 35

TUITION 35

TUITION REFUND POLICIES 36

WEATHER 37

WITHDRAWAL, RE-ENTRY and RE-ADMISSION 37

Clinical Policies 38

CLINICAL SCHOOL FACULTY 38

Clinical Instructors 38

COMPETENCY EVALUATORS 39

CLINICAL EDUCATOR RECOGNITION 39

DRESS CODE 40

Identification Badge 41

HEALTH POLICY 41

STUDENT HEALTH 42

COMMUNICABLE DISEASES 42

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MWHC Health & Wellness 43

HANDWASHING – Please Refer to Policy in Appendix 43

INFECTION CONTROL 43

LIABILILTY INSURANCE 43

MANDATORY EDUCATION 43

NEW PROCEDURES/TECHNOLOGIES 44

CLINICAL FACILITY PARKING POLICY 44

PREGNANCY POLICY 44

PROFESSIONAL CONDUCT 45

RADIATION MONITORING AND PROTECTION Policy 45

Protocol for Student Radiation Exposures 46

RADIATION PROTECTION POLICY 46

Evidence of Radiation Protection will be demonstrated by: 47

Clinical Experience 47

Clinical Rotations 47

Contacting Students During Clinical Hours 48

Clinical Supervision Policy 48

Exam Tracking & Repeat Documentation 49

Level of Performance Documentation 50

Repeat Documentation 50

Books in Clinic 51

Competency Exams 51

Terminal Competency Requirements 51

Achieving Clinical Competency 52

Ungraded Clinical Competency 52

Portable Exam and Trauma Competencies 53

Dosimeters 53

Patient Safety Policy 53

Clinical Exam Documentation Policy 55

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Lead Markers 55

Sensitive Procedures 57

WET READINGS / DISCHARGE INSTRUCTIONS TO PATIENTS 57

CLINICAL SITE INFORMATION 57

Clinic Contact Phone Numbers 57

ACADEMIC CALENDAR 2018 – 2020 59

FERPA CONSENT TO RELEASE STUDENT INFORMATION 61

Standards for an Accredited Educational Program in Radiography 84

Student Handbook Agreement 96

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Welcome to Mary Washington Hospital School of Radiologic Technology! You join a very select group of

students who have attended Mary Washington Hospital’s Radiography Program. Many men and women have

graduated from Mary Washington Hospital School of Radiologic Technology with a certificate in Radiologic

Technology, have passed the national registry, and have entered the employment setting with skills second to

none! Mary Washington Hospital School of Radiologic Technology has an excellent reputation, primarily because

of the graduates' performance and attitude following graduation.

In 1988, the need for Radiologic Technologists in the Fredericksburg Region was great. Mary Washington

Hospital’s Executive Committee made the decision to sponsor a Joint Review Committee on Education in

Radiologic Technology (JRCERT) accredited educational program. The decision to begin the program was also

supported by Radiology Associates of Fredericksburg (RAF) and Radiologist Donald Kenneweg, MD served as

the first Medical Director for the school.

The Radiologic Technologist program at Mary Washington Hospital accepted its first class in August of 1991

and graduated its first class of seven students in 1993. The program has successfully graduated over 175

Radiographers with an overall 93% first time ARRT pass rate. Furthermore, the program has 97% job

placement rate since its 1991 inception. The first classes were held across from the Mary Washington Hospital

building at 2301 Fall Hill Ave in Fredericksburg, VA. As the school grew and more space became available, the

school relocated to the General Washington Building at 2217 Princess Anne Street in Fredericksburg. In 2006,

the program moved to its current home on Fall Hill Avenue, where we continue to strive for excellence in the

imaging sciences. The program is still greatly supported by Radiology Associates of Fredericksburg (RAF) and

our current Medical Director, Radiologist Dr. Thomas Medsker, MD.

The graduates who preceded you significantly shaped this Radiography Program by offering valuable

observations, opinions, suggestions, criticisms, and insight from a student's perspective. Your input as a

student, and later as a graduate, is equally important to our program and our community.

Mary Washington Healthcare values every student who attends the School of Radiologic Technology and

respects every student's rights and privileges. This Student/ Clinical Handbook has been prepared to allow you

to carefully review the opportunities, rights, responsibilities, and policies that apply to you as a radiography

student. Unless otherwise designated in a radiography course syllabus, these policies apply to each radiography

course in which you enroll. If, for any reason, routine progression through the program is interrupted, policies

in the Student/Clinical Handbook at the time of readmission will apply.

After you have read this handbook, please sign the agreements in the back of this handbook and return the form

to the program faculty. These signed agreements will be placed in your permanent file.

Each person in the Organization is committed to your success – as a student, a professional, and most

importantly, as an individual. If you need additional assistance, our doors are always open to you. Again,

welcome to Mary Washington Hospital School of Radiologic Technology.

Donna R. Morris, CRA, B.S., R.T. (R) (MR)

Administrative Director, Hospital Imaging Services

Ericka Lasley, M.S.R.S., R.T.(R)

Program Manager/Director, MWH School of Radiologic Technology

Nicholas Evans, M.S.R.S., R.T.(R)(CT)

Clinical Coordinator, MWH School or Radiologic Technology `

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PROGRAM OVERVIEW

MISSION STATEMENT

The mission of the Mary Washington Hospital School of Radiologic Technology is to provide the healthcare

community with graduate, entry level radiographers skilled in diagnostic imaging procedures and to provide

safe and compassionate patient care.

VISION

To provide excellent service and safe quality imaging for future generations.

PROGRAM GOALS & STUDENT LEARNING OUTCOMES

1. Students will possess entry-level employment skills.

a. Students will perform a variety of examinations, consistently obtaining high quality images on

the first attempt.

b. Students will provide safe, appropriate patient care.

2. Students will communicate effectively.

a. Students will demonstrate effective oral communication skills.

b. Students will demonstrate effective written communication skills.

3. Students will demonstrate problem solving and critical thinking skills.

a. Students will demonstrate critical thinking skills when analyzing problems.

b. Students will effectively modify equipment and patient positioning for non-routine exams.

4. Students will exhibit professionalism.

a. Students will protect all patients, visitors and staff from unnecessary radiation using the guiding

principles of As Low As Reasonably Achievable (ALARA).

b. Students will demonstrate professionalism in the clinical setting.

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PROGRAM EFFECTIVENESS The following charts demonstrate the yearly and five-year average program effectiveness for the MWH School

of Radiology. The charts contain information with regard to program completion rate, ARRT registry pass rate

on the first attempt and the post-graduation employment rate as required by our national accrediting

organization, The Joint Review Committee on Education in Radiologic Technology (JRCERT).

Program Completion

Class Year No. of student accepted No. of Student Complete Total Completion Rate

2015 8 of 8 100%

2016 7 of 5 71%

2017 8 of 8 100%

2018 7 of 6 86%

2019 5 OF 5 100%

35 of 32 91%

The Program Completion Rate is calculated based on the number of students that successfully complete the

program divided by the number of students who are admitted into the program per cohort.

ARRT Registry Pass Rate at First Attempt

Class Year No. of Students testing No. of Students pass on 1st attempt Total Pass Rate

2015 8 of 8 100%

2016 5 of 5 100%

2017 8 of 8 100%

2018 6 of 6 100%

2019 5 of 4 80%

32 of 31 96.8%

The ARRT Registry Pass Rate is calculated based on the number of students that received a passing score on

the first attempt divided by the total number of students who took the ARRT exam. These results are required

by the ARRT and JRCERT for program tracking purposes.

Job Placement Rate

Class Year Number Grads seeking

employment No. employed within 12 months of Graduation Job Placement Rate

2015 7 of 7 100%

2016 5 of 5 100%

2017 8 of 8 100%

2018 6 of 6 100%

2019 5 OF 5 100%

31 of 31 100%

The Job Placement Rate is calculated based on the number of post graduate students who have successfully

secured employment in the field of radiologic technology divided by the number of students who are actively

seeking employment but have not secured a job within the first twelve months post-graduation. Post-graduate

students that are not actively seeking employment in the field of radiologic technology or elect to continue on

with their education are excluded from the data.

To access the annual program effectiveness data, refer to the JRCERT website

at:https://portal.jrcertaccreditation.org/summary/programannualreportlist.aspx

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ADVISORY COMMITTEE

The Advisory Committee for the School of Radiologic Technology will be composed of the following

individuals or their designee:

Program Manager Clinical Coordinator, Program Faculty

Program Medical Director Administrative Director, Hospital Imaging Services

Director, MIF, LLC MWH Radiology Operations Manager

SH Radiology Operations Manager Manager, Medical Imaging of Lee’s Hill

Manager, Medical Imaging of Fredericksburg

Staff Technologists and/or Supervisors, as invited

First Year Class Student, as invited Second Year Class Student, as invited

The function of the committee is to keep the lines of communication open between the faculty, students, and

advisors of the Mary Washington Hospital School of Radiologic Technology. Meetings will be conducted on

such occasions as deemed necessary by the Program Manager, but at a minimum of once a year. Minutes of the

meetings will be maintained in the School of Radiologic Technology Program Manager’s office.

AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT) EXAMINATION

APPLICATION

Upon completion of all exam requirements and at the Program Manager’s discretion, students are permitted to

pre-register for the ARRT exam up to 90 days before the graduation date. The ARRT will verify the student’s

course completion with the Program Manager. The student may sit for the examination after the last day of their

final semester.

ADMISSION REQUIREMENTS

Student must:

• Be a high school graduate or possess a suitable equivalent. All students must have completed the minimum

of an Associate degree or be within 6 credit hours of the Associate degree requirements upon entering the

Program. Students will have one year to complete the required credits for the Associate degree. Failure to

complete the Associate Degree by the end of the 2nd semester of the program will result in dismissal

from the program. Overall GPA must be a 2.0 or higher. All the following prerequisite courses must be

either part of the degree or completed at the start date of the radiology program: English Composition,

Computer Course, Math for Liberal Arts or higher, Anatomy and Physiology I and II with a Laboratory

component. All prerequisite courses must be completed with a “C” or better for admission to the radiology

program.

• Must receive a passing percentile score of at least 70% on the admission test. Applicants will be scheduled

to take a HESI Admission Assessment Exam and will be responsible for testing fees. International students

must present proof of college English and Math placement tests or a passing score above 100 on the TOEFL

test.

• Provide evidence of good health and successfully pass the substance abuse screening and criminal

background check. The student must also provide proof of health insurance and citizenship before

enrollment. The student will be responsible for any fees which may be incurred for these services. Students

will not be permitted to rotate into clinical sites until the health assessment medical form has been

completed.

• Meet the criteria for technical functioning which have been developed to define the physical conditions

necessary for a technologist to function in the healthcare environment. The student is advised that this level

of functioning must be maintained throughout the program. The school reserves the right to require student

testing as it deems appropriate to meet these technical functions physical demands. These “technical

functions” have been discussed under the admission requirements and are listed on the school website.

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ADMISSION PROCESS

Submitting the Application

1. Submit an online application to the School of Radiologic Technology from January 1 - April 1, of the

year the applicant wishes to be considered. A $40.00 non-refundable application fee must be paid via

check within 5 days of application submission.

2. Submit an essay (500-words minimum) about “Why did you select Mary Washington Hospital School of

Radiologic Technology and Why you want to be a Radiologic Technologist?” with your application.

3. Make checks payable to MWH SORT. Please add 200-8140-49070 to the memo line of all checks or

money orders.

4. Arrange for official transcripts from all colleges previously attended be sent to:

Ericka Lasley, MSRS., RT(R), Program Manager

Mary Washington Hospital School of Radiologic Technology

2300 Fall Hill Ave Suite 260

Fredericksburg, VA. 22401

5. Applicants meeting initial admission requirements will be notified via email to schedule the admission

test (the HESI A2 Admissions Exam). Applicants will be responsible for examination fees.

6. Applicants will be contacted to schedule their four hours of clinical observation.

7. Applicants will be contacted via email to complete a Talent Plus assessment.

8. After the committee has reviewed and considered each application individually, notification of

acceptance or denial will be sent to each applicant.

Selection Process

Admission to the School of Radiologic Technology is competitive. The admission committee reviews each

application individually, examining a variety of characteristics that indicate an applicant’s potential for

academic success. Applicants are selected on academic credentials, admission test scores, online Talent Plus

Assessment, admissions essay, and clinical observation without discrimination. GPA quality points are awarded

for all required course based on the grade earned for each course. (A – 100 points, B – 85 points, and C – 75

points. A&P I &II course and lab grades are worth 1.5 times the quality points earned). GPA quality

points and HESI A2 Admissions Exam Scores are calculated and numerically ranked as listed below; written

notification of the committee’s decision will be made to each applicant during June or July of the year in which

they wish to be considered.

GPA Courses Evaluated for

Competitive Admissions

Misc. Entrance Test Rank Order

"C" or

better in

all

classes

Minimum 2.0 overall GPA

** Anatomy Courses

will carry a heavier

weight when

calculating GPA

quality points.

HESI minimum

comprehensive

score 70%

GPA conversion

(75%)+ HESI

(15%) + HESI

Critical Thinking

Conversion Score

(10%) + Bonus

Points

Anatomy and Physiology, I

& II with Lab **

A - 150 points

B – 127.5 points

C – 112.5 points

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Confirming Intention to Enroll

Once selected to attend the School of Radiologic Technology, applicants must confirm their intention to enroll

in writing, submit medical health assessment forms provided by the school to include the technical functions

paperwork, and successfully complete drug screening and certified background check as conditions of

acceptance. The student must also pay a non-refundable $100.00 enrollment fee to secure their place in the class. Student

class size is limited and determined annually by the Program Manager and Admissions Committee.

Alternate Student Status

The admission committee selects applicants who may be offered admission based on an alternate student status.

These students will receive a letter giving them the opportunity to accept enrollment if the space should become

available.

Reapplication to the Program

Students wishing to re-apply will follow the same process as those who are applying for the first time.

English Composition and

Rhetoric

A – 100 points

B – 85 points

C – 75 points

** Clinical

Observations will

be quantitatively

assessed.

** Talent Plus

evaluations will be

quantitatively

assessed.

MATH for Liberal Arts or

higher

A – 100 points

B – 85 points

C – 75 points

Introduction to Computers

i.e. CSC 110

A – 100 points

B – 85 points

C – 75 points

**Bonus points are awarded

as follows:

1 point – applicant resides in

the service area (Fredericksburg,

Woodbridge, Counties-Stafford,

Spotsylvania, King George, Caroline,

Westmoreland, Orange, Culpeper, Prince

William)

1 point – applicant has

previous medical experience

1 point – applicant

previously applied

HESI Admission Assessment Exam

Completion of the HESI Admission Assessment Exam (HESI A2), an assessment tool used

to evaluate prospective students and their potential for successful program completion, is

required for consideration of acceptance into Mary Washington Hospital School of

Radiologic Technology.

All applicants must complete these designated sections: Math, Reading Comprehension,

Vocabulary and General Knowledge and Grammar, Anatomy & Physiology, Learning

Profile & Personality Style, and Critical Thinking. A study guide is available through

Elsevier.

Applicants have two (2) attempts to complete the HESI A2 Exam within a 1-year (12-month)

time frame. The scores are valid for one (1) year from the initial examination date.

Applicants will be contacted by MWHC SoRT Faculty for testing date after application has

been submitted and reviewed. Applicants are responsible for all testing cost.

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Students Educated in Foreign Countries

Applicants educated outside of the United States are required to submit proof that their foreign transcripts have

been evaluated by an organization recognized for foreign transcript evaluation. This official evaluation must be

submitted in lieu of the official foreign transcripts.

Provisional Student Status

Students are provisionally admitted to the program until all requirements have been completed. Incomplete

college courses, incomplete medical forms, a failed drug screen or invalid background checks are all grounds

for non-admittance.

Enrollment Contingencies

Acceptance of applicants will be contingent on the following:

Completion of all academic general education requirements

Completion of physical exam/questionnaire at the student’s expense

Submission of the tuition deposit

Return of program acceptance form

Negative drug screen and proof of health insurance

Valid criminal background check done by Human Resources

ARRT pre-eligibility approval for candidates who disclosed a positive criminal history (defined as anything

from a misdemeanor to jail time)

ESSENTIAL FUNCTIONS CRITERIA

All students must be cleared by a medical professional indicating they are capable of performing the following

functions:

Students are required to complete the “Essential Functions Verification Form.” You must respond on the form if

you fully meet the criteria (100%) or are unable to fully meet the criteria (less than 100%). If you respond less

than 100% to any criterion, an explanation and/or additional information will be required. You may ask for

reasonable accommodations. The MWH School of Radiologic Technology, Program Manager in conjunction

with the Community Programs, Cultural Services Coordinator will determine the appropriate accommodations.

The MWH Health and Wellness, Nurse Manager will review each case and assist with clinical accommodations

as appropriate.

Essential Functions Verification

Students must be able to perform certain psychomotor, cognitive, and affective skills that are required in the

program and, upon graduation, in the profession. Students must be able to respond physically, orally,

immediately to the patient. The following examples of criteria are not intended as a complete listing of practice

behaviors but are a sampling of the types of abilities needed by the student to meet program objectives and

requirements. The Department or its affiliated agencies may identify additional critical behaviors or abilities

needed by students to meet program or agency requirements. The Department reserves the right to amend this

listing based on the identification of additional standards or criteria for students. If you cannot fully meet

(100%) the following standards (and examples of criteria to meet the standards), you will be asked to explain in

what way you cannot meet those standards and what type of accommodations you will need throughout the

program. The MWH School of Radiologic Technology, Program Manager in conjunction with the Community

Programs, Cultural Services Coordinator will determine the appropriate accommodations. The MWH Health

and Wellness, Nurse Manager will review each case determine if those accommodations can be provided.

Physical /Mobility

Student radiographers must be immediately able to use both hands to lift 30-35 lbs. at shoulder height, have the

physical stamina in order to stand for an eight hour day, plus assist and support patients, either on stretchers or

in wheelchairs. They must be able to reach above their heads to manipulate small objects or adjust pieces of

equipment from the ceiling and move it around the room or position equipment six feet above the ground.

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Students must have the ability to make precisely coordinated movements of the fingers of one or both hands to

grasp, manipulate, or assemble very small objects. Students must be able to bend, crouch, or stoop, stand or

walk for long periods of time using both feet. They must be able to wear lead lined aprons weighing five plus

pounds for two hours at a time. Students must have the ability to exert muscle force repeatedly or continuously

over time. This involves muscular endurance and resistance to muscle fatigue

Hearing

Students must possess the ability to hear to operate the equipment safely and effectively. They may be 10-15

feet away from their patient and must be able to hear them and immediately respond, with or without corrective

hearing devices, plus hear audible equipment noises from a distance whether or not they are in view. Students

must have the ability to detect or tell the difference between sounds that vary in pitch and loudness. Students

must have the ability to tell the direction from which a sound originated. Students must give full attention to

what other people are saying, taking time to understand the points being made, asking questions as appropriate,

and not interrupting at inappropriate times. Students must have the ability to take thorough and accurate medical

histories.

Sight

The student must be able to immediately perceive patient position changes, expression changes, and color

changes that might indicate patient needs or affect diagnostic outcome. They must be able to observe the patient

from a distance of 10-15 feet. Vision may be corrected or uncorrected. They must be able to differentiate 8-10

shades of gray and have the ability to read requests or medicine vials. They must able to safely manipulate

equipment using depth perception and see well enough to perform all procedures and work in a low lighted

room.

Communication

The student must be able to speak effectively, clearly and concisely to inform the patient about the examination

and to provide instructions to the patient as necessary in order to obtain an optimal diagnostic result. They must

read and verbally communicate in the English language to elicit vital information from and provide information

for patients, staff, and physicians. Language translators are available through the health system. Tone and

volume must be sufficient for close proximity, face to face, communication and distance.

Cognitive

Students must be able to comprehend and execute verbal and written statements in English. They also must be

able to measure, calculate reason, analyze, and synthesize information to solve problems. They must be able to

recall, understand, and apply basic scientific principles and methods. Students must have the ability to tell

when something is wrong or is likely to go wrong. Recognizing there is a problem.

Behavioral/Social

Students must be able to function under stress and time constraints. They must be able to demonstrate integrity,

responsibility, tolerance, and respect. They must to be able to adapt to changing environments and display

flexibility in the practice setting. Students must be reliable, responsible, and dependable and fulfilling

obligations. Students must maintain composure, keep emotions in check, control anger, and avoid aggressive

behavior, even in very difficult situations. Students must accept criticism and deal calmly and effectively with

high stress situations.

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Yes No If no, please comment

Mobility

1. Have physical stamina to stand and walk for 8

hours or more in a clinical setting.

2. Can stand on both legs, move from room to

room, and maneuver in small spaces. (Physical

disabilities must not pose threat to the safety of

the student, faculty, patients, or other health care

workers.)

Flexibility

1. Can bend the body downward and forward by

bending at the spine and waist. (This factor

requires full use of lower extremities and back

muscles.)

2. Can flex and extend all joints freely.

Strength

1. Possess mobility, coordination and strength to

push, pull or transfer heavy objects. (Strength to

lift 30 lbs.- 50 lbs. frequently).

Fine Motor

Skill, Hand/Eye

Coordination

1. Possess manual dexterity, mobility and stamina

to perform CPR.

2. Can seize, hold, grasp, turn and otherwise

work with both hands.

3. Can pick, pinch, or otherwise work with the

fingers.

Auditory

Ability

1. Possess sufficient hearing to assess patient's

needs, follow instructions, communicate with

other health care workers as well as respond to

audible sounds of radiographic equipment.

(Please comment if corrective device are

required.)

Visual Acuity

1. Possess the visual acuity to read, write and

assess the patient and the environment. (Please

comment if corrective devices are required.)

Communication

1. Possess verbal/nonverbal and written

communication skills adequate to exchange ideas,

detailed information, and instructions accurately.

2. Able to read, comprehend, and write legibly in

the English Language.

Interpersonal

Skill

1. Able to interact purposefully and effectively

with others.

2. Able to convey sensitivity, respect, tact, and a

mentally healthy attitude.

3. Oriented to reality and not mentally impaired

by mind-altering substances.

4. Able to function safely and effectively during

high stress periods.

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AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS (ARRT)

EXAMINATION APPLICATION

Upon completion of all exam requirements and at the Program Manager’s discretion, students are permitted to

pre-register for the ARRT exam up to 90 days before the graduation date. The ARRT will verify the student’s

course completion with the Program Manager. The student may not sit for the examination until their

graduation date. Students have the option to receive preapproval if they wish or if there is some doubt they

would not be approved prior to graduation. Please see the Program Manager for instructions.

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CURRICULUM / PROGRAM OF STUDY

The MWH School of Radiologic Technology combines classroom, laboratory, and clinical experience with

increasing emphasis as the student progresses. In the clinical setting students are trained by qualified radiologic

technologists who supervise these experiences. Clinical shifts are scheduled between the hours of 5:00 am –

7:30 pm, not to exceed 10 consecutive hours, Monday through Friday. Days and hours occasionally vary so

students may experience a unique, equal and equitable educational opportunity consistent with specific

objectives. Didactic class schedules are between the hours of 7:00 am – 5:00 pm Monday through Friday, not to

exceed 10 hours per day. Total time per week will not exceed 40 hours. Part-time study is not available. To

successfully complete the educational program, the student must achieve a grade of C (77%) or above in all

courses. The School of Radiologic Technology does not offer an early graduation option. Students are enrolled

in the curriculum for a period of 21 months and receive vacations and generous breaks each year.

Units of Credit

The Mary Washington Hospital School of Radiologic Technology is based on the semester calendar. The unit of

credit is the credit hour. A credit hour represents one hour of classroom study, two hours of laboratory study,

and/or three hours of clinical internship per week for 15 weeks during the Fall and Spring semester. A credit

hour represents one and a half hours of classroom study, three and a half hours of laboratory study and/or four

and a half hours of clinical internship per week for 10 weeks during the Summer semester. These classes are

arranged by semester in order to build upon one another and must follow this outline:

Fall Semester Year 1 Credit Fall Semester Year 2 Credit

RAD 106 Intro to Radiologic Sciences 3 RAD 222 Radiographic Procedures III 4

RAD 120 Radiographic Procedures I 4.5 RAD 232 Adv Clinical Procedures II 9

RAD 130 Elementary Clinical Procedures I 4 RAD 212 Radiographic Imaging II 4

RAD 125 Patient Care Procedures 3 Total 17

Total 14.5

Spring Semester Year 1 Spring Semester Year 2

RAD 112 Radiographic Imaging I 4 RAD 234 Adv Clinical Procedures III 9

RAD 132 Elementary Clinical Procedure II 6 RAD 216 Registry Review 3

RAD 122 Radiographic Procedures II 4.5 Total 12

Total 14.5

Summer Semester Year 1

RAD 220 Intro to CT/Cross Sectional Anatomy 3

RAD 230 Advanced Clinical Procedures I 6

RAD 214 Radiation Protection and Biology 3

Total 12

TOTAL CREDIT HOURS 70

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COURSE DESCRIPTIONS

First Semester

RAD 106 Introduction to Radiography 3 credit hours

This course provides students with an overview of radiography and its role in health care delivery. Topics

include the history of radiology, professional organizations, legal and ethical issues, health care delivery

systems, introduction to radiation protection, and medical terminology. This course provides the student with

concepts of patient care and pharmacology and cultural diversity. Emphasis in theory and lab is placed on

assessment and considerations of physical and psychological conditions, routine and emergency. Upon

completion, students will demonstrate / explain patient care procedures appropriate to routine and emergency

situations. Upon completion students will demonstrate foundational knowledge of radiologic science.

RAD 120 Radiographic Procedures I 4.5 credit hours

This course provides the student with instruction in anatomy, positioning, image evaluation and pathology of

the Chest and Thorax, Upper and Lower Extremities, and Abdomen. Theory and laboratory exercises will

cover radiographic positions and procedures. Upon completion of the course the student will demonstrate

knowledge of anatomy and positioning skills, oral communication and critical thinking in both the didactic and

laboratory settings. This course provides a basic understanding of Medical Terminology. This course

introduces the student to the elements of medical terminology. Emphasis is placed on terminology pertinent to

diagnostic radiology and on building familiarity with medical words through knowledge of roots, prefixes, and

suffixes. Topics include: origins (roots, prefixes, and suffixes), word building, abbreviations and symbols, and

terminology related to the human anatomy.

RAD 125 Patient Care Procedures 3 credit hours

This course provides the concepts of optimal patient care, including consideration for the physical and

psychological needs of the patient and family. Routine and emergency patient care procedures are described, as

well as infection control procedures using standard precautions. The role of the radiographer in patient

education is identified.

RAD 130 Elementary Clinical Procedures I 4 credit hours

This course provides the student with the opportunity to correlate instruction with applications in the clinical

setting. The student will be under the direct supervision of a qualified practitioner. Emphasis is on clinical

orientation, equipment, procedures, film evaluation, and pathology and department policies. Upon completion

of the course, the student will demonstrate practical applications of specific radiographic procedures identified

in RAD 120.

Second Semester

RAD 122 Radiographic Procedures II 4.5 credit hours

This course provides the student with instruction in anatomy, positioning, image evaluation and pathology of

spine, cranium, body systems and special procedures. Theory and laboratory exercises will cover radiographic

positions and procedures with applicable contrast media administration. Upon completion of the course the

student will demonstrate knowledge of anatomy and positioning skills, oral communication and critical thinking

in both the didactic and laboratory settings. This course provides a basic understanding of Medical

Terminology. This course introduces the student to the elements of medical terminology. Emphasis is placed on

terminology pertinent to diagnostic radiology and on building familiarity with medical words through

knowledge of roots, prefixes, and suffixes. Topics include: origins (roots, prefixes, and suffixes), word building,

abbreviations and symbols, and terminology related to the human anatomy.

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RAD 132 Elementary Clinical Procedures II 6 credit hours

This course provides students with the opportunity to correlate previous instruction with applications in the

clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in

a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment

manipulation, radiographic exposure, routine radiographic positioning, identification, film evaluation, pathology

and patient care techniques. Upon completion of the course, students will demonstrate practical applications of

radiographic procedures presented in current and previous courses.

RAD 112 Radiographic Imaging I (Equipment) 4 credit hours

This course provides students with knowledge of basic physics and the fundamentals of imaging equipment.

Topics include information on x-ray production, beam characteristics, units of measurement, and imaging

equipment components. Upon completion, students will be able to identify imaging equipment as well as

provide a basic explanation of the principles associated with image production.

Third Semester

RAD 230 Advanced Clinical Procedures I 6 credit hours

This course provides students with the opportunity to correlate previous instruction with applications in the

clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in

a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment

manipulation, radiographic exposure, routine radiographic positioning, identification, film evaluation, pathology

and patient care techniques. Upon completion of the course, students will demonstrate practical applications of

radiographic procedures presented in current and previous courses.

RAD 220 Intro to CT/Cross Sectional Imaging 3 credit hours

Students are given an overview of CT, scanning and radiation protection as it applies to the modality.

Information is given on the history of the field. Discusses responsibilities of the radiologic technologist for

producing the scan, preparing the patient, and viewing anatomical areas of the body. Patient history, education

and preparation, contrast media type, amount and administration route, patient positioning and orientation, scan

parameters, and filming will be covered. Human anatomy, emphasizing the body tissues and commonly imaged

body systems in the cross-sectional plane are introduced.

RAD 214 Radiation Protection and Biology 3 credit hours

This course provides the student with principles of radiation protection and biology. Topics include radiation

protection responsibility of the radiographer to patients, personnel and the public, principles of cellular radiation

interaction and factors affecting cell response. Upon completion the student will demonstrate knowledge of

radiation protection practices and fundamentals of radiation biology.

Fourth Semester

RAD 212 Radiographic Imaging II (Image Acquisition and Evaluation) 4 credit hours

This course provides students with the knowledge of factors that govern and influence the production of

radiographic images and assuring consistency in the production of quality images. Topics include factors that

influence density, contrast and radiographic quality as well as quality assurance, image receptors, intensifying

screens, processing procedures, artifacts, and state and federal regulations.

RAD 222 Radiographic Procedures III 4 credit hours

This course provides the student with a review of Chest and Thorax, Upper and Lower Extremities, Abdomen,

Spine, Cranium, and body systems. This course provides the students with instruction in Trauma Radiography,

Special Procedures and Imaging Specialties. Theory and laboratory exercises will cover radiographic positions

and procedures with applicable contrast media administration. Upon completion of the course the student will

demonstrate knowledge of anatomy and positioning skills, oral communication and critical thinking in both the

didactic and laboratory settings.

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RAD 232 Advanced Clinical Procedures II 9 credit hours

This course provides students with the opportunity to correlate previous instruction with applications in the

clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in

a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment

manipulation, radiographic exposure, routine radiographic positioning, identification, film evaluation, pathology

and patient care techniques. Principles of computed tomography and cross-sectional anatomy will be presented.

Upon completion of the course, students will demonstrate practical applications of radiographic procedures

presented in current and previous courses.

Fifth Semester

RAD 234 Advanced Clinical Procedures III 9 credit hours

This course provides students with the opportunity to correlate previous instruction with applications in the

clinical setting. Students will be under the direct supervision of a qualified practitioner. Practical experience in

a clinical setting enables students to apply theory presented thus far and to practice radiographic equipment

manipulation, radiographic exposure, routine radiographic positioning, identification, film evaluation, pathology

and patient care techniques. Principles other imaging modalities will be presented. Upon completion of the

course, students will demonstrate practical applications of radiographic procedures presented in current and

previous courses.

RAD 216 Registry Review 3 credit hours

This course provides a consolidated and intensive review of the basic areas of expertise needed by the entry

level technologist. Topics include basic review of all content areas, test taking techniques and job seeking

skills. Upon completion the student will be able to pass comprehensive tests of topic covered in the Radiologic

Technology Program.

GRADING SCALE

The grading scale for the School of Radiologic Technology is as follows:

Grade Grade Point

100 – 94 A 4.0

93 – 85 B 3.0

84 - 77 C 2.0

76 and below F 0

GRADUATION

Prospective graduates are to:

1. Complete all courses in the curriculum with a grade of C or better in each

2. Complete all clinical competencies, including the Terminal Competency Evaluation

3. Arrange to settle all indebtedness to the School of Radiologic Technology

4. Return all books

5. Return Mary Washington Hospital identification badge and Dosimeter

6. Attend graduation unless excused with special permission from the program manager

* Verification of education will on the last official day of class so the ARRT Registry can be taken at that time.

** Junior students are required to attend the graduation of the senior class unless their absence is excused by

the Program Manager, who will decide what requirements will be completed to make up for the absence.

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ACADEMIC INTEGRITY/HONOR CODE

Students shall observe and sustain absolute and complete honesty in all academic affairs. Violations of the

following Academic Integrity/Honor Code include, but are not limited to, taking or attempting to take any of the

following actions by definition:

A. Cheating: The act of providing or attempting to use unauthorized assistance, material, or study aids

in examinations or other academic work or preventing, or attempting to prevent, another from using authorized

assistance, material, or study aids. Unauthorized materials may include but are not limited to notes, textbooks,

previous examinations, papers, laptops, or prohibited electronic devices. This includes collaborating in an

unauthorized manner with one or more students on any examination or assignment submitted for academic

credit.

B. Fabrication: Submitting fraudulent or altered information in any academic exercise. This includes

citing non-existent articles, contriving sources, falsifying scientific results, etc.

C. Facilitating Academic Dishonesty: The act of knowingly helping or attempt to help another violate

any provision of the Academic Integrity/Honor Code. This includes:

1. Providing false or misleading information regarding academic affairs.

2. Falsifying evidence, or intimidating, or influencing someone in connection with an honor

violation, investigation, hearing, or appeal.

3. Selling or giving to another student unauthorized copies of any portion of an examination or

completed assignments receiving academic credit.

4. Rendering unauthorized assistance to another student by knowingly permitting him/her to see

or copy all or a portion of an examination or assigned coursework and receiving academic credit.

5. Taking an examination for another student.

D. Misrepresentation of Academic Records: Misrepresenting or altering with or attempting to alter

with any portion of a student’s academic record or transcript, either before or after admission to the Mary

Washington Hospital School of Radiologic Technology. This includes:

1. Falsifying or attempting to falsify class attendance records for self, or having another person

falsify attendance on your behalf.

2. Falsifying material relating to course registration or grades, either for oneself or for another

student.

3. Falsifying reasons why a student did not attend a required class/clinical or take a scheduled

examination.

4. Making any unauthorized changes in any recorded grade or on an official academic record.

E. Papers: All papers will be written in the APA style unless otherwise specified in the syllabus. All

students will refer to Publication Manual of the American Psychological Association 6th edition

for instructions regarding the acceptable specifications regarding written works. Full credit for

written work submissions will not be given if the papers are submitted without using these

guidelines. Links to these resources are available in the student resource website.

F. Plagiarism: Using the ideas, data, or language of another without specific or proper

acknowledgement. Receiving academic credit or submitting a commercially prepared research

project, paper, or work completed by someone else for academic credit are examples of

plagiarism.

G. Unfair Advantage: Attempting to gain unauthorized advantage over fellow students in an academic

exercise. To obtain prior knowledge of examination materials (including, but not limited to the use of previous

examinations obtained from files maintained by various groups and organizations) in a manner not permitted by

the Mary Washington Hospital School of Radiologic Technology or to use computing facilities in an

academically dishonest manner are examples of this violation.

H. Multiple Submissions: The act of submitting, without permission, any previous work submitted to

fulfill another academic requirement.

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Compliance to the MWH SoRT Academic Integrity/Honor Code is expected. Academic dishonesty, however

small, creates a breach in academic integrity. A student's participation in this course comes with the expectation

that his or her work will be completed in full observance of the MWH SoRT Academic Integrity/Honor Code.

All assignments, quizzes, and exams are to be performed solely by the student submitting the work unless

otherwise stated by the instructor. Cheating is defined as utilizing unauthorized material and/or help to

complete an assignment, quiz, exam, mock registry, etc. Cheating is also defined as submitting work done by

another person. If a student is found to be cheating, a grade of “0” (zero) will be given for that assignment, quiz,

exam, mock registry, etc. The duplication of test material in any form including, but not limited to:

handwritten, photocopy, video or tape recording is also considered cheating. Portable electronic devices

including cameras, IPODS, PDA’s, or cell phones are not permitted during testing.

Any student found to be in violation of the MWH SoRT Academic Integrity/Honor Code will be subject to strict

disciplinary action.

▪ 1st offense – Written Record of Conference with 1-3 days suspension

▪ 2nd offense – Program Dismissal

The degree of discipline depends on the severity, frequency, and the circumstances under which the offense

occurred. Any days missed as a result of disciplinary action will be deducted from the student’s allowable

absentee days for that semester and may affect the student’s graduation date. During clinical instruction, the

clinical instructor and/or department Manager have the right to release the student from their duties until the

incident is investigated by the Program officials. The student may not return to the clinical site without the

program’s permission. All suspension or investigation days must be made up before the beginning of the next

semester.

ACADEMIC PROGRESS

In order to continue in the School of Radiologic Technology, a student must maintain compliance of the

following:

a. Maintain a grade of C or better in ALL college and radiology courses; a grade below a C in any

course will be considered a failing grade. Any student who receives a course grade below a C

during any semester will be dismissed from the program for academic failure.

b. Pay tuition promptly two business days before the start date of each semester.

c. Abide by policies outlined in the student handbook.

d. Failure to complete the competency exam or evaluation requirements may be carried over for

one semester if the student is placed on an educational plan.

e. Should a student be placed on an education plan; all requirements of the education plan must be

met. Failure to complete all requirements outlined in an educational plan will result in dismissal

from the program.

ACADEMIC RECORDS

The following documents are maintained in the student’s permanent file:

1. Application for Admission

2. Transcripts and related records

3. SORT Final transcripts

4. Master Clinical Competency form

5. Release of Record forms

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STUDENT RIGHTS

ACCESS TO STUDENT RECORDS

A student has the right to inspect his/her file in the presence of a faculty member. The Mary Washington

Hospital School of Radiologic Technology will comply with a student’s request to examine his/her file in a

reasonable period of time, not to exceed 45 days. Information from a student’s file may be provided, with the

student’s permission and at the student’s request, to anyone the student designates in writing. Access is

available to instructors in the Mary Washington Hospital School of Radiologic Technology who are determined

to have a legitimate educational interest. Access is also granted to the Joint Review Committee on Education in

Radiologic Technology (JRCERT) in order to carry out its accrediting functions. Information may be provided

to comply with a judicial order or lawfully issued subpoena. Information from the student’s file may also be

provided to appropriate parties in a health or safety emergency. Access to other parties and organizations may

be granted in keeping with the Family Educational Rights and Privacy Act of 1974.

FERPA

The Mary Washington Hospital School of Radiologic Technology and its faculty and staff will protect the

privacy of students’ education records as required by federal law and regulations and as set forth in this policy

under the Family Educational Rights and Privacy Act of 1974. A FERPA Consent to Release Student

Information Form must be completed by the student before any protected information is released. A MWH

SoRT FERPA Consent to Release Student Information Form is included in the Appendix of this handbook or

may be obtain from the Program Manager/Director upon request.

The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR Part 99) is a Federal law

that protects the privacy of student education records. The law applies to all schools that receive funds under an

applicable program of the U.S. Department of Education.

FERPA gives parents certain rights with respect to their children's education records. These rights transfer to the

student when he or she reaches the age of 18 or attends a school beyond the high school level. Students to

whom the rights have transferred are "eligible students."

• Eligible students have the right to inspect and review the student's education records maintained by the

school. Schools are not required to provide copies of records unless, for reasons such as great distance, it

is impossible for eligible students to review the records. Schools may charge a fee for copies.

• Eligible students have the right to request that a school correct records which they believe to be

inaccurate or misleading. If the school decides not to amend the record, the eligible student then has the

right to a formal hearing. After the hearing, if the school still decides not to amend the record, the

eligible student has the right to place a statement with the record setting forth his or her view about the

contested information.

• Eligible students must represent themselves in all student/faculty/administrative meetings, no attorney or

other advisors/counselors are allowed in due process/grievance meetings (hearings). Eligible students

have the right to request a family member (parent, spouse or significant other) be present as a silent

witness to any meeting. Third-party attendees are to direct any questions/answers to the eligible student

who then has the right to direct that question/answer to program faculty or the hospital administration.

• Generally, schools must have written permission from the eligible student in order to release any

information from a student's education record. However, FERPA allows schools to disclose those

records, without consent, to the following parties or under the following conditions (34 CFR § 99.31):

o School officials with legitimate educational interest;

o Other schools to which a student is transferring;

o Specified officials for audit or evaluation purposes;

o Appropriate parties in connection with financial aid to a student;

o Organizations conducting certain studies for or on behalf of the school;

o Accrediting organizations;

o To comply with a judicial order or lawfully issued subpoena;

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o Appropriate officials in cases of health and safety emergencies; and

o State and local authorities, within a juvenile justice system, pursuant to specific State law.

Schools may disclose, without consent, "directory" information such as a student's name, address, telephone

number, date and place of birth, honors and awards, and dates of attendance. However, schools must tell parents

and eligible students about directory information and allow parents and eligible students a reasonable amount of

time to request that the school not disclose directory information about them. Schools must notify parents and

eligible students annually of their rights under FERPA. The actual means of notification (special letter,

inclusion in a PTA bulletin, student handbook, or newspaper article) is left to the discretion of each school.

For additional information, you may call 1-800-USA-LEARN (1-800-872-5327) (voice). Individuals who use

TDD may use the Federal Relay Service.

Or you may contact us at the following address:

Family Policy Compliance Office

U.S. Department of Education

400 Maryland Avenue, SW

Washington, D.C. 20202-8520

ANTI-HARASSMENT POLICY

All students have the right to attend the MWH School of Radiologic Technology and all its organizational

affiliates free of harassment. Please refer to the Harassment Policy in the Appendix.

JRCERT NON-COMPLIANCE ISSUES Included in the back of this handbook is an abbreviated copy of the JRCERT Standards for an Accredited Educational

Program in Radiologic Sciences. (complete copy can be found at https://www.jrcert.org/programs-faculty/jrcert-

standards/). If at any time during enrollment in the Radiography Program a student feels the program is not in

compliance, these noncompliant issues must be in writing and first discussed with the Program Director. The Program

Director has 5 business days to respond. If the student is not satisfied, discussion should be taken to the Dean of Health

Sciences. The Dean of Health Sciences has 5 business days to respond. At any time, the student can contact the JRCERT

at the address provided on page 2 in this handbook. The student’s written allegation of noncompliance and resolution will

be filed and held is strictest confidence.

ASSESSMENT AND EVALUATION

STUDENT ASSESSMENT

The School of Radiologic Technology uses a variety of methods to assess the student’s ability to obtain the

program’s outcomes and goals. Some of these methods are tests, research paper assignments, competencies,

evaluations, class presentations, and community service.

PROGRAM EVALUATION

During the program the students will evaluate all didactic and clinical courses in the curriculum. Before

graduation the student will complete an exit questionnaire about their experiences in the program. After

graduation a survey will be sent to the graduate and to their employer to evaluate the program’s effectiveness in

the work place. Results of all evaluations will be used to enhance the curriculum and program.

ACADEMIC EVALUATIONS

Evaluations and grades are given annually, at mid semester, and the end of the semester. At this time formal

feedback will be shared with the student by the primary faculty. Throughout the program, town hall meetings

will be conducted by the faculty for feedback from the students suggesting improvements to the classes and

program.

CLINICAL EVALUATIONS

Radiologic technologists will evaluate the students during their clinical rotation. The frequency of the

evaluations will vary depending on the semester and the evaluation results will be reviewed with the students by

faculty. During the junior year, students must maintain an overall rotation evaluation average of 80% or above

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at both mid-term and at the end of each semester in order to maintain program progression. The student will be

counseled if the overall rotation evaluation average falls below 80%. An educational plan or personal plan will

be developed as deemed appropriate by school faculty. During the senior year of the program, students are

expected to maintain an overall rotation evaluation average of 90% or above at both mid- term and end of

semester to maintain program progression. The student will be counseled if the overall rotation evaluation

average falls below 90%. An educational plan or personal plan will be developed as deemed appropriate by

school faculty.

FACULTY EVALUATIONS

Students will evaluate faculty members at the end of each semester. Clinical sites, Clinical Instructors and

Competency Evaluators will be evaluated by the students at the end of the semester; periodic feedback will be

given during the year if needed, with annual evaluations given and signed. All evaluations are confidential. All

evaluations are submitted to the School of Radiologic Technology Program Manager/Director and/or Clinical

Coordinator anonymously via Survey Monkey for review and analysis. Faculty is provided a summary of their

respective evaluations in order to incorporate student feedback for improvement as appropriate.

TESTING

Students will use Canvas hosted by Elsevier for online testing purposes. Canvas Students should not leave the

Canvas browser window when testing. Leaving the browser window during testing will be considered a

violation of the Academic Integrity/Honor Policy Section A. Cheating: The act of providing or attempting to

use unauthorized assistance, material, or study aids in examinations or other academic work or preventing, or

attempting to prevent, another from using authorized assistance, material, or study aids. Unauthorized

materials may include but are not limited to notes, textbooks, previous examinations, papers, laptops, or

prohibited electronic devices. This includes collaborating in an unauthorized manner with one or more students

on any examination or assignment submitted for academic credit. All midterm and final exams will be given on

campus in the MWH School of Radiologic Technology computer lab. Students are not permitted to have any

electronic devices to include smart watches during testing. Students will be provided with a white board and dry

erase marker for testing. Students will be permitted to use a basic 4 function calculator during testing.

ASSIGNMENTS

Students will use Canvas (learning management system) for submission of exams and assignments. Late

submissions will be penalized 10 points per day up to three days (30 points total). After the third calendar day

late submissions will not be accepted and awarded a grade of zero (0).

WORKBOOKS

Students will complete the workbook as assigned by unit and submit, in class by the assigned due dates.

Students will receive a grade of (0) zero for any incomplete workbook assignments. Late submissions will be

penalized 10 points per day up to three days (30 points total) i.e. wb due in class on Friday morning but not

submitted until Monday morning will have an opportunity to score a maximum of 70%. Workbooks with any

incomplete pages will be awarded a grade of zero (0) no exceptions. After the third calendar day late

submissions will not be accepted and awarded a grade of zero (0).

DISCIPLINE

Disciplinary actions will be delivered equally and equitably. Students who do not abide by the policies and

expectations of the MWH School of Radiologic Technology are subject to corrective action to include the

following:

▪ Initial Warnings and Conferences

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▪ Written Warnings

▪ Suspension (1-3 days)

▪ Dismissal

The degree of discipline depends on the severity, frequency, and the circumstances under which the offense

occurred. Any days missed as a result of disciplinary action will be deducted from the student’s allowable

absentee days for that semester and may affect the student’s graduation date. During clinical instruction, the

clinical instructor and/or department Manager have the right to release the student from their duties until the

incident is investigated by the Program officials. The student may not return to the clinical site without the

program’s permission. All suspension or investigation days must be made up before the beginning of the next

semester.

ATTENDANCE / MAKE-UP TIME

Didactic/Classroom Attendance

The establishment of a consistent and acceptable pattern of attendance is a necessary and integral part of the

academic experience at Mary Washington Hospital School of Radiologic Technology. Attendance is required to

achieve the course competencies, as well as prepare for the professional duties and responsibilities mandated by

employers. Three class tardies of 15 minutes or longer and/or early departures of 15 minutes or longer will

constitute an absence. Students can receive up to 10 points of their final grade based on the following criteria:

0-3 days missed = 10 points

4-6 days missed = 5 points

7 or more days missed = 0 points

It is the student’s responsibility to make sure they are aware of any assignments made when absent. Being

absent from class is not an excuse for missed assignments or tests. If the student is absent on the testing date,

the student forfeits that testing opportunity and, if applicable, will take a different version of the original test.

The instructor must be notified prior to testing date and/or time to qualify for makeup exam. Only in the most

extreme circumstance will a student be allowed to make up an exam without prior notification. Only one (1)

makeup test is permitted per term, per class.

Clinical Attendance

The educational program consists of both clinical and didactic components. These educational activities may

comprise, but may not exceed, 40 hours per week, or 10 hours per day. According to JRCERT standards,

students are not permitted in clinical sites during any recognized facility holiday. The student is expected to be

in attendance for all scheduled educational hours. Students will be given attendance “life days” (allowable

absences) as follows:

RAD 130 – 2 days

RAD 132 - 2 days

RAD 230 – 3 days

RAD 232 – 3 days

RAD 234 - 3 days

Clinical Attendance

The educational program consists of both clinical and didactic components. These educational activities may

comprise, but may not exceed, 40 hours per week, or 10 hours per day. According to JRCERT standards,

students are not permitted in clinical sites during any recognized facility holiday. The student is expected to be

in attendance for all scheduled educational hours.

If the student cannot attend scheduled clinical hours, they are required to:

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● Contact the Clinical Coordinator at (540)741-1926 at least 30 minutes prior to their scheduled report

time. If unable to speak to a faculty member, the student must leave a voicemail including their name,

type of absence, the time of their call, and their telephone number.

● The student also must notify the site of their clinical rotation at least 30 minutes prior to their scheduled

report time, speaking with the clinical instructor or the supervisor of the department if the clinical

instructor is not available.

● Submit a Time Exception form with the online Trajecsys Reporting System within 1 hour of report

time.

● Time off must be taken in 4 hour or 8 hour increments. Unused absences may not be saved or banked for

future use and students are responsible for all work missed. Missed clinical time in excess of three days

must be made up. All make up time must be completed before the beginning of the next semester.

Faculty will assign the clinical site and time for makeup time. Make up time for missed clinical days

may be done from 4:30 pm to 12:00 am on weekdays and 7:00 am to 7:00 pm on Saturday or Sunday

(not to exceed 10 hours per day or 40 hours a week) during the semester corresponding to the semester

in which the time is missed. Time Adjustment forms are to be completed for all missed clinical time.

Clinical attendance is worth fifteen percent (15%) of the student’s overall clinical grade. The student must

comply with the clinical attendance policy to attain the maximum number of points. Point deductions will be

calculated as listed below:

A. Failure to follow call in policy. *Notify CC, CI/Site, appropriate time frame, Time Adjustment form

a. -2.5 points first occurrence

b. – 5 point each subsequent occurrence

B. Missing more than the allotted clinical absences for that semester.

a. -5 points per occurrence

RAD 130 – Two 6-hour days a week/12 hour per week for 15 weeks /2 absences permitted

RAD 132 – Two 9-hour days /18 hours per week for 15 weeks / 2 absences permitted

RAD 230 – Three 9-hour days / 27 hours per week for 10 weeks /3 absences permitted

RAD 232 – Three 9-hour days / 27 hours per week for 15 weeks / 3 absences permitted

RAD 234 – Three 9-hour days /27 hours per week for 15 weeks / 3 absences permitted

LUNCH AND BREAKS

Dependent on work load, a 15-minute morning or afternoon break may or may not be possible. All students are

required to take a 30-minute lunch break. Lunch and breaks will be assigned by the Clinical Instructor or

supervising technologists at each clinical site. Students may do whatever they wish during this period; however,

if the student chooses to leave the medical campus; they must inform a supervisor/faculty member, clock out by

using the lunch badge out feature on MWHC time clocks, and clock back in when they return. Students may not

take their lunch at the end of the day and leave early nor; may they skip the lunch break to leave early. Clinical

assignments exceeding 5.25 hours will be scheduled for one-half hour break. Half day clinical assignments (4

hours or less) are not eligible for half hour lunch breaks.

Tardiness/Early Clock Out/Failure to use time clock

Students are expected to call the faculty if they are not going to be on time. A student is considered tardy if they

are five or more minutes late to any academic or clinical class. Incidents of tardiness of five (5) minutes or

greater and patterns of tardiness of less than five minutes (5 tardies, less than 5 minutes, within one semester)

will be tracked for the purpose of enforcing grade point deductions. Grade point deductions will begin as listed

below. Early clock outs are defined as clocking out 5 or more minutes earlier than the end of the shift. Early

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clock in times and late clock out times are not counted toward late clock in times. Students who are tardy in

excess of 15 minutes or more are expected to remain in clinic the equivalent amount of time. Students variable

end times during didactic classes are not considered “early” out times. Early dismissal requests are considered

on an individual basis. Students are expected to use the time clock for all clock in and clock outs. Students who

fail to use the time clock for more than two times during a semester will lose points from their final clinical

course grade (the clock in and clock out for a forgotten badge equals 1 occurrence/ a forgotten clock in for

either the morning or the afternoon of separate days count as separate occurrences). Clinical attendance is

worth fifteen percent (15%) of the student’s overall clinical grade. The student must comply with the clinical

attendance policy to attain the maximum number of points. Point deductions will be calculated as listed below:

Tardies/Early Clock outs/ Failure to use time clock Grade Point Deduction

3 4

5 8

7 10

9 12

Patterns of Tardiness of less than 5 minutes Grade Point Deduction

5 4

7 8

9 10

10 and above 15

No Call/No Show

When unable to report to class or clinic for any reason, the student must notify the program faculty following

the guidelines of the established attendance policy. If a call is not received, the absence will be considered a

no call/no show. No call/no show in excess of one hour past the start time will count as a no call/no show

absence. The first no call/no show will result in a written warning with a suspension. Two no call/no shows

during the program will result in termination. These days may be separate or consecutive. Extenuating

circumstances will be considered on a case to case basis.

Any student found to be in violation of the MWH SoRT No Call/No Show policy will be subject to strict

disciplinary action.

▪ 1st offense – Written Record of Conference with 1-3 days suspension

▪ 2nd offense – Program Dismissal

No Badge

Students who do not use the time clock for more than two times during the semester will be counseled under the

disciplinary procedure.

▪ Initial Warnings (3rd occurrence)

▪ Written Warnings (4th occurrence)

▪ Suspension (1 day) (5th occurrence)

▪ Dismissal (6th occurrence)

SCHEDULED ABSENCES

Students will complete a time adjustment form in Trajecsys for any time off. Failure to complete a time

adjustment form for ANY absence will result in the following point deductions from the overall clinical grade:

A. Failure to follow call in policy. *Notify CC, CI/Site, appropriate time, Time Adjustment form

a. -2.5 points first occurrence

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b. – 5 point each subsequent occurrence

BEREAVEMENT LEAVE

Students MUST notify the Program Manager of the need for bereavement leave. Students are allowed three

days (24 hours) leave for the death of an immediate family member (spouse, parent, child, sibling, parent-in-

law, son or daughter-in-law, grandchild, grandparent).

LEAVE OF ABSENCE- (MORE THAN 3 CONSECUTIVE DAYS)

Students are strongly encouraged to avoid lengthy absences from the educational program and to postpone

elective surgery until completion of the course of study whenever possible. If a student is seen in the

Emergency Department, is ill for two consecutive school days, or injured during or off school hours where a

physician needs to be contacted, the Program Manager may request written permission to return to the program

and a Health &Wellness visit may be required for evaluation prior to returning to the program. Health &

Wellness routinely do not see students unless it relates to an on-the-job hazmat problem. However, it is

acknowledged that long absences are sometimes unavoidable due to personal reasons, accidents or illnesses.

Students should only request a leave of absence in the most extreme circumstances. Students requesting a

leave of absence must do so in writing before the leave is to be taken. All classes, academic and clinical, missed

must be made up before the beginning of the next semester. Final approval of the Leave of Absence request

rests with the Program Manager. Students are provided up to 15 calendar days for a leave of absence. Should

more than 15 days be needed, the student will be required to re-apply apply for readmission the following year

at the same point in time in order to complete the program, space permitting. All course work must be

completed for the semester in which the time is missed before the beginning of the next semester. Students who

are unable to make up all time and course work may receive an “I” Incomplete for that term until all make up

work and time is completed. If the student is unable to make up all missed work and time before the end of the

first week of the following semester the student will have to withdraw from the program and apply for

readmission the following year.

DISMISSAL FROM THE SCHOOL OF RADIOLOGIC TECHNOLOGY

The School of Radiologic Technology reserves the right to dismiss a student for any or all the following

reasons:

1. Verbal or physical abuse of any patient

2. Insubordination to established authority

3. Inability to maintain passing grades/complete syllabi requirements

4. Failure to comply with attendance policy

5. Violation of the Academic Integrity Policy

6. Unprofessional/ unethical conduct

7. Possession of a firearm or other weapon on Mary Washington Healthcare properties

8. Possession of illegal or controlled substances

9. Unsatisfactory clinical performance

10. Hostile workplace actions

11. Harassment

12. Failure to follow appropriate radiation protection safety policies

13. Providing false documentation of any kind

14. Falsifying clinical forms

DRUG-FREE EDUCATIONAL ENVIRONMENT – SEE APPENDIX

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In keeping with the policy of the sponsoring institutions, the School of Radiologic Technology has determined

students must meet the same standards as MWHC Associates as outlined in the Drug/Alcohol-Free Workplace

Policy. Please refer to Appendix.

DUE PROCESS PROCEDURE

Academic grievance:

A formal process through which a student can appeal through his/her course instructor, the school’s

administrative leadership (academic policies), or the student’s final grade in a course. A final course grade

appeal must be based on at least one of the following claims: capricious action on the part of the faculty

member that affects the student’s final grade; prejudicial treatment of the student by the faculty member with

respect to the application of the course syllabus, thereby affecting the student’s final grade; or a documented

error in calculating the student’s final grade. A capricious action is defined as one made on a whim or without

justifiable reasons. Prejudicial treatment is defined as treating the student lodging the final grade appeal

differently than other students in the course with respect to the instructor’s application of the course syllabus.

Non-academic grievance:

A formal process through which a student or student group can appeal a non-academic decision made by a

faculty or clinical staff member that negatively affects a student/student group’s standing with the school. A

non-academic grievance or complaint may include disputes between a student/student group and an office of the

school regarding the quality of instruction, fairness of instructor, and quality/fairness of clinical education. A

non-academic grievance or complaint may include disputes between a student/student group and an office of the

school regarding the interpretation and/or application of the policies and procedures of the school, student

governance issues, student activities, and other concerns that a student might present for redress. A non-

academic grievance may be based on one of the following claims: arbitrary and/or capricious actions by a

Clinical Instructor, Competency Evaluator, Clinical Coordinator or Program Director (Manager); prejudicial

treatment of a student by a Clinical Instructor, Competency Evaluator, Clinical Coordinator or Program Director

(Manager); or an administrative error in the application of a policy by a Clinical Instructor, Competency

Evaluator, Clinical Coordinator or Program Director (Manager).

*All clinical issues are considered Non-Academic grievances and must first be presented to the School of

Radiologic Technology Clinical Coordinator not to the Clinical Instructor or Competency Evaluator.

It is the intent of the School of Radiologic Technology to provide each student a means to resolve any issue arising

from the application of the school’s policies, procedures, or rules. An academic grievance shall be addressed as

follows:

1. The student should first contact the instructor within five business days of the occurrence in writing

outlining his/her issue. This action must be initiated by the student within five business days following the

alleged complaint or the student’s awareness of the incident. If initiated after more than five business days, the

student loses the right to pursue resolution of the grievance to a higher level of appeal. The instructor has five

business days to respond. If the student is unsatisfied with the instructor’s written response and wishes to further

pursue his/her issue, then the student should advance to step two in the due process procedure.

2. The issue is addressed in writing to the School of Radiologic Technology Program Manager. This

action must be initiated by the student within five business days following the alleged complaint or the student’s

awareness of the incident. If initiated after more than five business days, the student loses the right to pursue

resolution of the grievance to a higher level of appeal. If the student is not satisfied with the resolution of the

issue, a formal grievance procedure may begin.

3. The Program Manager will discuss the grievance, review the issues in the grievance and respond to the

student in writing within three business days.

4. If the Program Manager’s reply is not acceptable, the student may request a meeting in writing within

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three business days, with the Administrative Director, Hospital Imaging Services. The student may request that

the Executive Vice President, Human Resources or designee be present at this meeting. The School of Radiologic

Technology Program Manager will also be in attendance.

5. The Administrative Director, Hospital Imaging Services will prepare a written response to the student

within five business days. If the response is not satisfactory to the student, the grievance will go to the

Executive Vice President, Human Resources or designee. The Executive Vice President or designee reviews all

documentation involved and renders a decision, in writing, within 10 business days. The decision of the

Executive Vice President, Human Resources or designee is final.

The Executive Vice President, Human Resources or designee, has the responsibility to interpret the grievance in

light of established policies, procedures, and rules but does not have the privilege to formulate or change school

policies or procedures.

A non-academic grievance shall be addressed as follows:

Step 1:

A. If the grievance is about a Clinical Instructor or Competency Evaluator, the student must contact

the Clinical Coordinator within five business days of the occurrence in writing outlining his/her

issue.

B. If the grievance is about the Clinical Coordinator, the student must contact the Program Director

(Manager) and Clinical Coordinator within five business days of the occurrence in writing

outlining his/her issue.

C. If the grievance is about the Program Director (Manager) the student must contact the

Administrative Director of Hospital Imaging Services and the Program Director (Manager)

within five business days of the occurrence in writing outlining his/her issue.

This action must be initiated by the student within five business days following the alleged complaint or the

student’s awareness of the incident. If initiated after more than five business days, the student loses the right to

pursue resolution of the grievance to a higher level of appeal.

A. Type A non-academic grievances will be investigated by the Clinical Coordinator. The Clinical

Coordinator has five business days to respond. If the student is unsatisfied with the Clinical

Coordinator’s written response and wishes to further pursue his/her issue, then the student should

advance to step two in the due process procedure, the Program Director (Manager).

B. Type B non-academic grievances must be answered by the Clinical Coordinator within in five business

days of receipt. The Clinical Coordinator must submit a copy of his/her response to the Program

Manager. If the student is unsatisfied by with the Clinical Coordinator’s written response and wishes to

further pursue his/her issue, then the student should advance to the next step of the due process

procedure, the Program Director (Manager)

C. Type C non-academic grievance must be answered by the Program Director (Manager) within in five

business days of receipt. The Program Director (Manager) must submit a copy of his/her response to the

Administrative Director of Hospital Imaging Services. If the student is unsatisfied by with the Program

Director’s written response and wishes to further pursue his/her issue, then the student should advance to

the next step of the due process procedure, the Administrative Director of Hospital Imaging Services.

2. The issue is addressed in writing to the appropriate faculty and/or administrative personnel for the

MWH School of Radiologic technology. This action must be initiated by the student within five business days

following the receipt of step 1 grievance decision. If initiated after more than five business days, the student

loses the right to pursue resolution of the grievance to a higher level of appeal. If the student is not satisfied

with the resolution of the issue, a formal grievance procedure may begin.

3. Based on the type of non-academic grievance the student must submit their grievance in writing to

appropriate faculty and/or administrative personnel. The appropriate faculty and/or administrative personnel will

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discuss the grievance, review the issues in the grievance and respond to the student in writing within three business

days.

4. If the Program Manager’s reply is not acceptable, the student may request a meeting in writing within

three business days, with the Administrative Director, Hospital Imaging Services. The student may request that

the Executive Vice President, Human Resources or designee be present at this meeting. The School of Radiologic

Technology Program Manager will also be in attendance.

5. The Administrative Director, Hospital Imaging Services will prepare a written response to the student

within five business days. If the response is not satisfactory to the student, the grievance will go to the

Executive Vice President, Human Resources or designee. The Executive Vice President or designee reviews all

documentation involved and renders a decision, in writing, within 10 business days. The decision of the

Executive Vice President, Human Resources or designee is final.

The JRCERT Standards are posted and any student wishing to file a grievance with the JRCERT has that

ability if the grievance pertains to one of the standards. The procedure for filing a JRCERT grievance is

outlined below:

1. Follow the Due Process Procedure.

2. If unsatisfied with the result from the facility, contact JRCERT in writing with your complaint.

3. All JRCERT due process paperwork must pertain to one of the Standards.

4. A copy of the complaint will remain in the manager’s office for USDE record compliance.

5. All inquiries should be forwarded to: JRCERT, 20 North Wacker Drive, Suite 2850, Chicago, IL 60606-

3182. 6. Complaints which cannot be resolved by direct negotiation with the school in accordance with its

written grievance policy may be filed with the State Council of Higher Education for Virginia, 101 N. 14th

Street, 9th Floor, James Monroe Building, Richmond, VA 23219. All student complaints must be submitted in

writing.

7. No student will be subject to unfair actions as a result of initiating a complaint proceeding to the

JRCERT or SCHEV.

GRADE APPEAL

Students will follow the Due Process Academic Grievance policy to appeal any grade received.

EDUCATIONAL IMPROVEMENT PLAN

Students will be placed on an educational plan for various reasons which include academic progress, clinical

progress, or professional progress. Students who earn less than a 2.5 GPA in one semester will be placed on

academic probation and given educational improvement plan. Faculty will meet with the student and devise a

plan of action which is signed and agreed upon by all parties. If a student is placed on an educational plan, it

may delay the program completion and graduation date. The educational plan is used as a tool to help the

student achieve success. Specific information about the educational plan should not be shared. In the event the

student does not comply with the elements of the education plan, the student will be dismissed from the

program.

ELECTRONIC DEVICES

All electronic devices must be silenced during classroom or lab activities except as authorized by faculty.

Communication occurrence should not be a disruption to class and should be taken out of the classroom. o cell

phones or pagers are permitted in the clinical setting. All phones should be kept in the lockers and may be

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checked at the lunch period. Emergency phone calls will be forwarded to the students when received by faculty

members.

EMPLOYMENT

Student employment at an MWHC facility is at the discretion or decision of the employer and the student.

However, the student is not permitted to function as an employee while participating in clinical or didactic

instruction. The School of Radiologic Technology is not held responsible for the students who are employed,

and all burdens of service are transferred to the employer. Reference letters to employers for each student are

available upon request to provide information regarding the courses completed and the current courses. The

School of Radiologic Technology does not endorse any student or their ability while the student is in the

program. Students are not permitted to wear the school scrubs while working as an employee.

FACILITIES

SCHOOL OF RADIOLOGIC TECHNOLOGY

Students have access to the school located at 2300 Fall Hill Avenue, Suite 260, during normal business hours or

when faculty is on school grounds, Monday through Friday. Students who need additional hours for study

purposes may contact the Program Manager or Clinical Coordinator to arrange for additional hours. The school

location provides the classrooms, study areas, computer lab, and books available for research and study. There

is also a kitchen area for lunch periods. Students are to initial and date all food items stored in the school

kitchen. Unmarked items will be considered to be community property. The school will not be responsible for

any personal property left on school grounds.

RADIOLOGY LIBRARY

Students may use books and periodicals in the Radiology Library, located in the Radiology Department at 1001

Sam Perry Boulevard, 24 hours a day. This is not a lending library. However, students may photocopy any

articles or readings they desire. Student may also use the MWH School of Radiologic Technology Library for

lending purposes.

LEADERSHIP DEVELOPMENT

The Mary Washington Hospital School of Radiologic Technology Student Leadership Development program

was established to develop effective and essential leadership skills in students through various activities and

diverse experiences. Each Fall semester the new senior class will elect the following class officers who will be

responsible for coordinating activities for the entire MWH SoRT student body.

President –

Vice President –

Secretary/Treasurer –

Each class will be responsible for at least one fundraiser, eight hours of community service, planning Empathy

Lab for the incoming Junior class, planning RAD Tech week Thank You to all clinical sites/technologists, and

planning Graduation.

COMMUNITY SERVICE

The students are required to perform eight hours of community service per year. The students may choose the

location of an approved community service event; however, if a decision is not made, the Program Manager

will make the final decision. Those students unable to attend the community service project must request

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approval from the Program Manager. Students with approved community services absences will be expected to

present a written five-page paper on community service.

NON-DISCRIMINATION

The Mary Washington Hospital School of Radiologic Technology student recruitment, admission practices,

faculty recruitment, and employment practices are non-discriminatory with respect to race, color, creed,

religion, gender, gender identity or expression, sex, age, disability, marital status, sexual orientation, military

status, or national origin.

SOCIAL MEDIA – PLEASE REFER TO POLICY IN APPENDIX

As a representative of the program the student is expected to act professionally to maintain the program’s

reputation and legal standing. Please refer to the MWHC Social Media Policy that may be found in the

Appendix of this handbook. Students are not permitted to engage in social media activities during clinical

rotations. Students must refrain from becoming social media “friends” with MWH SoRT Faculty and MWHC

Radiology Associates until after graduation.

STUDENT RECOGNITION

Student recognition is established in the Radiologic Technologist program to encourage and acknowledge

students for their exemplary academic effort and clinical performance. There are two awards offered in each

graduating class. One is to commend the Outstanding Clinical Performer chosen by the clinical staff, and the

second recognizes the student achieving distinguishing honors in Academic Excellence. The individuals

receiving these achievements are offered a check in the amount of $100.00 (donated by the Radiologic

Associates of Fredericksburg).

Distinguishing attributes for the selected student receiving recognition for Outstanding Clinical Performer

include, but are not limited to:

• Taking advantage of opportunities to learn/contribute to the overall operation of the

Radiology Department

▪ Accepting constructive criticism and respect supervising technologists

▪ Maintaining a positive rapport with patients, staff, and physicians in appearance and demeanor

▪ Providing excellence in patient care when performing examinations using accepted methods

and procedures

▪ Performing examinations efficiently under indirect supervision

▪ Maintaining a 3.5 grade point average or above in all clinical courses through the end of the

fifth semester

▪ Lacking disciplinary action above the level of written warning

▪ Completing all requirements to graduate

The recipient of the Academic Excellence award shall be recognized as a graduating student demonstrating the

highest academic average through the end of the fifth semester. Students with disciplinary actions at a written

warning level or above are not eligible for this award.

STUDENT SEMINARS

The MWH SoRT Faculty annually attend a National Educators’, Technologists’ and Student Registry Review

Conference (Currently in Orlando, FL or Atlanta, GA). The MWH SoRT Students raise funds to attend one of

the three available conferences during their fifth and final semester. Funds raised by the MWH SoRT Students

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will be used to cover conference attendance. Students who do not participate in the National conference will be

expected to attend clinic during that week. Students who do not participate in the National conference can

attend the VSRT annual conference or the MedStar Washington Annual conference. Students will

independently plan, schedule, and attend any conference they decide to attend.

STUDENT SERVICES

Guidance

Students receive educational guidance from the faculty on an ongoing basis. Structured guidance sessions

regarding academic and clinical progress are conducted by the Program Manager and/or Clinical Coordinator as

needed at mid-semester and the end of the semester, at the student’s request or at a faculty member’s request.

Students seeking personal counseling or educational disabilities can be referred to the Rappahannock Area

Community Services Board (RACSB). It is committed to improving the quality of life for people with mental

health, intellectual disability, and substance abuse problems.

Americans with Disabilities Act

The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that

qualified students with disabilities who meet the essential functions and academic requirements are entitled to

reasonable accommodations. The purpose of the American Disability Act (ADA) is to ensure that students who

may have special needs are provided with reasonable accommodations to help them achieve academic success.

It is the student’s responsibility to complete the ADA request form and to provide appropriate disability

documentation to the MWH School of Radiologic Technology.

Students must be able to perform according to the physical demands of the Technical Functions Criteria in order

to be considered for the program. Request for reasonable accommodation must be handled on an individualized

basis. It is recommended that any disability be presented to the Program Manager, so measures may be taken to

evaluate and accommodate said disability. The MWH School of Radiologic Technology, Program Manager in

conjunction with the Community Programs, Cultural Services Coordinator will determine the appropriate

accommodations. The MWH Health and Wellness, Nurse Manager will review each case and assist with

clinical accommodations as appropriate.

TIME OFF/SCHOOL BREAKS

A minimum of twenty days (160 hours) is available for each student per school year. Specific dates of the

breaks are determined by the Program Manager.

• Holiday Break

The facility recognizes the following holidays: New Year’s Day, MLK, Memorial Day, July 4th, Labor Day,

Thanksgiving and Christmas during which time the school will be closed for any time period determined for

the holiday. A minimum five-day block, during the last two weeks of December is allotted for a holiday

break.

• Spring Break

A block of at least five days will be given during the spring semester.

• Summer Break

A block of at least five days between Spring and Summer Semester is allotted for a break.

• Fall Break

A block of at least five days between Summer Semester and Fall Semester are allotted for a Fall Break.

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TRANSFER OF CREDIT/STUDENTS

As a general rule, the School of Radiologic Technology does not provide for the transfer of students from

another radiology program into its curriculum. The school does not guarantee the transferability of credits to a

college, university or institution. Any decision on the comparability, appropriateness and applicability of credit

and whether they should be accepted is the decision of the receiving institution. The school does realize certain

circumstances may exist and will treat each case individually. The program reserves the right to deny admission

if the possibility of course completion exceeds more than two semesters. All course work will be completed in

order to graduate from the program. Students may be granted transfer credit for completed general education

courses taken previously if the courses articulate with the School of Radiologic Technology program. Students

may be requested to submit course descriptions, competency transcripts, and education references for this

articulation process. Transfer credits will only be accepted if the course was taken at an accredited institution

within five years or if the student was granted a degree from a college or university. Students may participate in

the College Level Examination Program at local institutions and present scores for consideration of transfer

credits.

TUITION

Tuition: Total program tuition is $10,000.00; this is divided into semester payments with each semester total

dependent upon credit hours ($142.86 per credit hour). Books and uniforms are not included. Should a student

withdraw from the program, a refund of a portion of the tuition may be possible. Although the program does not

offer financial aid, students are encouraged to contact personal banks for private loans or use personal

organizations for scholarships and grants. Two on-line sites which have been recommended at state meetings

are Fastweb.com and Finaid.

Tuition is divided and paid per semester, due in full two days before the first day of class. Students who have

not paid tuition by the first day of class may not attend class/clinic until tuition is paid in full. Students who

have not paid tuition by the fifth day of the semester will be dismissed from the program. Any time missed will

be made up in accordance with the attendance policy.

FINANCIAL ASSISTANCE

The School does not participate in state or federally funded financial assistance programs. In an effort to

diminish the financial burden students are allowed to pay their tuition in two payments each semester. The first

half of that semester’s tuition is due two days before the beginning of the first day of class and the second half is

due the Monday of each midterm. First day of the semester and midterm dates are always listed on the academic

calendar. Students who choose to take advantage of the MWH SoRT Tuition payment plan must complete the

MWH SoRT Truth-in-lending statement each semester.

Students may apply for the MWH School of Radiologic Technology Virginia Medical Imaging Scholarship

through the Program/Foundation at Mary Washington Hospital. See Program Manager for more information.

Restrictions do apply and the student must adhere to application requirements. Other scholarships are available

through public organizations and private financial institutions. Students may need to acquire private funding or

loans to finance tuition or other costs. It is the responsibility of the student to make arrangements to cover

tuition and additional costs of the program. The school does qualify for Paralyzed Veterans Family Assistance

and Pre/Post 9/11 GI Bill.

Tuition and Fees:

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Program Radiologic Technology

Tuition $10,000.00

Books/Software

Subscriptions

$2000.00 approx.

Placement fee $100.00 inclusive- nonrefundable

Uniforms $300 - $500 **see chart below

Total $12,400.00 - $12,600.00 approx.

Program length 4 terms 16 weeks

1 term 10 weeks

Uniform Cost **estimated

Lab Jackets $ 30.00 to $ 45.00

$30 fleece no personalization

$35 fleece with personalization

$40 poly blend no personalization

$45 poly blend with personalization

Short Sleeve Lab Shirts $ 33.00 to $ 33.00 must purchase at least 3 $11 each

Long Sleeve Lab Shirts $ 60.00 to $ 60.00 must purchase at least 3 $20 each

Black Lab Pants $ 20.00 to $ 45.00 must purchase at least 3 **prices will vary

Clinical Uniforms $ 100.00 to $ 150.00 **prices will vary must purchase at least 3

Clinical Shoes $ 50.00 to $ 100.00 **prices will vary

Totals $ 293.00 to $ 433.00

TUITION REFUND POLICIES

Rejection: An applicant rejected by the school is entitled to a refund of all monies paid excluding registration

and application fee.

Three-Day Cancellation: An applicant who provides written notice of cancellation within three (3) business days,

excluding weekends and holidays, of executing the enrollment agreement is entitled to a refund of all monies

paid, excluding the $100 non-refundable registration fee.

Other Cancellations: An application requesting cancellation more than three (3) days after executing the

enrollment agreement and making an initial payment, but prior to the first day of class is entitled to a refund of

all monies paid, less a tuition fee of $100 and the $100 non-refundable registration fee.

Withdrawal Procedure:

A. A student choosing to withdraw from the school after the commencement of classes is to provide a

written notice to the Director of the school. The notice must include the expected last date of attendance

and be signed and dated by the student.

B. If special circumstances arise, a student may request, in writing, a leave of absence, which should

include the date the student anticipates the leave beginning and ending. The withdrawal date will be the

date the student is scheduled to return to from the leave of absence but fails to do so.

C. A student will be determined to be withdrawn from the institution if the student misses seven

consecutive instructional days and all of the days are unexcused.

D. All refund requests must be submitted within 45 days of the determination of the withdrawal date.

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Students who withdraw from the School of Radiologic Technology after the beginning of an academic year will

be given a refund for the tuition as follows:

1. The $100.00 registration fee is non-refundable

2. The remaining tuition will be disbursed as follows:

a. Withdrawal within the first four weeks of the semester 50%

b. Withdrawal from 4-7 weeks of the semester 25%

c. At and after 8 weeks of the semester No refund

WEATHER

In case of inclement weather, the program will follow Germanna Community College for closings and delays.

In the case of a delay or an early closing, the length of the clinical day will be determined by the Program

Director and Clinical Coordinator based on the earliest report time.

WITHDRAWAL, RE-ENTRY AND RE-ADMISSION

Withdrawal

If special circumstances arise, a student may request in writing a leave of absence, which should include the

dates the student anticipates the leave beginning and ending. The withdrawal date will be the date the student is

scheduled to return to from the leave of absence but fails to do so. The letter of withdrawal must include the

student’s date of birth, social security number, and reason for withdrawing, effective date of the withdrawal, and

signature.

Re-Entry

In order to re-enter the School of Radiologic Technology, the following conditions must exist:

1. The student must request, in writing, to return to the educational program.

2. The student must have completed at least two semesters in the educational program prior to withdrawing. Any

student who had not completed two semesters is not eligible for re-entry and must re-apply to the program.

3. There must be space available for the student to return. It is at the discretion of the program as to the readmission

of any student.

4. The student must return at the semester in the course of study where he/she withdrew. If the student withdrew

in the middle of the semester, he/she will be required to return at the beginning of that semester.

5. The student must pay the prorated tuition for the academic year/semester in which he/she will return.

6. The student must demonstrate to the faculty competency in procedures in which he/she was previously declared

competent. The student may be subject to additional participation should the faculty deem it necessary.

7. The student must complete all requirements for graduation including, but not limited to, required courses,

competencies and clinical rotations.

8. The student acknowledges that remediation, if necessary, may lengthen his/her time in the program and may

affect his/her graduation date. It may also affect his/her date of eligibility to sit for the American Registry of

Radiologic Technologists certification examination.

9. All requests for financial refunds must be submitted in writing within 45 days of the determination of the

withdrawal date.

Re-Admission

Students who interrupt the progression in the Mary Washington Hospital School of Radiologic Technology

Program may apply for re-admission to the Program in writing to the Program Manager. Students dismissed

from the MWH SoRT for safety violations will not be eligible for re-admission. The Program Manager will

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review each application on a case by case basis to determine eligibility. A student who fails to progress during

the first semester of the Program must reapply for acceptance as a new student. Students must submit a re-

admission request no later than mid-term of the semester prior to a planned re-entry. The Program Manager will

prescribe the student a plan for re-admission based on clinical availability. The student may be considered for

re-admission only once. Re-admission to the Program also depends upon the availability of clinical space.

Students in regular progression will have first option to clinical availability.

Re-admission requires:

1. A 3.0 cumulative GPA in all course work.

2. That no longer than 36 months may elapse from initial admission term to date of

graduation.

3. The student must enroll as a part-time student in the semester prior to their re-enrollment/re-admission as a

full-time student. In this semester the student will enroll in Independent Study. This will allow the student

the opportunity to be evaluated, remediated and reacquainted with the clinical and classroom environments.

During the Independent Study course students must:

a) Take written exams covering major content areas taught in previously taken courses. The student

must make a grade of 77 or better on each exam.

b) Demonstrate competency as prescribed by the Program Manager to the Clinical Coordinator in

procedures in which he/she was previously declared competent; during a series of laboratory

evaluation conducted by the Clinical Coordinator.

c) Successfully complete all conditions of the Independent Study course as prescribed by the Program

Manager.

4. The Student successfully complete one practice exam followed by one competency evaluation for all ARRT

mandatory competency examinations previously completed, with a score of >/80%.

5. The ability to meet and comply with standards and policies in the current Student Clinical Handbook.

6. The ability to meet and comply with the current ARRT eligibility requirements for certification.

**Students absent from the program for a period of greater than one year must reapply for acceptance as a new

student.

CLINICAL POLICIES

CLINICAL SCHOOL FACULTY

CLINICAL INSTRUCTORS

Clinical instructors work with the students to provide support for the educational process in the clinical setting.

Students report to the clinical instructor in each assigned clinical area and are to treat the clinical instructor as

they would a supervisor.

Individuals designated as Clinical Instructors must:

1. Be a qualified radiographer as defined by the JRCERT

2. Have a minimum of two years of experience as a radiographer

3. Successfully complete the MWH School of Radiologic Technology Student Evaluator Exam

4. Successfully complete the ASRT Student Supervision Module

5. Provide counseling, instruction, and evaluation of students

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6. Maintain expertise in the field through continuing professional development and lifelong learning

(ARRT registered with CEU compliance)

7. Be able to enforce the school policies pertaining to students

8. Participate in program continuing education activities or ARRT continuing education

9. Demonstrate a desire to work with students and to assist them in achieving their goals and objectives

10. Demonstrate a comprehensive understanding of radiographic procedures and exposure manipulation

11. Be objective when grading the student on work performed

12. Be approved by the MWH School of Radiologic Technology faculty

13. Maintain knowledge of department policies and protocol

COMPETENCY EVALUATORS

As a part of the competency program, students will have their performance evaluated to document their

progress. Competency Evaluators should meet the following criteria:

1. Maintain their ARRT certification in good standing and in CEU compliance

2. Be a registered technologist in radiography

3. Be employed as a technologist at a JRCERT approved clinical affiliate and have completed the 90-day

probationary period and the Competency Evaluator Check-off Form

4. Successfully complete the ASRT Student Supervision Module

5. Be able to enforce the school policies pertaining to students

6. Participate in program continuing education activities or ARRT continuing education

7. Complete the MWH School of Radiologic Technology competency evaluator exam

8. Be objective when grading the student on work performed

9. Be approved by the MWH School of Radiologic Technology faculty

10. Maintain knowledge of department policies and protocol

CLINICAL EDUCATOR RECOGNITION

It is important to recognize Outstanding Clinical Educators in the School of Radiologic Technology to

encourage and promote the academic excellence provided by these educators. The Outstanding Clinical

Educator, selected by each graduating class, will have been an MWH School of Radiologic Technology clinical

affiliate for a minimum of one year, and be certified by the ARRT, NMTCB, or RDMS, as appropriate. The

Outstanding Clinical Educator will be recognized at the graduation ceremony. The recipient will also have their

name engraved on a cumulative plaque displayed at the school. The Outstanding Clinical Educator will be

recognized for:

• Support of the leadership team of Radiology Services within the clinical affiliates and the School of

Radiologic Technology

• Positive attitude and encouraging icare values

▪ Demonstrating respect and a positive rapport with physicians, co-workers, and patients

▪ Producing images of high quality and consistent with established protocols, provides safe and effective

patient care using accepted methods and procedures

▪ Professional appearance and demeanor

▪ Treating students equitably and role models professional behavior

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DRESS CODE

Students represent the radiography program in all school related activities and settings. Students are expected

to be neat, clean and presentable at all times. Attire and grooming are to be businesslike and project an image

of professionalism. Students should be particularly sensitive to what patients, staff and visitors believe to be

appropriate attire and appropriate grooming. Questions regarding appropriate attire should be directed to the

Program Director/Manager.

• All classes held in the MWH SoRT Suite, 2300 FHA, are to be businesslike and project an image of

professionalism.

• All classes held at any clinical facility require students to be in uniform.

• Student are to wear the MWH School of Radiologic Technology approved t-shirt and black scrub

colored pants for laboratory classes.

• Students are to wear eggplant colored scrubs. Only minimal colored piping/trim is permitted on the

uniform. White or black shirts worn under scrub tops will be a solid color with no graphics or printing.

No thermal shirts are permitted. The undershirt will be long sleeved, with the cuff coming to the wrist.

The color choices will be black or white. Short sleeved shirts will be permitted but the sleeve length

should not go past the sleeve length on the scrub top unless it goes all the way to the wrist. **Designs

and color variations may be permitted by the expressed written consent from the CC or the PD during

RTW, Holidays or free scrub/shoe day functions. **

• Students must wear non-skid, closed toe and closed heel shoes of strong construction. Uniform shoes

should be white or black and should be well maintained and polished as needed. Athletic shoes, nursing

shoes, and closed topped clogs are permitted per department standards. Croc style shoes are NOT

permitted. Footwear is to be worn with socks or hose. **Designs and color variations may be permitted

by the expressed written consent from the CC or the PD during RTW, Holidays or free scrub/shoe day

functions.

• Eggplant colored scrub jackets or white lab coats are permitted. No sweatshirts, sweaters, or sweat

jackets will be permitted, with the exception of the hospital approved black fleece/polyester jackets.

Scarfs are not allowed to be worn with approved hospital jackets or lab coats while working in the

clinical setting.

• All clinical scrub attire must meet the following criteria:

o Eggplant solid color with no colored piping.

o Scrub tops must measure at least 26 inches from center to back.

o Solid color scrub tops with no different color side panels.

o No low-rise scrub pants.

o No Four-Stretch (4-Stretch) Brand scrub material.

• Nails should be neat and clean, no more than one-quarter inch from the tip of the finger. Light colored

nail polish is acceptable. No chipped nail polish is acceptable. No bold or bright color is acceptable.

• Artificial nails, including extenders, wraps, acrylics, tips, tapes and other appliqués are NOT to be worn.

These guidelines are consistent with Center for Disease Control recommendations.

• Hair must be clean, well-groomed and present a professional image. Hair that is shoulder length or

longer that may fall forward must be secured off the shoulders and away from the face. No unnatural

hair colors are permissible and bangs that are longer than the eyebrow must be pinned back away from

the face.

• Hair must be cleaned and confined so that it does not interfere with patient care. Hair must be kept off

the shoulders and collar. If hair can be worn up, it must be done. Hair color must be naturally occurring

to humans and style should be within accepted societal norms.

• Due to close contact with patients, good oral and body hygiene are required. The use of an

antiperspirant or deodorant is required. The use of fragrances, scented soaps and lotions is unacceptable

due to allergies.

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• Males must be clean shaven and/or facial hair must be neatly maintained and trimmed.

• Display of jewelry in body piercings other than pierced ears is not acceptable. No oral body jewelry may

be worn. Students are permitted to wear two pairs of small stud-type earrings that should not exceed the

natural border of the ear lobe. No hoops and no dangling earrings. No visible plugs or gauges may be

worn at any time.

• Students are not allowed to eat, drink or chew gum in clinical areas.

• Rings with stones are discouraged as they may damage patient’s skin or lead to injury if caught on an

object.

• Students may not wear necklaces that could hang onto or over the patient’s body.

• No bracelets are permitted, only watches.

• No tattoos are to be seen. If visible, they need to be covered up with a flesh colored bandage.

• Smoking is prohibited at all Mary Washington Healthcare facilities. Students that smell of smoke will

be sent home. This will affect the student’s clinical time and attendance and may affect the student’s

clinical grade.

IDENTIFICATION BADGE

The student’s identification badge shall be worn at all times. It shall be visible with the student’s picture facing

forward and worn on the upper torso, no lower than 8” below the shoulder. No stickers or pins (unless provided

by MWHC specifically for ID badge placement) are permissible on the ID badge. For safety and infection

control reasons, ID badges must not be worn around the neck on a badge/key chain holder in clinical areas, or in

any other area where it could be a safety hazard. Retractable holders are supplied by the school and are part of

the uniform.

Students who are not in possession of their ID badge should be sent home and their absence reported to the

Clinical Coordinator immediately. These absences will count against the student’s time and attendance

requirements and must be reported within 1 hour on the online Time Adjustment form.

HEALTH POLICY

HEALTH POLICY

All students admitted to Mary Washington Hospital School of Radiologic Technology are required to receive

the Hepatitis B vaccines (or sign a waiver). The vaccines are a series of three injections. The student must have

the first injection prior to the first term of registration. The second injection must be received one month after

the initial vaccination; the third injection must be received six months after the first vaccination.

Students entering Mary Washington Hospital School of Radiologic Technology must be aware that they may be

exposed to various contagious diseases during their clinical education and career. Precautions to be taken are

outlined in the introductory patient care courses. Additional information may be provided by each clinical

facility. Students are required to use available protective devices and to use standard (universal) precautions.

Students, upon diagnosis of communicable disease(s) (i.e., chicken pox, measles, flu, etc.), must contact the

Clinical Coordinator immediately. Based on current medical knowledge, the Clinical Coordinator will make

judgment of communicability and advise the student regarding attendance.

Students who give birth or experience an illness or injury which requires, but is not limited to, hospitalization,

surgery, or more than one week's absence will be required to provide a physician's statement which verifies:

1. That returning to routine class, lab, and clinical activities does not pose undue risk or harm to the student

or others with whom the student will come in contact.

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2. Compliance with the Technical Standards established by the Mary Washington Hospital School of

Radiologic Technology.

STUDENT HEALTH

Health Assessment & Physical/Drug Screening

Each student must have a physical by a physician of their choice and submit the Health Assessment & Physical

Form by the first day of classes. Acceptance to the program is contingent upon the physical indicating the

student can successfully function according to the technical functions of a radiologic technologist. This includes

the ability to perform all the technical functions required by the program. Certain vaccines may be available at

the MWHC Health &Wellness department. See the Program Manager for the lists and associated fees.

Health Insurance

Health insurance is required by the program and the prospective student must provide proof of insurance before

enrolling into the program. All fees incurred by this service are at the expense of the student.

Injuries or Illnesses

If a student sustains an illness or injury on the premises, contact the Clinical Coordinator or Program

Manager immediately. Students must complete a Non-Associate Occurrence Report (EOR) located in

Canvas clinical courses. If a student sustains an illness or injury on the premises, evaluation by the Health

&Wellness or Healthlink nurse may take place. Any follow-up care must be provided by the student’s personal

physician at the student’s expense. All major illnesses or injuries, personal medications, and all other medical

care shall be the responsibility of the student. Should a student be exposed to a serious infectious disease in the

clinical setting, they will have an initial counseling with the MWHC Health & Wellness Department and will be

referred to their personal physician for care. The cost of this care is the responsibility of the student. Any injury

occurring on clinical time is to be written up on a Non-Associate Occurrence Report (EOR) and a copy

presented to the Program Manager after seeing the Wellness Department for inclusion in the student’s record.

The Program Manager at any time can request a physician’s release for return to school as the program does not

provide light duty of any sort.

Illness at Off-site Courses and Activities

The Mary Washington Hospital School of Radiologic Technology does not assume responsibility for illness or

injury sustained by any student while participating in offsite courses or activities, traveling to and from the

courses or activity, or traveling to and from the hospital or school. If a medical condition occurs, a full medical

release may be necessary for the student to return to the program.

If a student should become sick during clinical and cannot perform 100%, the student must go home and will

receive a clinical absence for the day.

Students, upon diagnosis of communicable disease(s) (i.e., chicken pox, measles, flu, etc.), must contact the

clinical site’s Clinical Instructor and Clinical Coordinator immediately. Based on current medical knowledge,

the Clinical Coordinator will make judgment of communicability and advise the student regarding attendance.

COMMUNICABLE DISEASES

A communicable disease is defined as any disease which may be transmitted directly or indirectly from one

individual to another. A student must notify the Mary Washington Hospital School of Radiologic Technology

Program Manager if he/she contracts or comes in contact with a communicable disease. If an exposure occurs,

the student will be referred to the Health & Wellness Department. At that time, it will be determined what

action, if any, may be necessary to protect the student, other students, staff, and patients. Time missed will be

completed according to the attendance policy.

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MWHC HEALTH & WELLNESS

There are certain instances when a student may need to be evaluated by MWHC Health & Wellness. These

occasions may include situations regarding exposure to blood/body fluid/needle stick or if a student has an

infectious disease. These visits would be to ensure that the health and safety of the student, patients, visitors and

Associates are considered.

HANDWASHING – PLEASE REFER TO POLICY IN APPENDIX

INFECTION CONTROL

Students are to observe standard precautions with all patients whenever there is a possibility of exposure to blood

and other body fluids. Summary of the Center for Disease Control Guidelines to Prevent Transmission of Human

Immunodeficiency Virus (HIV) and Other Blood Borne Infectious Agents in the Hospital:

A. Needles and Other Sharps - avoid accidental injury; dispose of in sharps needle disposable boxes.

B. Hand Washing - before and after patient contact donning gloves; before and after donning gloves.

C. Gowns - if soiling with blood and body fluids is anticipated.

D. Masks - for prolonged contact with coughing patients and when air borne or splattering is likely.

E. Protective Eyewear - if splashing of infectious materials is likely.

F. Gloves – when touching blood, body fluids, secretions, excretions, mucous membranes, non-intact skin,

or contaminated items.

Standard precautions are required for all patients. Some patients also require additional precautions because of

specific communicable infections or conditions. Some examples of these categories are strict isolation, contact

isolation, drainage/secretion precautions, respiratory precautions, and enteric precautions. Students coming in

contact with these isolation situations must observe the appropriate isolation condition. Any Student having a

question regarding infection control situations should contact the supervising radiologic technologist, clinical

coordinator, or program manager. Any student believing they have received an exposure to infectious material

must contact the faculty for referral as appropriate. Students may feel free to refer to Mary Washington Healthcare

Infection Prevention policies, procedures and standards which are available online, through SharePoint, in the

Policies and Procedures Database.

SCOPE OF SERVICE FOR RADIOLOGY –Please Refer to Policy in Appendix

LIABILILTY INSURANCE

All students enrolled in the Mary Washington Hospital School of Radiologic Technology are covered by

personal and professional liability insurance policy.

Liability insurance coverage against medical malpractice is maintained as follows:

Professional Liability $2,000,000.00 each incident

$7,000,000.00 each aggregate

MANDATORY EDUCATION

Students are required to attend MWH orientation and complete any yearly required mandatory education classes

or computer-based learning activities. All students are required to abide by the policies and procedures of the

program, to include the policies attached in the Appendix of the student handbook.

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NEW PROCEDURES/TECHNOLOGIES

Occasionally new technologies are developed, and test patients are necessary. Students are not permitted to

participate in test studies while on educational time.

CLINICAL FACILITY PARKING POLICY

Students are provided parking at MWH facilities at no cost. Parking tags are provided to students through the

school and must be displayed in the vehicle. Students may park behind Mary Washington Hospital in one of the

lots designated for Associates or in the parking garage. Students are not to park in the emergency lot or any

other visitor lots. Students assigned to Lee’s Hill are to park in the large parking lot on the left side of the

building. At Stafford Hospital the students are to park at the far end to the parking lot, behind the yellow line

that is marked “Caregivers”. When attending classes at 2300 Fall Avenue, students are to park in the parking

lot behind the Medical Arts Building behind the yellow line marked for MWHC Associates at 2300 Fall

Avenue. ** Students are never allowed to park temporarily while clocking-in. **

PREGNANCY POLICY

Declaration of pregnancy is voluntary and at the discretion of the student. A student who becomes pregnant has

the following options:

A. Voluntarily give written notice of declaration of pregnancy – A student who voluntarily makes a written

declaration of pregnancy may take advantage of lower exposure limits (0.5 rem), and additional dose

monitoring provisions. The student must declare her pregnancy in writing to the Program Manager. The student

will be referred to the Radiation Safety Officer (RSO) for additional counseling in protective measures and will

be assigned a prenatal radiation badge.

B. Choose not to declare pregnancy - If the student elects not to declare pregnancy and to

continue in the program, normal occupational exposure limits will continue to apply. The student must meet the

academic requirements and clinical objectives with no accommodations made.

C. Continue in the program with modification – The student would continue on a full-time or part-time status

with reassignment of rotations** (as requested by the student) coordinated with the Clinical Coordinator. The

student will be referred to the Radiation Safety Officer (RSO) for additional counseling in protective measures

and will be assigned a prenatal radiation badge. Any didactic or clinical requirements not completed as a result

of pregnancy must be made up before graduation and before being permitted to take the registry.

D. Continue in the program without modification – The student would continue to attend both clinical and

didactic classes as scheduled with no accommodations made. The student must be able to meet the academic

requirements and clinical objectives to continue in the program.

E. Withdraw declaration of pregnancy – If at any time the student decides to revoke her declaration of

pregnancy, she may do so. This action requires written notification to the Radiation Safety Officer and the

Program Manager.

F. Request a leave of absence – Refer to “Leave of Absence Policy”

G. Withdraw from the program and apply for re-entry at a later time - Refer to the program Withdrawal

and Re-Entry policy

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For the occupational dose limit for the whole body of 5 rem (50 mSv) per year, which applies to occupationally

exposed individuals, the risk is believed to be very low. Radiology students over the age of 18 are considered

occupationally exposed individuals for the purposes of radiation protection. The Nuclear Regulatory

Commission (NRC) has reviewed the relevant scientific literature and has concluded that an exposure of 0.5

rem (5 mSv) provides an adequate margin of protection for the embryo/fetus. Through proper instruction, strict

adherence to safety precautions and through personnel monitoring, it is possible to limit occupational exposure

to under 0.5 rem during the period of gestation.

PROFESSIONAL CONDUCT

To assure that the student conducts himself/herself in a manner appropriate to the dignity of the profession, the

student will:

▪ Practice courtesy to all patients and their families, physicians, and hospital Associates in order to

promote an environment conducive to quality patient care.

▪ Make every effort to protect the patients from unnecessary radiation. Practice ALARA.

▪ Protect the patient’s right to privacy and shall maintain all patient information in the strictest

confidence. Students are required to complete the MWHC Code of Conduct and Confidentiality

form on an annual basis.

▪ Protect the public from any and all misinformation or misrepresentation.

▪ Conduct themselves professionally at all times to include, but not limited to:

o Never discussing personal problems and/or social activities in the presence of a patient.

o Never speaking or laughing obnoxiously and/or boisterously in the presence of any patient.

o Never eat, drink or chew gum in the presence of a patient.

o Restrict telephone use for patient related activities only, except in emergency personal situations.

▪ Maintain all facilities in a neat, clean, and safe manner.

▪ Place the care of the patient above all else.

▪ Remember students represent the school at all arranged events; therefore, any photograph taken must

be evaluated and approved by the faculty prior to public display. According to the Social Media

Policy of MWHC, postings of photographs or video taken on MWHC property or at a MWHC

sponsored event must not be posted unless specifically authorized by MWHC Marketing and

Communications-please refer to the policy attached in the Appendix.

RADIATION MONITORING AND PROTECTION POLICY

The student shall wear a radiation monitor or thermoluminescent dosimeter, which will record the radiation

exposure amounts in all clinical education areas. The monitor is to be worn face up on the collar. The monitor

should not be left inside any radiographic or fluoroscopic room. During fluoroscopy, the student must wear a

lead apron, thyroid collar, and protect their hands should they be in proximity of the beam. The radiation

monitor should be worn outside the protective garments for fluoroscopy. For portable radiography, the student

must wear a lead apron during exposure. The radiation monitor is placed outside the apron. For portable c-arm

fluoroscopy, the same protection procedures for regular fluoroscopy apply. Should it be necessary for a patient

to be assisted in maintaining a particular position for radiographic examination, (i.e. held) personnel not

normally exposed to ionizing radiation on a routine basis (family members, other hospital associates) should

assist the patient. The individual who does assist the patient must wear leaded protective clothing. Under no

circumstances should a pregnant person, or a female who thinks there is a possibility that she is pregnant, hold

the patient. The student must follow established radiation safety practices at all times. Students must not

hold image receptors during any radiographic procedure. Students should not hold patients during any

radiographic procedure when an immobilization method is the appropriate standard of care. The student is

responsible for examining and recording his/her radiation monitoring report monthly. It is for the safety and

protection of the student and the clinical site that the student knows who the Radiation Safety Officer is and the

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responsibilities for which the student is accountable for while participating in the clinical curriculum of the

radiography program.

PROTOCOL FOR STUDENT RADIATION EXPOSURES

Investigational levels for radiation film badges are delineated on page four and five of the MWH Radiation

Protection Program. Students who have film badge readings exceeding 125 mrems per quarter will be

interviewed by the Clinical Coordinator and may be counseled by the Radiation Safety officer. Higher levels

may result in an investigation by the Radiation Safety Committee to determine appropriate action.

RADIATION PROTECTION POLICY

The goal of radiation protection is to limit the probability of radiation induced diseases in

persons exposed to radiation and in their descendants to a degree that is acceptable in relation to

the benefits from the activities that involve such exposure (NCRP Report No. 107). Each student is required to

exercise sound radiation practices at all times to insure safe working conditions for physicians, staff, faculty,

other students and patients. Students should apply appropriate principles of radiation protection for themselves,

the patient and their co-workers. Failure to comply with the Radiation Protection Policy will result in

disciplinary action up to dismissal from the Program.

Protective Apparel:

The following guidelines must be followed regarding the use of protective apparel.

A. Only persons who are necessary to the success of the examination may be present during

radiographic exposures. These persons must wear lead aprons of at least 0.5 mm

lead equivalence. All others must leave the room or move well within the confines of the

control room.

B. A lead apron and a thyroid shield must be worn for students assisting

the physician during fluoroscopic procedures.

C. A lead apron must be worn during all portable and operating room procedures.

D. Lead aprons and shields are to be placed on the appropriate apron racks after the

procedure is completed. Lead aprons should not be folded.

E. Reproductive organ shielding should be used whenever possible for all patients undergoing

examinations, as long as the clinical objectives of the examination are not compromised.

Pregnancy:

A. Patients

1. All women within childbearing age will be questioned as to the possibility of

pregnancy and the last menstrual date.

2. Students will notify the supervising technologist and physician of pertinent information

and will follow the protocol of the clinical site in documenting the information.

B. Students

1. Students will operate in accordance with the MWH School of Radiologic Technology Pregnancy

Policy.

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Miscellaneous:

A. The useful x-ray beam shall be limited to what is necessary for the examination being

performed and shall in no instance exceed the dimensions of the image receptor.

Evidence of proper collimation and/or shielding should appear on all radiographs.

Post-exposure “shuttering, cropping or masking” which eliminates areas of exposure

from the image is outside of our Scope of Practice as an Imaging Professional and is not a

replacement technique for pre-exposure beam limitation (collimation).

B. The cumulative radiation timer is to be reset at the beginning of each fluoroscopic

procedure. Thereafter, it will be reset only after it has completely run out of time and the

audible signal has sounded.

C. Students should never take exposures on another student in the lab or clinical site.

D. Students must perform all procedures under direct supervision until competency has been achieved.

E. Students must perform all repeat images under the direct supervision of a registered

radiographer.

F. A minimum of indirect supervision is required on all procedures the student has proven competency

on.

Evidence of Radiation Protection will be demonstrated by:

1. Collimating to part.

2. Using gonadal shields, if appropriate.

3. Demonstrating use of lead apron, blockers and gloves, if appropriate.

4. Selecting proper exposure factors.

5. Adjusting exposure factors for motion, pathology or patient size when appropriate.

6. Verifying that no repeats were performed.

Any student found to be in violation of the MWHC SORT Radiation Protection Policy will be subject to

disciplinary action as listed below.

▪ Initial Warnings (1st occurrence)

▪ Written Warnings (2nd occurrence)

▪ Suspension (1-3 days) (3rd occurrence)

▪ Dismissal (4th occurrence)

CLINICAL EXPERIENCE

Clinical experience is gained by attending five clinical courses during the five semesters of the program.

Required clinical days will vary and are subject to change as deemed necessary by the Clinical Coordinator.

CLINICAL ROTATIONS

Students will be assigned to clinical areas on a rotational basis. Schedules are given to students and the site

clinical instructors at the beginning of each semester. Clinical start times begin between 5:00 am and 10:00 am;

occasionally variances may occur. Students are expected to stay in the clinical area assigned.

Students may not “swap” assignments.

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CONTACTING STUDENTS DURING CLINICAL HOURS

Absolutely NO CELL PHONES are permitted during clinical hours. Messages may be replied to during

lunch or after hours. If the student needs to be reached for whatever reason, it is advised to leave emergency

telephone numbers for the clinical facility or to have the family contact the school.

Clinical Supervision Policy

The Joint Review Committee on Education in Radiologic Technology (JRCERT) requires that, prior to a

student attaining competency; the student must function in a clinical setting under DIRECT supervision of a

qualified radiographer. The JRCERT defines a qualified radiographer as a technologist certified by the

American Registry of Radiologic Technologists (ARRT). All radiologic procedures/examinations will be

performed under the DIRECT supervision of a qualified radiographer until the student has obtained the required

competency on a given procedure/examination. The level of supervision the student receives is determined by

the student’s level of competency. Students may only be tested for competency by an ARRT qualified

radiographer.

DIRECT SUPERVISION

Until a student achieves and documents competency, clinical assignments shall be carried out under the direct

supervision of qualified radiographers. This means that a qualified radiographer:

• Reviews the request for the examination and evaluates the readiness of the student to perform the

examination

• Evaluates the condition of the patient in relation to the student’s knowledge

• Is physically present in the exam room with the student to verify the patient, exam to be performed, patient

position, anatomical marker placement, central ray, laterality, and technical factors.

• Reviews and approves the images.

**Students are never allowed to perform portables or operating room cases alone.

**Students are never allowed to repeat an image alone. A registered technologist must always be

present when a student is repeating an image.

**A registered technologist must always be present when a student is repeating an image and students

must document all repeated images in Trajecsys.

**All images taken by students must be approved by a qualified technologist prior to the images

being sent to the PACS system.

INDIRECT SUPERVISION

After demonstrating competency, students may perform procedures under indirect supervision.

For indirect supervision, a qualified radiographer is immediately available to assist students regardless of the

level of student achievement. This means that the qualified radiographer is present in an area adjacent to the

room or location where the radiographic procedure is being performed and is within calling distance.

Immediately available means the qualified radiographer is not actively engaged in another exam or patient care

activity. This applies to all areas where ionizing radiation equipment is in use.

Example of inappropriate indirect supervision: If a technologist is in one room with a patient and a student

is in another room with a patient this would not be considered indirect supervision because the technologist is

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not immediately available to the student. The technologist has a duty to provide care for the patient in their

direct care and this presents an obstacle to providing indirect supervision to the student.

Example of appropriate indirect supervision: If a student is in a room with a patient and the technologist is

in the work core working on paperwork or other duties which could be stopped immediately and is within voice

range of the student.

** Students are never allowed to perform portables or operating room cases alone.

** Students are never allowed to repeat an image alone. A registered technologist must always be present

when a student is repeating an image

**Students found in violation of the direct/indirect supervision policy will automatically

drop one Clinical letter grade per occurrence and be placed on a step of discipline. **

Additionally, any student found to be in violation of the MWHC SORT Supervision Policy will be subject to

disciplinary action as listed below.

▪ Initial Warnings (1st occurrence)

▪ Written Warnings (2nd occurrence)

▪ Suspension (1-3 days) (3rd occurrence)

▪ Dismissal (4th occurrence)

EXAM TRACKING & REPEAT DOCUMENTATION

The documentation of repeats is a radiation safety concern. Students must document all performed clinical

exams and repeats using the Trajecsys Reporting System. Students should log their exams during the last 15

minutes of their clinical rotation for that day. Students must record all exams on paper during the day, track all

exams and repeats in Trajecsys each day, and shred all PHI before leaving clinic that day. Comprehensive

Exam Tracking & Repeat daily log sheet reports must be uploaded in Trajecsys by midnight on the last

calendar day of each month. Students must accurately complete each exam data entry by completing the

following entries on the Trajecsys Log Sheet:

Major Study (Area of Exam)

Skill (Name of Exam)

Participation Level (Select the appropriate level of participation)

# of Images (Enter total # of images taken in the “Key” field)

Repeats (Select the total # of repeated images)

Repeat Reason (Select “With Repeat Reason” and choose the repeat reason from the drop-down menu) * If

there are no repeats select “Without Repeat Reason”.

Technologist (Name of Supervising Technologist)

Comments (Students must use the approved position abbreviations listed below when entering this information

into the “Comments” field).

ABBREVIATIONS

AP CALD

WATERS SMV

PA TOWNE

R LAT D DECUB

L LAT D INT

RPO/LPO EXT

RAO/LAO YVIEW

LAT FLEX LAT EXT

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L5-S1 OPEN MOUTH

XTABL AXIAL

R/L LAT INT OBL

SWIMMER’S EXT OBL

**Do not enter any other comments except for the approved position abbreviations in the comment text

field within Trajecsys. All forms submitted with the incorrect information will receive the following

grade point deduction:

Grade Point Deduction

1-5 errors -5pts

6-10 errors -10pts

10 errors and more Grade Zero (0)

Students will receive a grade point deduction if their exam data entry is not accurately entered in the

online Trajecsys Exam & Repeat Tracking Log Sheet. Incorrect data entry consists of failure to accurately

record the correct procedure date, procedure, supervising technologist, # of images taken/repeated, reason for

repeat, position repeated and etc. Failure to accurately list all repeated exams will be deemed falsification of

clinical documentation. Falsification of clinical documentation will result in disciplinary action. Late

submissions will result in a 5- point deduction per day up to 3 days maximum (15 points total) from the final

clinical grade. Any clinical exam tracking and repeat log sheet not submitted in Trajecsys by the 3rd calendar

day of the following month must still be submitted; however, the student will receive a grade of zero (0) in

addition to the 15- point clinical grade deduction. Students who perform repeats without a technologist

present will automatically drop one clinical letter grade per occurrence.

LEVEL OF PERFORMANCE DOCUMENTATION

Observe – Student watches the technologist perform the exam, while in the room with the technologist (not

standing behind a control panel).

Assisted- Student assists the technologist in the performance of the exam by performing tasks such as placing

or running cassettes, completing computer documentation, transporting or assisting the patient (this list is not all

inclusive). As students’ progress in ability, an assist may serve as an observe as long as the student has

participated in the entire exam.

Practiced with major assistance Student performs the exam under direct supervision with major assistance.

Practiced with minor assistance- Student performs the exam under direct supervision with minimal assistance.

Perform- Student performs the exam under indirect supervision.

REPEAT DOCUMENTATION

The documentation of repeats is a radiation safety concern. All repeated images taken by a student are required

to logged in Trajecsys, appropriately indicating what exam, position and reason for each repeat. Failure to

accurately list all repeated exams will be deemed falsification of clinical documentation. Falsification of clinical

documentation will result in disciplinary action. Students who perform repeats without a technologist present

will automatically drop one clinical letter grade per occurrence as a violation of the Direct/Indirect Policy.

Clinical Instructors and Competency Evaluators are required to approve or disapprove all exams in Trajecsys.

Any disapproved repeat exams will be considered a violation of the Direct/Indirect Supervision policy will

follow the steps of disciplined outlined in that policy.

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BOOKS IN CLINIC

If workload permits, students may take note cards with them to the affiliates to study. Books and notebooks are

permitted as long as they do not interfere with patient exams. Patients are the priority; students are not permitted

to study if patients are present.

COMPETENCY EXAMS

Per ARRT standards, students must successfully complete:

• Ten mandatory general patient care activities

• Thirty-Seven mandatory imaging procedures

• Fifteen elective procedures of thirty-four available elective imaging procedures to be selected from a list

of procedures

• One elective imaging procedure from the head section

• Two elective imaging procedures from the fluoroscopy studies section, one of which must be either an

Upper GI or a Barium Enema

The MWH School of Radiologic Technology requires a total of 43 mandatory competency exams, 10 elective

competency exams, (to include one elective imaging procedure from the head section and two electives from

the fluoroscopy section), one elective from the CT scan section, 10 terminal competency exams, and 10 patient

care competency exams be successfully completed by each student prior to being recommended for graduation

(73 total). A list of competencies will be provided to each student and an official record of the student’s

competencies will be validated by the Clinical Coordinator in Trajecsys, however it is the student’s

responsibility to keep track their own records as well.

The process for proving competency will be described later in this handbook. The following competencies are

the general category clinical competencies required:

Upper Extremity Lower Extremity Chest/Thorax Spine/Pelvis CT Scan

Geriatric/Pediatric Abdomen Fluoroscopy Mobile/Surgery Head

Miscellaneous

RAD 130 Clinical Education I 4 competencies

RAD 132 Clinical Education II 15 competencies

RAD 230 Clinical Education III 10 competencies

RAD 232 Clinical Education IV 14 competencies

RAD 234 Clinical Education V 10 competencies 10 terminal competencies

TERMINAL COMPETENCY REQUIREMENTS

Students must complete ten (10) terminal competency exams assigned by the clinical instructor or the clinical

coordinator. Students must have completed all ARRT required competencies prior to completing terminal

competencies.

These competencies will include:

• 2 Portable studies • 1 chest exam

• 1 Contrast study • 1 abdomen exam

• 1 multiple study with 3 or more exams • 3 extremity exams

• 1 C-arm study

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Terminal competencies may only be graded by the clinical instructors, clinical coordinator or by a technologist

assigned by school faculty. Students may not select the exams for the terminal competency. Students must

successfully complete all terminal competencies with a grade of 90% or better to be eligible for graduation from

the program.

ACHIEVING CLINICAL COMPETENCY

To achieve and document competency on an exam a student must:

1. Successfully achieve competency on the didactic exam and laboratory exam

2. Verbally request to test for competency on the exam prior to the start of the exam

3. Participate in any other X-ray exams that are ordered on the patient

4. Have previously documented in Trajecsys that they have observed one exam and have practiced the

required number of exams under the direct supervision of a registered technologist before the exam

begins.

a. Observe – Student watches the technologist perform the exam, while in the room with the

technologist (not standing behind a control panel).

b. Assisted- Student assists the technologist in the performance of the exam by performing tasks

such as placing or running cassettes, completing computer documentation, transporting or

assisting the patient (this list is not all inclusive). As students’ progress in ability, an assist may

serve as an observe as long as the student has participated in the entire exam.

c. Practiced with major assistance Student performs the exam under direct supervision with

major assistance.

d. Practiced with minor assistance- Student performs the exam under direct supervision with

minimal assistance.

e. Perform- Student performs the exam under indirect supervision* Students are required to use

their personal markers when testing for competency

5. Must perform the exam without technologist assistance (lifting assistance by staff is permitted)

6. Pass the competency with a minimum grade of 85%

7. Answer five questions at the discretion of the technologist on anatomy and positioning of the exam.

All competency exams will be considered pending until the final approval from the Clinical Coordinator as

indicated by being included on the student’s master competency file. Following the update on the master

clinical file, the student may perform that procedure under indirect supervision with the exception of portable

and OR exams. The Clinical Coordinator reserves the right to revoke competencies based on clinical

performance and to assign clinical remediation as necessary.

UNGRADED CLINICAL COMPETENCY

Clinical competency requirements are a critical component to the student’s program completion and required by

the ARRT (American Registry of Radiologic Technologists). Each student is required to complete the minimum

required competencies each semester as outlined in the MWH SORT Student/Clinical Handbook. Once a

student has successfully achieved clinical competency on a clinical procedure he/she must submit the MWH

SORT Ungraded Competency Google form and ensure that the supervising technologist submit the appropriate

online Trajecsys clinical competency form. All Trajecsys clinical competency forms must be submitted for

grading in Trajecsys by the supervising technologist who was present during the initial procedure no later than 5

business days from the original date in which the procedure was performed by the student. Any Trajecsys

clinical competency form submitted more than 5 business days after the original date in which the procedure

was performed will be invalidated by the MWH SORT Clinical Coordinator; therefore, the student will be

required to repeat the achieving clinical competency process for the invalidated clinical procedure.

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PORTABLE EXAM AND TRAUMA COMPETENCIES

Prior to testing for competency on trauma or portable examinations, in addition to the above listed clinical

competency requirements the student first must have successfully achieved competency on a non-trauma or

non-portable exam of the same type. A technologist will be present during these exams.

DOSIMETERS

Students must wear their dosimeter appropriately to all clinical assignments. Students who do not have their

dosimeter are not permitted to be in an exam room where ionizing radiation is being used.

** Students are required to turn in their radiation dosimeter badges each month to the course instructor. Failure

to submit your dosimeter badge for Mirion dose reporting will result in the grade of a zero (0) for this

assignment. It is the student’s responsibility to ensure their badges are submitted monthly for radiation

monitoring. Students will document their radiation dose from their monthly radiation badge report. This

information will be posted in the Canvas Clinical Course for each semester by the Clinical Coordinator once it

has been received from the Radiation Safety Officer. This assignment will be due 7 days from the date it is

posted in Canvas. Students will use their unique Google Sheet to record their monthly dose report. Late

forms will result in a 5- point deduction per day up to 3 days maximum (15 points total) from the final

clinical grade. See the course calendar at the end of syllabus for assignment deadlines.

Patient Safety Policy

“The most basic legal parameter in health care is the standard of care which encompasses the obligation

of health care professionals to do no harm and their reasonable duty to provide patient care.” (Towsley-

Cook & Young, 2007, p.35). This policy references, the Identification of a Patient; Patient Identification,

Use of Armbands policy, Verification of Accuracy of Radiology Orders policy, and the ASRT Practice

Standards for Medical Imaging and Radiation Therapy Standard Four-Performance. (See Appendix for

these policies in their entirety). Students under the direct supervision of a registered technologist are

expected to follow all guidelines outlined in the Patient Safety Policy. MWH SoRT faculty will take into

consideration incidences under direct supervision as an opportunity for improvement. Students who

violate the Patient Safety under direct supervision will receive verbal and written counseling (not on a

step of discipline) and be required to write a three-page paper outlining the ethical and legal implications

of their violation. The MWH SoRT Program Manager will discuss the violation with the immediate

supervisor of the supervising technologist.

Patient Identification, Exam Documentation Verification, and Demographic Image Identification

Prior to taking radiographs on any patient in a MWHC facility, students under direct and indirect supervision

must verify:

• The patient’s identity using two identifiers. All patients must be identified by two identifiers prior to

any clinical treatment or procedure.

a. Identifiers for banded patients will be patient name and account or medical record number. All

inpatients, ER patients and outpatients at Mary Washington Hospital and Stafford Hospital must

be wearing an ID band prior to being examined. At Medical Imaging of Lee Hill, all ER patients

must be wearing an ID band prior to being examined.

b. Identifiers for un-banded patients will be patient name and date of birth.

c. For all patients, the two patient identifiers must occur in the procedure room.

• That outpatient electronic prescriptions are signed by the ordering physician and not a registered nurse

or other healthcare provider.

• That outpatient written prescriptions are scanned into media files and verified for accuracy.

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• That the physician's name on the ancillary orders tab is the ordering physician whose name appears in

the patient’s chart or on the prescription.

• That the correct patient identification information is selected on the procedure work list on any imaging

system being used. Any images taken under incorrect patient information are subject to disciplinary

action regardless of if the information can be corrected prior to sending images to PACS.

• That the exam accession number matches the exam being performed.

• That the correct patient identification information is selected on the RIS system for exam tracking.

• That the date and time of the order are appropriate. Timed exams or preordered exams must be

completed at the appropriate time.

• That the prescription is not expired and has been signed. *Student is responsible for verifying the

expiration date as appropriate by the facility.

• That the correct side is ordered and that the correct side is being examined.

▪ Initial Warnings (1st occurrence)

▪ Written Warnings (2nd occurrence)

▪ Suspension (1-3 days) (3rd occurrence)

▪ Dismissal (4th occurrence)

Radiographic Mismarking Policy

Prior to taking radiographs on any patient in a MWHC facility, students under direct and indirect supervision

must verify that the correct marker is on the field of view in the anatomically correct location. Students are

responsible for ensuring that all of the above information is correct. Students are expected to uphold the ARRT

Code of Ethics and MWHC iCare Values and self-report any violation of the Radiographic Mismarking Policy

on the same day in which the incident occurred to supervising technologist and MWH SoRT Clinical

Coordinator, whether under direct or indirect supervision. Students who violate the Radiographic Mismarking

Policy on the 1st offense will receive verbal and written counseling (not on a step of discipline) and be required

to write a three-page paper outlining the ethical and legal implications of their violation. Students who violate

the Radiographic Mismarking Policy on the 2nd offense will receive verbal and written counseling and placed on

the steps of discipline as outlined below. Students who fail to report all radiographic mismarks to the

supervising technologist and MWH SoRT Clinical Coordinator will be considered in violation of clinical

documentation which will result in further disciplinary action. Any student who performs a radiographic

mismark will be placed on the steps as outlined in the MWH SoRT Patient Safety Policy. Students will receive

the following grade point deduction from their overall final clinical course grade for each radiographic mismark

occurrence:

Grade Point Deduction

1-2 occurrences -2pts

3-4 occurrences -5pts

Dismissal

Any student found to be in violation of the MWH SoRT Radiographic Mismarking policy will be subject to

strict disciplinary action.

1st Offense- Written Record of Conference with no discipline, 3-page essay, and grade point deduction.

2nd Offense- Initial Warnings

3rd Offense- Written Warnings

4th Offense- Suspension (1-3 days)

5th Offense- Dismissal

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CLINICAL EXAM DOCUMENTATION POLICY

“The purpose of the clinical competency requirements is to verify that individuals certified and registered

by the ARRT have demonstrated competency performing the clinical activities fundamental to a

particular discipline. Competent performance of these fundamental activities, in conjunction with

mastery of the cognitive knowledge and skills covered by the radiography examination, provides the basis

for the acquisition of the full range of procedures typically required in a variety of settings.

Demonstration of clinical competence means that the candidate has performed the procedure

independently, consistently, and effectively during the course of his or her formal education” (ARRT,

2012).

In the performance of their duties, students in training at the various clinic affiliates of MWH School of

Radiologic Technology (SoRT) are often permitted to have unrestricted access to confidential information

regarding patient’s medical history and other proprietary patient information. MWH SoRT Students should be

aware of the sensitive nature of all this information and will treat all information learned through their clinicals

with the various affiliates with the utmost confidentiality.

For certification and accreditation purposes during the course of the program students are required to document

various exams and/or activities, students should NEVER record the patient’s protected health information (PHI)

for documentation purposes. Students should use their assigned code IN ADDITION to the patient’s medical

record number for clinical exam verification purposes only.

Any student found to be in violation of the Clinical Exam Documentation Policy will be subject to strict

disciplinary action.

1st offense – Written Record of Conference with 1-3 days suspension

2nd offense – Program Dismissal

LEAD MARKERS

Students will provide their own sets of lead markers purchased at the beginning of the first program semester.

Students are required to purchase at least two sets on the first order. Additional markers may be purchased by

the student; however, the use of the three assigned initials is required and must meet school requirements. No

unusually shaped markers (such as fish shaped) may be used. Student are required to purchase blue left markers

and red right markers. It is suggested that to save on shipping charges, students should order as a group

whenever possible.

The school only allows Position Indicator X-Ray Markers. The school suggests Penn-Jersey X-Ray, student can

order markers online at http://pjxray.com/x-ray-markers/position-indicator-markers.html Students will use their

three initials on their markers. Students are only permitted to order the following two marker styles:

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• Students are expected to bring their markers to clinic 100% of the time. Students who forget their markers

are permitted to use generic markers for the day to perform exams, student may not test for competency

with generic marks, and therefore no competencies can be achieved that day.

• Students are expected to place their markers within the light field so that they are seen on each radiograph.

• Markers should be cleaned daily and between patients and after any exposure to contaminated areas.

• Markers may be kept on a marker holder and carried behind the student’s ID badge or on a marker holder

that is carried in the student’s pocket. No markers are to be carried on the ID badge.

• Students are expected to place their markers along the lateral border of the body whenever possible. This

makes hanging films or arranging them for display in PACS easier.

• When an extremity is in a prone position, the border that was termed as medial in an AP position becomes

the lateral border in the prone position.

• Markers that are placed “anatomically correct” are considered to be appropriate.

Ex: An RPO cervical oblique may be marked with a left marker as long as it is anatomically correct.

• Students may use the same marker for all views of the spine as long as it is placed anatomically correct.

• Lead markers and all digital information such as patient position or grid use on films should be placed

outside of the anatomy.

• Students are to place their markers uniformly on extremity exams and to position extremities parallel to the

film border to make the films look more professional.

• Students are expected to collimate.

• Lead markers with the student’s initials should be present on all films taken by the student.

• Students are not permitted to let technologists use their markers.

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SENSITIVE PROCEDURES

To establish guidelines that protect patient privacy and prevent both male and female radiology students from

being placed in potentially compromising situations, the following policies will be adhered to in all MWHC

clinical sites. The participation of students in any procedure is subject to the approval of the patient.

Barium Enemas (BE) – Male students are restricted to inserting and removing enema tips on male patients

and female students are restricted to inserting and removing enema tips on female patients. Students are

not authorized to insert or to remove enema tips for BE studies except under the direct observation of an

ARRT registered technologist. Students must complete a tipping check-off on BE tipping procedures. The

check-off will consist of one documented observation of a BE tipping procedure, one documented practice

with the technologist’s hand placed on the hand of the student while inserting the enema tip, and one

documented insertion of the enema tip by the student under the direct observation of an ARRT registered

technologist. If resistance is met during the insertion of an enema tip, the technologist will take over the

tipping procedure. Students are never permitted to inflate the balloon of the enema tip. Students must

successfully complete RAD 125 Patient Care Procedures prior to achieving competency in BE tipping

procedure.

Hysterosalpingograms (HSG) – Are considered an exam of opportunity and may only be observed with

permission from the patient. +

Voiding Cystourethrograms (VCUG) - Male students may participate in VCUG studies on male patients

and female students may participate in VCUG studies on female patients. Both male and female

students may participate in exam preparation and set up prior to the patient entering the exam room.

Neither male nor female students are permitted to enter a room in which patient is not reasonably clothed or

draped unless a radiology or hospital Associate is also present.

WET READINGS / DISCHARGE INSTRUCTIONS TO PATIENTS

Students are not permitted to approach radiologists for wet reading results and discharge instructions for

patients unless they are accompanied by an ARRT registered technologist. All discharge instructions are to be

given to the patient by the technologist, not the students.

CLINICAL SITE INFORMATION

Mary Washington Hospital (MWH) Medical Imaging at Lee’s Hill (MILH)

1001 Sam Perry Blvd. 10401 Spotsylvania Ave., Suite 100-1

Fredericksburg, Va. 22401 Fredericksburg, Va. 22408

Medical Imaging of Fredericksburg (MIF) MWHC Radiation Oncology

1201 Sam Perry Blvd, Suite 102 1300 Hospital Dr. Suite 101

Fredericksburg, Va. 22401 Fredericksburg, VA 22401

Stafford Hospital (SH)

101 Hospital Center Boulevard

Stafford, VA 22555

CLINIC CONTACT PHONE NUMBERS

MIF 741-7017 MWH Diagnostic Radiology 741-1583

MIF CT 741-7018 or 7024 MWH CT 741-1615

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MIF MRI 741-7020 or 7033 Lee Hill 741- 7745

Cancer Center of Virginia 786-5262

Stafford Hospital Center

CT Scan 741-9157

Diagnostic 741-9309 or 741-9310

PROGRAM FACULTY

Program Manager, School of Radiologic Technology:

Ericka Lasley, MSRS, R.T. (R) 540-741-1802

Clinical Coordinator, School of Radiologic Technology:

Nicholas Evans, MSRS, R.T. (R) (CT) 540-741-1926

Clinical Instructors:

MWH MIF

Brittney Barcus R.T. (R) Hayley Wood R. T. (R)

Brianna Cannavo R.T. (R) Kira Brooks-Ford R.T. (R)

SH Lee’s Hill

Peggy Spicer, BS, R.T. (R) (CT) Mildred Richardson, R.T. (R) (M)

William Rice BS, R. T. (R)

David Robinson, R.T. (R)

MWHC Radiation Oncology

Samantha Westfall, R.T. (T)

Accreditation: Certification:

The Joint Review Committee on Education in

Radiologic Technology The American Registry of Radiologic Technologists®

20 North Wacker Drive Suite 2850 1255 Northland Drive

Chicago, IL 60606-3182 www.jrcert.org St. Paul, Minnesota 55120-1155 Phone (651) 687-0048

Fax: 505-298-5063 www.arrt.org email@jrcert.org

Curriculum: Certified to operate in Virginia by:

American Society of Radiologic Technologists SCHEV- State Council of Higher Education for

Virginia

15000 Central Ave. SE James Monroe Building

Albuquerque, NM 87123-3909 101 North Fourteenth Street 9th Floor

Tel: 800-444-2778, press 5 or 505-298-4500 Richmond, VA 23219

E-mail: customerinfo@asrt.org

The program is approved for the education and training of eligible Veterans

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ACADEMIC CALENDAR 2018 – 2020

New class orientation cohort 27 TBA

Fall semester begins cohort 27 August 20, 2018

Labor Day September 3, 2018

Midterm exams October 8, 2018 – October 12, 2018

Thanksgiving break November 19, 2018 – November 23, 2018

Finals December 10, 2018 – December 14, 2018

Holiday Break December 17, 2018 – January 4, 2019

Spring semester begins January 7, 2019

MLK Day January 21, 2019

Midterm exams February 25, 2019 – March 1, 2019

Spring Break April 1, 2019 – April 5, 2019

Finals Week April 29, 2019 – May 2, 2019

Graduation cohort 26 May 3, 2019

Semester Break May 6, 2019 – May 17, 2019

HESI Testing May 6, 2019 – May 10, 2019

Summer Semester Begins May 20, 2019

Memorial Day May 27, 2019

Midterm exams June 17, 2019 – June 21, 2019

Independence Day July 4, 2019 – July 5, 2019

Finals week July 29, 2019 – August 2, 2019

Semester break August 5, 2019 – August 16, 2019

New class orientation cohort 28 TBA

Fall semester begins cohort 28 August 19, 2019

Labor Day September 2, 2019

Midterm exams October 7, 2019 – October 11, 2019

Thanksgiving break November 25, 2019 – November 29, 2019

Finals December 9, 2019 -December 13, 2019

Holiday Break December 16, 2019 – January 3, 2020

Spring Semester Begins January 6, 2020

MLK Day January 20, 2020

Mid-Term Exams February 24, 2020 – February 28, 2020

Spring break April 6, 2020 – April 10, 2020

Finals Week April 27, 2020 – May 1, 2020

Graduation cohort 27 May 1, 2020

Semester Break May 8, 2020 – May 15, 2020

HESI Testing May 4, 2020 – May 8, 2020

Summer Semester Begins May 18, 2020

Memorial Day May 25, 2020

Midterm exams June 6, 2020 – June 10, 2020

Independence Day July 3, 2020

Finals week July 27, 2020 – July 31, 2020

Semester break August 3, 2020 -August 14, 2020

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APPENDIX

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FERPA CONSENT TO RELEASE STUDENT INFORMATION

TO:

Mary Washington Hospital School of Radiologic Technology

Ericka M Lasley, M.S.R.S., R.T.(R).

School of Radiologic Technology Program Manager/Director

Please provide information from the educational records of:__________________________

Date Range: From:________________ To: ___________________

To: _____________________________________ Relationship:___________________

The only type of information that is to be reviewed under this consent is:

_____ transcript

_____ disciplinary records

_____ recommendations for employment or admission to other schools

_____ all records

_____ other (specify) _____________________________________________________

The information is to be released for the following purpose:

____ family communications

____ employment

____ admission to an educational institution

____ other (specify)______________________________________________________

I understand the information may be released orally or in the form of copies of written records, as preferred by

the requester. I have a right to inspect any written records released pursuant to this Consent (except for parents’

financial records and certain letters of recommendation for which the student waived inspection rights). I

understand I may revoke this Consent upon providing written notice to Ericka M Lasley, M.S.R.S., R.T.(R). I

further understand that until this revocation is made, this consent shall remain in effect and my educational

records will continue to be provided to ______________________________________ for the specific purpose

described above.

Name (print)_________________________________________________

Signature____________________________________________________

ID Number_______________________ Date ________________________

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ANTI-HARASSMENT

Mary Washington Healthcare

Level: Corporate

Supersedes: Anti-Harassment, Discrimination, and Retaliation: Sexual Harassment

Mary Washington Healthcare adopts the following policy and procedure for all entities and departments

under MWHC including Mary Washington Hospital, Stafford Hospital, Fredericksburg Ambulatory Surgery

Center, and Medical Imaging at Fredericksburg/Lee’s Hill/North Stafford.

Content:

1. Mary Washington Healthcare is committed to maintaining a work environment that is free of all types of

harassment, including sexual and other forms of unlawful harassment. Accordingly, the organization

will not tolerate sexual or other forms of unlawful harassment of its Associates or volunteers by anyone,

including any supervisor, co-worker, independent contractor, vendor or client.

2. Guidelines promulgated by the Equal Employment Opportunity Commission define sexual harassment

as follows: "unwelcome sexual advances, requests for sexual favors, and other verbal or physical

conduct of a sexual nature...when (i) submission to such conduct is made either explicitly or implicitly a

term or condition of any individual's employment, (ii) submission to or rejection of such conduct by an

individual is used as the basis for employment decisions affecting such individual, or (iii) such conduct

has the purpose or effect of unreasonably interfering with an individual's work performance or creating

an intimidating, hostile, or offensive working environment."

3. The conduct prohibited by the above definition and this organization's policy includes all unwelcome

sexual conduct, whether physical, verbal or visual. It includes, but is not limited to:

a. sexually suggestive or obscene language, comments or gestures;

b. the display of sexually suggestive objects or pictures;

c. sexually oriented verbal kidding, teasing or practical jokes;

d. explicit sexual propositions or repeated sexual flirtations or advances;

e. subtle pressure for sexual activity;

f. graphic or degrading comments about an individual or his or her appearance or gender-specific

traits; and

g. physical conduct such as patting, hugging, pinching or brushing against another person's body.

4. This policy strictly prohibits all forms of harassment based upon other legally protected characteristics

including but not limited to race, sex, national origin, religion, age, sexual orientation, gender identity

and/or disability. In addition, MWHC goes above current VA state law and further prohibits additional

forms of harassment to include but not limited to Transgender Identify, Obesity, Bullying, and other

various known forms of harassment.

5. Harassment is verbal or physical conduct that denigrates or shows hostility or aversion towards an

individual because of his/her protected characteristic, such as race, sex, national origin, religion, age,

disability and/or other MWHC identified forms of harassment as noted above, that (i) has the purpose or

effect of creating an intimidating, hostile, or offensive work environment, (ii) has the purpose or effect

of unreasonably interfering with an individual’s work performance, (iii) otherwise adversely affects an

individual's employment opportunities. Harassing conduct includes, but is not limited to:

a. epithets, slurs or negative stereotyping;

b. threatening, intimidating or hostile acts; or

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c. denigrating jokes and display or circulation in the workplace of written or graphic material that

denigrates or shows hostility or aversions towards and individual or group (including through email

and other electronic means).

5. If you, as an Associate or volunteer of the organization, feel you have experienced or witnessed any

conduct that you feel may be inconsistent with this policy, you are encouraged and expected to promptly

notify one or more of your:

a. Immediate supervisor, manager or anyone with our Management’s Chain of Command,

b. Departmental Human Resource Business Partner,

c. HR Manager,

d. HR Director of Associate Relations,

e. Executive Vice President of Human Resources and Organizational Development,

f. MWHC Values Line at 1-540-899-CARE or 899care@mwhc.com

All such reports will be fully and promptly investigated. To the extent practicable and consistent with a

thorough investigation, the organization will attempt to preserve the confidentiality of the complaint, the

complainant and any witnesses.

6. If, after a thorough investigation, a complaint for unlawful harassment or harassment as further defined

by MWHC is found to have merit, prompt corrective action will be taken. This will include such

disciplinary action as may be warranted by the offense -- up to and including termination of

employment. The organization may also impose discipline for inappropriate behavior that is brought to

its attention, without regard to whether the conduct technically constitutes harassment or a violation of

law.

7. Retaliation against anyone for good faith reporting of unlawful harassment, assisting in making a report

or complaint, or cooperating in such an investigation, is strictly forbidden by the organization. Refer to

Mary Washington Healthcare’s Non-Retaliation (Whistleblower) policy for further guidance relative to

retaliation.

8. Refer also to Mary Washington Healthcare’s Nondiscrimination Policy.

9. If you have any questions concerning this policy, please contact your designated Human Resource

Business Partner, the HR Director of Associate Relations, or the Executive Vice President of Human

Resources and Organizational Development.

Procedures Relating to Unlawful Harassment Complaints and Policy Education

1. The organization will adopt and maintain a written policy prohibiting unlawful harassment.

2. All Associates will be educated about the policy and the complaint procedures outlined in the policy. To

ensure familiarity with the policy, it will be included in each Associate's initial employment package.

Each Associate will be required to sign and acknowledge receipt of a copy of this policy (this will be

kept in the Associate's personnel file), and a copy of the policy should be posted in conspicuous

locations throughout the workplace. Associates will be reminded of the policy by written memorandum

via Computer Based Learning (CBL) at least on an annual basis.

3. All managers and supervisors will be provided with training to ensure that they understand the types of

behavior prohibited. Training will be in the form of meetings, seminars, memos, booklets, e-mail, etc.,

as determined by the Executive Vice President of Human Resources and Organizational Development or

his/her designee, and will identify the types of conduct and situations that can be considered

discrimination, unlawful harassment and retaliation and will impress upon the trainees that: (i) such

conduct is strictly prohibited and will not be tolerated; (ii) complaints will be thoroughly investigated;

and (iii) if complaints are found to have merit, they will result in appropriate discipline.

4. The Executive Vice President of Human Resources and Organizational Development or his/her

designee, will manage an effective grievance procedure, designed and implemented in such a way as to

encourage victims and witnesses to come forward. Each complaint will be taken seriously and

thoroughly investigated as promptly as possible. To the extent practicable, the procedure will ensure

confidentiality.

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5. Those individuals charged with investigating reports of unlawful harassment, discrimination and

retaliation will be thoroughly and properly trained concerning the issues involved and how to conduct an

impartial investigation. Where possible, a qualified investigator of the same sex as the complainant will

be available to handle and conduct the initial investigation of the complaint.

6. Prompt corrective action will be taken when unlawful harassment, discrimination and/or retaliation has

occurred. Although termination is not always required, the action taken should be an appropriate

response to the conduct and situation, and it should be designed to stop the unwelcome or hostile

behavior.

7. Appropriate follow-up will be scheduled and undertaken to make sure the situation has been remedied.

Approved:

Reviewed: 7/12

Revised: 1/01; 10/03; 7/08; 01/09; 12/16

Signature(s): ____ ___________________

Executive Vice President, Human Resources &

Organizational Development, MWHC

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DRUG/ALCOHOL FREE WORKPLACE

Mary Washington Healthcare

Level: Corporate

Mary Washington Healthcare adopts the following policy and procedure for all entities/affiliates and

departments under MWHC including Mary Washington Hospital, Stafford Hospital, Fredericksburg

Ambulatory Surgery Center, and Medical Imaging at Fredericksburg/Lee’s Hill/North Stafford.

Objective:

To establish and maintain an alcohol and drug-free work environment.

Content:

It is the policy of Mary Washington Healthcare and its affiliates to screen all individuals for the use of

alcohol and illegal/non-prescribed drugs prior to their hire. Further, it is the policy to conduct workplace

testing if reasonable suspicion exists and/or that an Associate exhibits symptom of drug or alcohol

impairment. Testing will also occur if there are instances of controlled substance discrepancy or if an

Associate is involved in a motor vehicle accident while operating a company owned vehicle or while

working within a position classified as a “regular driver” and a reasonable possibility exists that Associate

drug use could have contributed to the accident. Refer to Drivers Policy (Use of Company Automobiles,

Vehicles) policy.

All Associates employed by Mary Washington Healthcare or its affiliates must abide by the terms of this

policy as a condition of employment.

Drug and Alcohol Screening Program

The implementation and coordination of the drug and alcohol screening program is the responsibility of the

Health & Wellness Department of Mary Washington Healthcare and will be carried out as follows:

1. Applicants will be informed that Mary Washington Healthcare and its affiliates maintain a drug and

alcohol-free workplace policy, and that a drug and alcohol screen will be required prior to performing

productive work. This information is provided:

a. During the initial job interview,

b. In the letter confirming an offer of employment, and

c. Prior to signing the consent form for conducting the drug and alcohol screen.

2. During the initial health screen, all newly hired Associates will submit, under controlled conditions, a

urine specimen which will be screened for the presence of drugs of abuse.

3. Drug/Alcohol testing will be done in accordance with established Human Resources procedures on the

occasions listed below. Upon the occurrence of any of the events listed below, the acting Manager or

department specific supervisor must contact Human Resources immediately in order to ensure proper

procedures are completed (for off-hours, the manager/supervisor must contact the on-call Health &

Wellness RN in addition to the on-call HR representative).

a. Post conditional offer, pre-placement drug and alcohol testing.

b. Alcohol testing “For Cause” and follow-up.

c. Drug testing “For Cause” and follow up

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d. Post incident testing for drugs and alcohol may be done following an OSHA recordable event.

Testing shall not delay necessary medical treatment.

e. When an Associate transfers to another position and/or department, (Department of Health and

Wellness transfer guidelines will identify those positions that require additional testing prior to

completing a recruitment transfer).

f. When required for an education program at Mary Washington Healthcare.

g. Post accident testing for drugs and alcohol may be done following a motor vehicle accident while

operating a company owned vehicle or while working within a position classified as a “regular

driver”. Refer to Drivers Policy (Use of Company Automobiles, Vehicles). A probable belief that

drug use could have contributed to the incident will be presumed in any instance involving a

workplace accident or injury in which the Associate operating the vehicle is initially found to be

responsible for causing the accident.

1. Post-accident testing for alcohol not done within 2 hours following the accident will require the

supervisor of the Associate to document the reasons for the delay. If the alcohol test is not

administered within 8 hours of the accident all attempts to administer the test will cease and the

supervisor will document the reason(s) for the delay. The documentation becomes a part of the

MWHC Health & Wellness record. An Associate that impedes testing (for example: late

reporting of an accident) will be subject to disciplinary action. The documentation becomes a

part of the MWHC Health & Wellness records as well as the Associate’s Human Resource

record.

2. Post-accident testing for drugs must be done within 32 hours of the accident or documented as

above by the supervisor of the Associate. An Associate that impedes testing (for example:

reporting of an accident or failure to supply an adequate specimen for testing) will be subject to

disciplinary action.

3. Any Associate involved in an accident must refrain from alcohol use for 8 hours following the

accident or until tested by the MWHC Health & Wellness Department. Any Associate who does

not remain available for testing or leaves the scene without justification prior to drug and alcohol

testing is considered to have refused testing and is subject to termination.

4. It is the policy of Mary Washington Healthcare to prohibit the following (“prohibited conduct"):

a. No Associate shall report for duty or be on duty or on Mary Washington Healthcare property while

having a blood alcohol concentration of 0.02 or greater.

b. No Associate shall possess or use alcohol while on duty.

c. No Associate shall report for duty or be on duty or otherwise on Mary Washington Healthcare

property while impaired by or under the influence of illegal drugs.

d. The use, possession, manufacture, transfer, distribution, dispensation or sale of illegal drugs by

Associates while on duty or on Mary Washington Healthcare property is prohibited.

Further, refusal of an Associate to participate in the drug and/or alcohol screening process or failure to

cooperate in the rehabilitation process requires the Associate to be relieved of work responsibilities, and

the matter referred to Human Resources management for further action. The Associate shall be notified

that such an action may result in employment termination. Refusal to submit shall include, without

limitation, failure to provide adequate urine or blood specimens for testing or engaging in conduct that

clearly obstructs the testing process.

All Associates using prescribed controlled substance (i.e. pain medication, muscle relaxants) are

required to be evaluated by the MWHC Health & Wellness Department prior to performing any work.

No Associate is allowed to work under the influence of any substance that adversely affects the

Associate’s ability to perform assigned duties.

In addition, no Associate shall report for duty or remain on duty if the Associate tests or would test

positive for non-prescribed controlled substance or illegal drugs.

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5. Associates who have engaged in prohibited conduct will be advised of resources available through the

Employee Assistance Program (EAP) when evaluating and helping Associates resolve problems

associated with the misuse of alcohol and/or drugs.

6. Associates who have engaged in prohibited conduct may be subject to termination or, in appropriate

circumstances returned to work, subject to the Associate's satisfaction of the terms of the Back to Work

Employment Agreement and the following conditions:

a. The Associate shall undergo a return-to-duty alcohol/drug test with a result indicating an alcohol

concentration of less than 0.02 if the conduct involved alcohol or a verified negative result if the

conduct involved a controlled substance.

b. The Associate shall be evaluated by the EAP to determine the need for and compliance with any

required rehabilitation.

c. The Associate shall be subject to unannounced follow-up alcohol and/or drug testing following the

Associate's return to duty. The number and frequency of such follow-up testing shall be as directed

by an EAP substance abuse professional, and consist of at least six (6) tests in the first twelve (12)

months following the Associate's return to duty. The EAP counselor may terminate the requirements

for follow-up testing at any time after the first six (6) tests have been administered. The Associate

may be directed to undergo return-to-duty and follow-up testing for both alcohol and drugs. Follow-

up testing shall not exceed sixty (60) months from the date of the Associate's return to duty.

d. In addition to above requirements, licensed or certified Associates will be treated in compliance with

regulatory board requirements. Failure to meet the standards of treatment may result in the

termination of the Associate's employment.

e. Transportation arrangements will be offered whether or not the Associate consents to screening.

f. Associates on initial hire probation, including an extended probation, are subject to immediate

termination.

7. Any manager and/or department specific supervisor may refer an Associate for drug/alcohol screening

to the MWHC Health & Wellness Department whenever reasonable suspicion exists that an Associate is

using and/or under the influence of drugs and/or alcohol. After hours, page a MWHC Health & Wellness

on-call nurse via the hospital operator. MWHC Health & Wellness will contact and act in partnership

with the appropriate HR Representative.

8. Reasonable suspicion testing is based on specific observations concerning the appearance, behavior,

speech and/or body odors of the Associate. The observations may include indications of the chronic and

withdrawal effects of controlled substances or alcohol. This can include, but is not limited to:

drowsiness or stupor; excessive excitement, anxiety, nervousness or depression; slurred speech;

hallucinations; violent behavior; alcohol odor on breath; Associate found in possession of alcohol,

suspected possession of illicit drugs (white powder, pills, etc.), prescription medication not prescribed to

them, or drug paraphernalia.

9. In cases of suspected diversion and/or unresolved controlled substance discrepancy, the Associate with

prior access to the medication and the Associate who discovered the discrepancy may be required to

complete a urine drug screen as soon as possible (no later than 24 hours). Testing is determined by the

manager, pharmacy supervisor, Health and Wellness personnel and/or HR Representative based on the

circumstances and the behaviors of the individuals involved.

10. The manager and/or department specific supervisor will accompany the Associate undergoing for-cause

testing to the MWHC Health & Wellness Department (or designated area as defined by HR) and remain

with the Associate through the signed consent process. The manager and/or department specific

supervisor will then wait in the waiting room until testing is completed. The manager will offer the

Associate an opportunity to talk with an EAP counselor. If the Associate refuses this assistance it will be

documented. After testing and EAP referral, the Associate will be sent home for the remainder of the

shift if initial tests show positive results. An unpaid suspension will occur while testing is sent out for

third party validation. If necessary, the manager and/or department specific supervisor will have security

escort the Associate to a taxi (billed to MWHC). If the Associate insists on driving home the manager

and/or department specific supervisor will notify the Associate that the police will be notified about the

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Associate potentially driving under the influence. If the Associate does decide to drive, the manager

and/or department specific supervisor must document the conversation and notify the police (noting the

officer's name contacted). The Associate will be notified of the available test results upon completion

and validation of all test(s). If the Associate's drug and/or alcohol test is negative or initial positive

testing later confirmed acceptable (via work-approved prescription medications), any previous missed

work hours will be paid to the Associate. If the initial test shows negative results, the Associate may or

may not be sent home at the discretion of Management in partnership with HR, pending review of all

facts and circumstances. The manager and/or department specific supervisor will notify their director of

occurrence. The director will notify administrator on call at their discretion.

11. All testing for drug or alcohol use requires a signed consent. If the Associate refuses to sign the consent

then the manager will escort the Associate to the Human Resources Department (or notify the

Administrator On-Call of the refusal and contact the on-call HR personnel during off-hours). Refusal

may be grounds for immediate termination. The Associate is placed on an unpaid suspension pending

Administrative review.

12. The supervisor making the referral will provide the MWHC Health & Wellness Department a written,

signed, report of the observation or event prior to the release of the test results.

13. It is the policy of Mary Washington Healthcare to only provide copies of drug or alcohol testing results

upon written request from the Associate. All Associate records are maintained with strict confidentiality.

14. Procedures for alcohol and drug testing are in accordance with guidelines established by the MWHC

Health & Wellness Department.

15. Drivers designated to transport patients, residents, visitors and children (i.e., Kids Station, SAF,

Security, etc.) will be tested randomly during the Associate’s regular work hours.

16. Associates must notify the Human Resources Department of any criminal drug conviction no later than

5 days after such conviction.

17. When required by the Drug Free Workplace Act, Mary Washington Healthcare will notify the required

contracting federal agency within 10 days after receiving notice under paragraph 17 from an Associate

or otherwise receiving actual notice of such conviction.

18. Within 30 days after receiving notice from an Associate of a conviction under paragraph 16, Mary

Washington Healthcare will, in accordance with the Drug Free Workplace Act:

a. take appropriate personnel action against such Associate, up to and including termination; or

b. require such Associate to be evaluated through the EAP and satisfactorily participate in a

rehabilitation program approved for such purposes by a Federal, State, or local health agency, law

enforcement, or other appropriate agency providing the following minimum qualifications are met:

1. Associate has been employed with MWHC for at least two (2) years;

2. Associate has successfully met Performance Appraisal expectations during employment;

3. Associate has not received more than two (2) disciplinary Record of Conferences (ROC) within

prior 12 months;

4. Sponsorship of Department must not present an undue hardship to staffing or meeting

patient/business needs; and

5. If the Associate is returned to work, all conditions of the Back to Work Employment Agreement

outlined in # 6 above apply.

19. Failure to comply with this policy in part or in full may result in disciplinary actions being taken, up to

and including termination. In addition, MWHC will report violations of this policy as required by

certification/licensing bodies, State or Federal regulations.

Approved:

Reviewed: 9/01

Revised: 10/98; 10/99; 11/00; 5/02; 4/04; 3/06; 3/07; 3/08; 7/10; 12/12; 2/17

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Signature(s): ____________________________________

Executive Vice President, Human Resources & Organizational Development,

MWHC

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Handwashing and Hand Hygiene

Mary Washington Hospital, Stafford Hospital, Fredericksburg Ambulatory

Surgery Center

Level: System – Hospital/FASC

Supersedes: Handwashing and Hand Hygiene (MWH/SH system; FASC); Handwashing

Objective:

To prevent the direct or indirect spread of organisms through contact with hands.

Statement:

It is the policy of the Hospital/facility to promote the practice of thorough handwashing/hand hygiene which

is the most important single factor in controlling hospital-wide infection.

Content:

Handwashing Facilities

1. Handwashing facilities are conveniently located throughout the hospital/facility.

2. Handwashing facilities are located in or adjacent to rooms where diagnostic or invasive procedures that

require handwashing are performed (catheterization, bronchoscopy, endoscopy, etc.).

3. Alcohol-based hand rubs are located in patient care areas (in patient rooms or directly outside patient

rooms) and throughout the facility.

Indications for Hand Hygiene and Antisepsis

1. Wash hands with soap and water when:

a. Hands are visibly dirty or contaminated with proteinaceous (protein-like) material or are visibly

soiled with blood or other body fluids.

b. When caring for patients with diarrhea, C. difficile infections, or if exposure to Bacillus anthraces or

Norovirus is known or suspected. The physical action of soap and water is recommended because

alcohols and other antiseptics have poor activity against spores.

c. Before eating and after using a restroom.

4. Use an alcohol-based hand rub routinely for decontaminating hands:

a. If hands are not visibly soiled

b. Before having direct contact with patients.

c. Before donning sterile gloves when inserting a central intravascular catheter.

d. Before inserting indwelling urinary catheters, peripheral vascular catheters, or other invasive devices

that do not require a surgical procedure.

e. After contact with a patient's intact skin (e.g., when taking a pulse or blood pressure, and lifting a

patient).

f. After contact with body fluids or excretions, mucous membranes, non-intact skin, and wound

dressings if hands are not visibly soiled.

g. If moving from a contaminated-body site to a clean-body site during patient care.

h. After contact with inanimate objects (including medical equipment) in the immediate vicinity of the

patient.

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i. After removing gloves and other personal protective equipment (PPE). If care involves exposure to

C. difficile or Norovirus, soap and water will be used instead of alcohol-based rub. Refer to Standard

Precautions policy.

Hand Hygiene Technique

1. When decontaminating hands with an alcohol-based hand rub, apply product to palm of one hand and

rub hands together, covering all surfaces of hands and fingers, until hands are dry. Wash with soap and

water after 10 - 15 applications.

2. When washing hands with soap and water, wet hands first with water, apply an amount of product

recommended by the manufacturer to hands, and rub hands together vigorously for at least 20 seconds,

covering all surfaces of the hands and fingers. Rinse hands with water and dry thoroughly with a

disposable towel. Use towel to turn off the faucet. Avoid using hot water because repeated exposure to

hot water may increase the risk of dermatitis.

Other Aspects of Hand Hygiene

1. Artificial nails, including extenders, gel, wraps, acrylics, tips, tapes or other appliqués other than those

made of nail polish, are not to be worn by Associates who provide direct patient care (defined as any

Associate who has potential for direct patient care contact with patients, such as but not limited to RNs,

CNAs, Respiratory Therapists, Phlebotomists, etc.). Artificial nails are also restricted in some service

departments that provide indirect patient care and services. These include Food and Nutrition Services,

Environmental Services and Pharmacy Services. Note: These guidelines are consistent with Center for

Disease Control recommendations.

2. Keep natural nail tips less than 1/4 inch long.

3. Encourage patients and their families to remind health care workers to perform appropriate hand hygiene

before and after every patient contact; including contact with the patient’s environment.

4. Always follow Standard Precautions.

5. Wearing gloves does not replace handwashing.

6. The wearing of rings may allow microorganisms to become trapped under the rings.

7. Use the hand lotion provided by the Hospital, as appropriate. Hospital-supplied lotions are compatible

with latex and other hand hygiene products.

8. Alternative soaps/lotions used by Associates in place of hospital approved soaps/lotions are to be

evaluated by MWHC Health & Wellness prior to use.

Policy reviewed/approved by:

MWH Infection Control Committee, April 18, 2018.

SH Infection Control Committee, April 10, 2018.

FASC Infection Control Committee, March 27, 2018.

Approved: 12/86

Reviewed: 12/88; 10/90; 4/93; 1/95; 1/96; 2/98; 12/98; 12/99

Revised: 4/97; 5/00; 5/01; 5/02; 11/03; 11/04; 10/05; 3/06; 3/07; 6/08; 12/08; 12/10; 5/12;

2/15; 1/17; 7/18

FASC integration: Effective 3/12; Original FASC policy approved 3/94; Reviewed 1/03; 1/04; 2/08;

1/11; Revised 1/02, 2/05, 10/07, 2/08, 1/11.

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Signature(s): ____________________________________

Vice President/Administrator, MWH

____________________________________

Vice President/Administrator, SH

____________________________________

Vice President, Ambulatory Services, MWHC

____________________________________

Medical Director, FASC

____________________________________

Chair, Infection Prevention and Control Committee, MWH/SH

____________________________________

Senior Vice President, Chief Nursing Officer, MWHC

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Scope of Service for Radiology – MWH

Mary Washington Hospital

Level: Hospital – Entity Specific

Supersedes: Infection Control in Radiology Services; Dress Code for Radiology;

Organizational Structure – Radiology – MWH

Scope:

Radiology consists of a caring team of imaging professionals who provide a full range of diagnostic and

therapeutic services to their patients. The staff of Associates includes Technologists, Nurses, Radiology

Assistants, Outpatient Services Representatives, Image Management Associates, Transcriptionists and other

support personnel.

Care that is provided in the Radiology Department is family-centered and patient-focused. The

family/significant other is involved when possible and participates in the care of the patient. For

interventional or invasive procedures requiring post-treatment follow-up care, the patient’s family/

significant other participates in support and teaching activities in order to care for and support the patient

after discharge and to recognize and react to emergency situations and/or complications.

Mission

The Radiology Department exists to meet the imaging needs of the people in the communities we serve. All

Associates will follow iCARE values, support the ALWAYS expectations, and follow the Conflict of

Interests and Code of Conduct Policy and Nondiscrimination Policy.

Services Provided/Hours of Operation

The Radiology Department serves the Hospital’s inpatient, outpatient, and Emergency populations twenty-

four hour per day, seven day per week. There is a Radiologist on site twenty-four hours per day, seven days

per week. Services are designed to meet the needs of a diverse population. Care is provided for people of all

ages and acuity levels, and care is customized based on patient identified individual needs. Equipment and

techniques are available for all age groups and patient types so that any patient who seeks the services of the

Radiology Department can receive care.

Procedure manuals are available in each imaging modality that specify the most appropriate imaging

technique or protocol to be used based upon patient age, weight, and clinical condition. In the event that a

patient needs a service that the Radiology Department is unable to provide, a Radiologist in collaboration

with the referring physician identifies a suitable alternative imaging procedure or refers the patient to

another center that can provide the service needed. Diagnostic and therapeutic services utilize the following

imaging modalities:

1. Diagnostic Radiology (which includes general Radiography, fluoroscopy, and portable imaging) is

staffed 24 hours per day, seven days per week, including holidays. Additional on-call/back-up staffing is

also available eight hours per day Monday through Friday and 24 hours per day on Saturday/Sunday.

Provisions are made for multiple levels of on-call/back-up staffing in the event of an emergency

situation or staffing insufficiency.

2. Magnetic Resonance Imaging (MRI) Department is staffed seven days per week as follows:

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Monday – Friday 0530-2330

Saturday –Sunday 0900-2130

Emergency on-call coverage for MRI is also provided as follows:

Monday – Thursday 2330 - 0530

Weekends Friday 2330 - Monday 0530

Holidays Twenty-four hour coverage

3. CT Scan (CT) Department is staffed 24 hours per day, seven days per week, including holidays.

On-call/back-up coverage for CT Scan is also provided as follows:

Monday – Thursday 2300-0700

Weekends Friday 2300-Monday 0700

Holidays Twenty-four hour back-up coverage

4. Ultrasound Department is staffed 24 hours per day, seven days per week, including holidays.

On-call/back-up coverage for Ultrasound is also provided as follows:

Monday – Thursday 1630-0700

Weekends Friday 1630- Monday 0700

Holidays Twenty-four hour back-up coverage

5. Interventional Radiology (IR) Department is staffed six days per week as follows:

Monday – Friday 0630-1730

Saturday 0830-1700

Emergency on-call coverage for IR is provided by technical, as well as nursing staff as follows:

Monday – Thursday 1730-0700

Weekends Friday 1730-Monday 0700

Holidays Twenty-four hour coverage

6. Nuclear Medicine Department is staffed seven days per week as follows:

Monday 0600-1700

Tuesday- Friday 0600-1800

Saturday/Sunday 0700-1630 or as scheduled for Cardiac Imaging

Emergency on-call coverage for Nuclear Medicine is also provided as follows:

Monday 1700-0600

Tuesday – Thursday 1800-0600

Weekends Friday 1800-Monday 0600

Holidays Twenty-four hour coverage

7. Lithotripsy is conducted in the MWH Operating Room; hours of operation are determined by the

Operating Room.

8. Positron Emission Tomography/CT Scan (PET/CT) is available at Medical Imaging of Fredericksburg.

9. Support Services - Radiology support services are available as follows:

Reception Monday – Friday, 0600-1700

Image Management Suite 24 hours/ day, seven days/ week, including holidays

Transcription 24 hours/ day, seven days/ week, including holidays

A Radiology Administrator is available twenty-four hours per day, seven days per week (including

holidays).

Process for Services

Orders for Radiology procedures are received from referring Physicians who, along with the Radiologists,

assure the appropriateness and clinical necessity of the procedure. Routine orders for inpatient Radiology

procedures are completed within 24 hours of order entry and dependent upon patient availability. Routine

outpatient Radiology procedures are scheduled within five (5) working days unless otherwise directed by

patient or their physician. Radiology reports are dictated, transcribed and distributed within 24 hours of

completion of the study. Preliminary (wet) readings are provided when the condition of the patient warrants

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an immediate report to their physician as determined by that physician, the patient’s acuity level, or at the

discretion of the Radiologist.

Infection Prevention

Radiology Services will ensure the safety of patients and personnel within the department by following

appropriate infection prevention precautions and practices in accordance with hospital policies.

1. Following applicable Infection prevention policies.

2. Changing linens after each patient and placing in appropriate receptacle. Cleaning, followed by

disinfection, of the imaging table and patient care-related equipment with a hospital approved

disinfectant between patients and after any visible soiling. Notifying the Environmental Services team of

any soiling incident in the Radiology Department which requires extended cleaning and for appropriate

room cleaning following use with isolation patients.

3. Denoting order requests/Ticket to Ride documentation as "Isolation" in an effort to alert personnel for

appropriate transport requirements and precautions. All equipment is cleaned with a hospital approved

disinfectant before it is removed from the room.

4. Using disposable syringes and needles for all injections and activating safety devices when used.

Disposing of all needles and syringes in sharps containers located throughout the department. [Note:

Manual recapping of sharps is against Hospital policy. Approved recapping devices are utilized when

recapping is absolutely required (Nuclear Medicine Hot Lab).]

5. Hospital provided long-sleeved jackets or single-use jackets, buttoned or snapped closed with cuffs

down to the wrist to contain shedding skin squames, will be worn when in the restricted area when

prepping a patient and/or when the sterile field is open. Masks, caps, gown and gloves will be worn by

the operator and 1st assistant for invasive spinal procedures. Mask will be worn by family member if

they are assisting by holding the patient and they have direct access to the sterile field. Refer to the

Dress Code for Procedural Areas policy for more information.

6. Opening sterile trays only just prior to use. Keeping procedure room doors closed when using sterile

trays.

7. Disposing of any materials used for invasive procedures in an appropriate waste container or sending

reusable instruments to Central Sterile Reprocessing for sterilization. Refer to Collecting, Pre-Treatment

and Transport of Soiled Instruments - MWH policy.

8. Prior to injecting through drainage tubes, tubes will be prepped in the same manner as the skin would be

by using an antiseptic solution. Small bore needles are used to inject through drainage tubes.

9. Using single dose ampoules/vials of medication whenever possible and disposing of them immediately

after use. Use of multiple dose vials of medication is in accordance to the Medication Administration

policy.

10. Keeping the number of people in a radiographic procedure room to a minimum during

examinations/procedures.

11. Disposing of biohazard contaminated waste in red (color coded) impervious plastic receptacles.

Staff Qualifications/Staffing Plan

1. Position descriptions are available and describe in detail the specific services provided to patients and

the qualifications/requirements for the position. Documentation of staff qualifications and

competency assessments/validations is maintained for each position.

2. Technologists employed by the Radiology Department are registered by virtue of passing the

registration examination of the American Registry of Radiologic Technologists (ARRT), the Nuclear

Medicine Technology Certification Board (NMTCB), the American Registry of Diagnostic Medical

Sonographers (ARDMS), or another appropriate credentialing agency. Technologists that are registry-

eligible when hired must pass the appropriate registry examination within one (1) year. Required

registries for the individual imaging modalities are as listed in the job descriptions.

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3. Registered Nurses employed by the Radiology Department are licensed by the Commonwealth of

Virginia Department of Health Professions Board of Nursing. ACLS certification is required and PALS

is preferred.

4. Radiology image interpretations are provided by Radiologic Associates of Fredericksburg (RAF). RAF

has a contract with Mary Washington Hospital that delineates the terms of its relationship with MWH

and the Hospital’s expectations for the services they provide. A Radiologist is on site twenty-four hours

per day, seven days per week. The Radiologists who practice in this group are all appropriately trained

and credentialed and have a certification in the discipline of Radiology through the American Board of

Radiology. Their credentials are maintained in the Medical Staff Services office.

5. Staffing of the individual sections of Radiology is the responsibility of the Radiology Supervisors. Refer

to Staffing - Radiology - MWH. Staffing is planned based on the anticipated patient volume, needs, and

acuity levels and is adjusted as necessary to match the actual volume, needs, and acuity levels of the

patients. When preparing staff schedules, the Radiology Supervisors assure that every shift has a

sufficient number of credentialed Technologists (ARRT, NMTCB, or ARDMS registered) on duty to

support the anticipated procedure volume.

Dress Code

Associates in the Radiology Department will be well-groomed and dressed in a manner appropriate to their

positions. This policy serves in addition to the MWHC Dress Code policy.

1. Dress During Normal Work Hours

a. All clinical caregivers, i.e. Technologists, and all Assistants, will be required to wear Caribbean blue

scrubs. All other job titles will wear professional business attire. Those positions include Image

Management Associates, Outpatient Services Representatives and Transcription.

b. Exceptions include RNs/CNA’s will follow nursing color of navy blue/green unless in hospital

laundered scrubs due to Interventional Radiology (IR) assignment. IR and OR Radiology Associates

who currently wear hospital laundered scrubs will continue to do so. Please note that no Associates

other than those assisting with or performing procedures in Interventional Radiology or the

Operating Room may wear hospital laundered scrubs.

c. Scrub jackets in Caribbean blue or white lab coats will be permitted. No sweatshirts, sweaters, or

sweat jackets will be permitted other than those approved by radiology management.

d. Shirts worn under scrub tops will be solid color with no graphics or printing on them. The undershirt

will be long sleeved, with the cuff coming to the wrist. The color choices will be black, white,

Caribbean Blue or khaki. Short sleeved shirts will be permitted but the sleeve length should not go

past the sleeve length on the scrub top unless it goes all the way to the wrist.

e. Caribbean Blue Polo shirts may be worn instead of scrub tops but must be tucked in.

f. For safety, non-skid, closed toe and closed heel shoes of strong construction must be worn. Uniform

shoes should be white, black, or Caribbean blue, well maintained and polished as needed. "Crocs" in

the above approved colors are permitted.

g. Supervisors have the option of wearing professional business attire with a white lab coat.

2. Free Scrub Day: In Radiology, the 15th of every month will be designated as “Free Scrub Day”. On this

day, scrubs other than Caribbean Blue may be worn (any color or pattern as long as they are professional

in nature). Radiology Team T-shirts (i.e., those purchased from X-Ray students) may also be worn on

the 15th of the month. Note: Other special events as determined by Radiology Leadership will be

communicated as they occur.

3. Holiday Attire: Holiday scrub tops or lab jackets will be permitted on certain holidays outlined below.

Holiday scrub tops or lab jackets may be worn the day before the holiday, the day of the holiday, and the

day after the holiday only. Holiday scrub tops or lab jackets may only be worn with black, white, tan, or

caribbean blue scrub pants. Radiology recognized holidays are Christmas Day, New Year's Day,

Valentine’s Day, St. Patrick’s Day, Easter, Memorial Day, Fourth of July, Labor Day, Halloween and

Thanksgiving.

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4. On-Call Dress Code: Associates working in an "on-call" capacity will be expected to follow the dress

code as outlined above. (Note: Blue jeans, sweat pants, stretch pants and other clothing as identified in

the MWHC Dress Code policy will not be permitted)

5. Students performing clinical rotations are permitted to wear the uniform color and style as designated by

their program.

Patient Flow Process

Policies, procedures, protocols, and standards have been developed to identify the purpose, goals, and

objectives of the core processes that take place within the Radiology Department. These core processes

include:

1. Scheduling Inpatients for Outpatient Radiology Services

2. Staffing - Radiology - MWH

3. Prioritization of Patients in Radiology

4. Patient Safety within Radiology Services, Safety and Security for M.R.I.

5. Quality Control in Radiology

6. Radiology Report Turnaround Time

7. Imaging Data, Release and Return of

8. Critical exam results (such as the presence of a pneumothorax, pulmonary embolus, or fracture of the

spine) are communicated immediately by the Radiologist directly to the ordering physician per the

Critical Test Results - Radiology Services.

Standards of Practice

Policies, procedures, protocols, and standards have been developed to describe the methods used in caring

for or providing services to patients and the medical community. These policies, procedures, protocols, and

standards meet or exceed the standards established by recognized and accepted regulatory agencies,

licensing bodies and best practice organizations. These include standards developed by:

1. Federal, State, and Local Governments

2. The American College of Radiology (ACR)

3. The Virginia Department of Health

4. The Food and Drug Administration (FDA)

5. OSHA (Occupational Safety and Health Administration)

6. The American Registry of Radiologic Technologists (ARRT)

7. The American Society of Radiologic Technologists (ASRT)

8. The American Radiological Nurses Association (ARNA)

9. The Original Equipment Manufacturer (OEM)

10. The Joint Commission

11. The Society of Interventional Radiology (SIR)

Organizational Structure

1. The Radiology Organization Chart shall serve to establish departmental structure and shall depict

supervisory responsibilities for modality and Associate management.

2. Supervisory responsibilities may change temporarily in the absence of the designated Administrative

Director, Manager, or Supervisor.

a In the absence of the Administrative Director, the Operations or Finance Manager is always in

charge.

b. In the absence of the Administrative Director, Operations, and Finance Managers, an appropriate

Supervisor is designated to be in charge of Radiology. When this happens, the Chairman of

Radiology and the Administrative Director, Ancillary Services are informed.

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c. In the absence of a Supervisor (after-hours), a Charge Technologist is designated per the

departmental Radiology Department standard, "Radiology Charge Technologist".

d. A Radiology Administrator-On-Call is always available by telephone or pager for issues that cannot

be resolved by the Charge Technologist.

Approved: 1/94

Reviewed: 12/94; 2/98; 3/01

Revised: 10/97; 4/04; 6/05; 7/07; 1/09; 5/11; 7/12; 12/12; 6/15; 1/17; 3/18; 3/19

Signature(s): ____________________________________

Chair, Radiology, MWH

____________________________________

Vice President/Administrator, MWH

____________________________________

Senior Vice President, Chief Nursing Officer, MWHC

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Social Media/Electronic Communication

Mary Washington Healthcare

Level: Corporate

Supersedes: Facsimile Usage; Electronic Communication

Mary Washington Healthcare adopts the following policy and procedure for all entities and departments under

MWHC including Mary Washington Hospital, Stafford Hospital, Fredericksburg Ambulatory Surgery Center,

and Medical Imaging at Fredericksburg/Lee’s Hill/North Stafford.

Objective:

This Mary Washington Healthcare (MWHC) social media/electronic communication policy includes rules and

guidelines for various forms of company-authorized electronic communication, social networking and personal

social networking. This policy applies to all MWHC Associates to include but not limited to executive officers,

board members and management.

Certain provisions in this policy provide guidance relative to our commitment in the Code of Conduct that we

represent MWHC in a positive and professional manner. For additional guidelines on proper equipment usage

please refer to the Acceptable Use of Electronic Devices policy.

Content:

1. MWHC recognizes the importance of the Internet and online social media networks as communication

tools. We recognize these outlets may play an important role in promoting a positive public image about our

healthcare system. MWHC takes no position on Associates’ decisions to participate in the use of social

media networks. In general, Associates who participate in social media are free to publish personal

information without censorship by MWHC.

2. MWHC does, however, maintain the right and duty to protect itself from any unauthorized disclosure of

information or misinformation that may cause harm to MWHC and its patients, Associates, physicians,

volunteers, board members, vendors and customers. MWHC requires that MWHC Associates adhere to its

Code of Conduct when a MWHC Associate directly or indirectly is identified as being a MWHC Associate

and therefore his/her behavior, statements or other media (pictures, etc.) reflect on the public image of

MWHC. We also recognize that HIPAA and other regulations may extend to Associate communication

outside the workplace in regards to patient privacy.

3. This policy addresses the use of online networks including, but not limited to, the contents of blogs,

personal websites, postings on wikis, social networks, online forums, virtual worlds and other interactive

sites, as well as posting on video or picture sharing sites or in the comments that are made on online blogs or

elsewhere on the public Internet. While we respect the right of our Associates to utilize these mediums

during their personal time, the use of them during company time is prohibited unless expressly authorized

by Management in order to fulfill a MWHC business need or purpose.

4. MWHC Associates should remember that any of their postings may reflect on MWHC. Therefore, they are

strongly encouraged to exercise sound judgment in the use of any social media. It is the goal of MWHC to

promote professional, respectful, efficient and courteous use of electronic communications. Due to the

unique nature of electronic communication and because MWHC desires to protect its legitimate business

interests with regard to electronic records, the following rules and guidelines have been established. These

will protect the private, confidential and proprietary information of MWHC, its affiliates, their patients and

family members, Associates, vendors, and partners.

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Ownership

All company supplied technology, including computer hardware, computer software, and company-related

records, belong to MWHC and not the Associate. MWHC maintains electronic mail and Internet systems. These

systems are provided by MWHC to assist in its business practices. MWHC recognizes that Associates will,

occasionally, make incidental personal use of the e-mail system and Internet; however, such use must be kept to

a minimum and must not violate MWHC policies under any circumstance. Any personal information or data on

MWHC equipment (pictures, personal files, password protected files, etc.) are and remain the property of

MWHC and may not be returned to the Associate after termination from employment.

No Expectation of Privacy

1. The confidentiality of any electronic communication or data on MWHC provided devices should not be

assumed. Even when data is erased, it often remains possible to retrieve and read that information. In

addition, MWHC electronic systems store Web site usage and other history data. In the event that MWHC

should be subpoenaed in a lawsuit, transcripts of electronic messages and other data would likely have to be

provided if relevant to the lawsuit, to law enforcement, government officials or to other third parties.

MWHC will produce such records when legally required without notification to or permission from the

Associate sending or receiving the messages. Consequently, Associates must always ensure that the

business information contained in electronic communication is accurate, professional and lawful.

2. MWHC reserves the right to inspect, review, monitor and disclose electronic communications and to

inspect, review, and disclose Internet sites visited or viewed by any Associate of MWHC when such

communications or web search are done using MWHC property. All computer hardware and software

making up our e-mail/Internet systems and beyond are owned by MWHC.

Facsimile Usage

User will make use of the approved Mary Washington Healthcare Facsimile Cover Sheet when sending any

facsimile message. Refer to the MWHC Forms Database for the Fax Cover Sheet under the Regulatory Affairs

Department.

To minimize the risk of misdirected messages, the user shall be responsible for verifying the facsimile number

of the intended recipient and confirming that the intended recipient has received the facsimile message. This is

imperative when the facsimile message includes personally identifiable health information.

Electronic Mail (E-Mail)

MWHC provides many of its Associates with electronic mail communication tools. The primary purpose of the

MWHC electronic mail system is to expedite necessary business communications between two or more

individuals. As such, the use of electronic mail is for business purposes. The content of e-mail may not contain

anything that would reasonably be considered offensive or disruptive to any Associate. Offensive content would

include, but is not limited to, sexual comments or images, racial slurs, gender specific comments or any

comments that would offend someone on the basis of any legally protected characteristics, such as race, color,

age, sex, sexual orientation, gender identity, religious or political beliefs, national origin, disability or veteran

status. Use of electronic mail is a privilege that may be revoked at any time.

1. E-mail Accounts: All Associates will receive MWHC e-mail accounts. The e-mail account is the

responsibility of the individual to whom it is assigned. Associates are prohibited from allowing other

individuals to send e-mail from their account and may not use another person’s MWHC account to send e-

mail communications. Associates may not disclose their confidential log-on ID or password to anyone under

any circumstances.

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2. Personal Use: As stated previously, the use of MWHC’s e-mail system is primarily for business purposes.

Incidental personal use of the e-mail system is permitted; however, personal use of e-mail should not

interfere with MWHC’s operations, nor should it cause any harm or embarrassment to the organization. Any

personal use of e-mail is expected to be on the Associate’s own time and is not to interfere with the

Associate’s job responsibilities.

3. Netiquette Guidelines: It is the goal of MWHC to promote professional, efficient, courteous, and lawful use

of electronic communications. Therefore, the following e-mail guidelines should be followed by all

Associates:

a. Check e-mail on a regular basis.

b. Regularly delete old e-mail files or archive them.

c. Always use the subject line and make it descriptive.

d. Always spell check e-mail correspondence prior to sending.

e. Use “attachments” sparingly.

f. Do not use e-mail for negative messages.

g. Do not “reply with history” when replying to an e-mail request if the document is lengthy.

h. Do not use a string of capital letters in your correspondence unless absolutely necessary. Using all

CAPS is the equivalent of shouting.

i. Review messages for content, and validate recipients in the “To:” field before sending e-mail to make

sure you are sending information to the appropriate person(s) and saying what you mean.

j. All sensitive information, including electronic protected health information (ePHI) sent in email outside

the organization must be encrypted. Email uses should type the capital word ENCRYPT in the subject

line of the email to ensure the appropriate protection is applied. Ensure, if sending an email of a

confidential nature, that it is sent only to the intended recipient(s) and is appropriately encrypted. See the

Encryption and Decryption policy for additional guidance.

k. Always review e-mail history before forwarding e-mail to make sure you do not forward information

that should not be forwarded.

l. Do not send or forward chain letters, solicitation messages, inappropriate personal pictures or risqué

jokes.

m. Use emoticons, i.e. :-), selectively to convey a tone of voice.

n. Use the “Out-of-Office Agent” if you will be unable to respond to e-mail for several days.

o. Never e-mail anything that you would not want to be public.

p. Do not “respond to all,” if you receive an e-mail as part of a group e-mail, unless you really need

everyone on the e-mail group to see your response.

q. Use of excessive personal correspondence whether internal or external is not permitted.

r. Do not open e-mail that you receive from a source you are not familiar with, or deem the e-mail to be

threatening in nature. Alert the Information Systems Department immediately for direction on what to

do.

5. Instant Messaging:

a. Instant Messaging (IM) remains the property of MWHC and is not private or confidential to the user.

b. Do not rely on IM for emergency contact.

c. Remember that an IM may be read by someone not intended to see the message.

d. Do not spend an excessive amount of time using IM for personal communication.

e. Realize that the receiver may not be able to respond quickly, or may never respond – use

a back-up method of communication as needed.

6. Confidentiality Disclaimer: The following text will be automatically added to every e-mail message sent to

external recipients by MWHC Associates or contractors working on behalf of MWHC:

“This electronic message transmission, including any attachments, contains information from Mary

Washington Healthcare which may be confidential or privileged. The information is intended to be for the

use of the individual or entity named above. If you are not the intended recipient, be aware that any

disclosure, copying, distribution or use of the contents of this information is prohibited. If you have received

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this electronic transmission in error, please notify the sender immediately by a "reply to sender only"

message and destroy all electronic and hard copies of the communication, including attachments.”

Use of Internet

1. Use of the Internet through MWHC is a privilege and carries with it the obligation for responsible and

ethical use. Limited personal use of the Internet is allowed; however, personal use is expected to be on the

Associate’s own time and is not to interfere with job performance. At any time, and without prior notice,

MWHC management reserves the right to examine Internet site history and other data related to web use on

MWHC property, including password protected information by Associates. MWHC Associates are

prohibited from using MWHC property to access Internet sites for any unethical purpose including, but not

limited to, pornography, violence, gambling, racism, harassment, or any illegal activity. All Associates must

abide by all federal and state laws with regard to information sent and received through the Internet. Use of

the Internet is a privilege and may be revoked at any time.

2. Associates may not download software from the Internet onto MWHC property without prior written

approval from the Information Systems Department.

Social Media Site Activities and Postings

When Associates participate in social media whether at home or at work, using MWHC property or not,

MWHC expects Associates to maintain the organization’s reputation and legal standing. Name calling or

behavior that may reflect negatively on MWHC’s reputation is inappropriate. MWHC Associates will be held

personally accountable for any Internet postings that are business related or linked. The following site activities

and postings on non MWHC sites are prohibited:

1. Postings of photographs or video taken on MWHC property or at a MWHC sponsored event must not be

posted unless specifically authorized by MWHC Marketing and Communications.

2. MWHC confidential or proprietary information or confidential or proprietary information of patients,

clients, partners, vendors and suppliers.

3. Disparagement of MWHC, its services, leaders, Associates, Physicians, patients, partners, strategy or

business prospects.

4. Social Media postings that include explicit sexual references or references to illegal drugs; postings that are

defamatory, obscene, harassing, or in violation of any applicable law.

5. MWHC logos and other MWHC intellectual property.

Personal Cellular Telephones, Texting, Recording Devices and Camera Use

1. While at work, Associates are expected to exercise the same discretion in using personal cellular telephones

as is expected for the use of company telephones. Excessive personal telephone calls during the workday,

regardless of the telephone used, interferes with Associate productivity and is distracting to others.

Therefore, all Associates shall limit personal calls during work time. Flexibility will be provided in

emergency situations. Associates shall not use telephones in patient rooms for personal calls. These same

criteria apply to text messaging.

2. MWHC prohibits Associate use of cellular telephone cameras and/or any recording devices while at work.

During Safety and Regulatory Rounds, team members may use cell phones to photograph areas of

noncompliance (i.e., placement of equipment in restricted areas, etc.) Patients and staff may not be

photographed under any circumstances. Refer to Videotaping/Photography of Patient Care policy.

3. MWHC will not be liable for the loss of personal cellular telephones brought into the workplace.

Complaints

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Any Associate who believes that he/she is being harassed, bullied, defamed or disparaged on social media by

another MWHC Associate should report the complaint to his/her direct manager, the department’s Human

Resource Business Partner, the facility’s Human Resource Manager or to the MWHC Director of Associate

Relations.

Policy Violation

1. All policy violations will be reviewed first under the Fair & Just Culture Policy. Only after a thorough

review while utilizing these tools, may leadership move forward with appropriate disciplinary actions as

outlined below or within the Discipline policy.

2. The unauthorized use of copyrighted and other proprietary materials, disparaging or harassing statements, or

activities or statements prohibited by this policy is prohibited by MWHC and will result in appropriate

disciplinary action up to and including termination.

3. Associates are accountable for anything they publish or transmit online and through other forms of

electronic communication.

4 Associates shall be held responsible for the disclosure, whether purposeful or inadvertent, of confidential or

proprietary company information, information that violates the privacy rights or other rights of a third party.

Further, Associates may be held liable for the damages caused by prohibited disclosures.

5. MWHC will review and investigate all potential violations of this policy discovered. Disciplinary action for

violation of this policy may include, but is not limited to, suspension or termination. In cases involving less

serious violations, disciplinary action may consist of an initial warning or written warning. Remedial action

may also include additional counseling and/or other action. Please refer to MWHC’s Discipline for further

guidance.

Approved: 11/10

Reviewed:

Revised: 2/11; 2/12; 9/13; 1/19

Signature(s):

Executive Vice President, Human Resources &

Organizational Development, MWHC

Senior Vice President, Chief Information Officer, MWHC

Sources Referenced

Gartner Files

Society of Human Resource Management (SHRM)

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STANDARDS FOR AN ACCREDITED EDUCATIONAL PROGRAM IN RADIOGRAPHY

EFFECTIVE JANUARY 1, 2014

Adopted by:

The Joint Review Committee on Education

in Radiologic Technology - October 2013

Joint Review Committee on Education in Radiologic Technology

20 N. Wacker Drive, Suite 2850

Chicago, IL 60606-3182

312.704.5300 ● (Fax) 312.704.5304

www.jrcert.org

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.

Copyright © 2014 by the JRCERT

2300 Fall Hill Ave. Suite 260 Fredericksburg, VA 22401

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 accreditation process offers a means of providing assurance to the public that a program meets specific

quality standards. The process helps to maintain program quality and stimulates program improvement through program

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 to help determine if the program

has met the particular objective. Review of additional materials and/or interviews with listed personnel is at

the discretion of the site visit team.

Following each standard, the program must provide a Summary that includes the following:

• Major strengths related to the standard

• Major concerns related to the standard

• The program’s plan for addressing each concern identified

• Describe any progress already achieved in addressing each concern

• Describe any constraints in implementing improvements

The submitted narrative response and/or documentation, together with the results of the on-site evaluation

conducted by the site visit team, will be used by the JRCERT Board of Directors in determining the program’s

compliance with the STANDARDS.

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Standards for an Accredited Educational Program in Radiography

Table of Contents

Standard One: Integrity ...............................................................................................................4

The program demonstrates integrity in the following: representations to communities of

interest and the public, pursuit of fair and equitable academic practices, and

treatment of, and respect for, students, faculty, and staff.

Standard Two: Resources ..........................................................................................................23

The program has sufficient resources to support the quality and effectiveness of the

educational process.

Standard Three: Curriculum and Academic Practices ...........................................................35

The program’s curriculum and academic practices prepare students for professional

practice.

Standard Four: Health and Safety ............................................................................................47

The program’s policies and procedures promote the health, safety, and optimal use of

radiation for students, patients, and the general public.

Standard Five: Assessment ........................................................................................................57

The program develops and implements a system of planning and evaluation of student

learning and program effectiveness outcomes in support of its mission.

Standard Six: Institutional/Programmatic Data......................................................................64

The program complies with JRCERT policies, procedures, and STANDARDS to achieve and

maintain specialized accreditation.

Awarding, Maintaining, and Administering Accreditation .....................................................73

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Standard One

Integrity

Standard One: The program demonstrates integrity in the following:

• Representations to communities of interest and the public,

• Pursuit of fair and equitable academic practices, and

• Treatment of, and respect for, students, faculty, and staff.

Objectives:

In support of Standard One, the program:

1.1 Adheres to high ethical standards in relation to students, faculty, and staff.

1.2 Provides equitable learning opportunities for all students.

1.3 Provides timely, appropriate, and educationally valid clinical experiences for each admitted student.

1.4 Limits required clinical assignments for students to not more than 10 hours per day and the total

didactic and clinical involvement to not more than 40 hours per week.

1.5 Assures the security and confidentiality of student records, instructional materials, and other

appropriate program materials.

1.6 Has a grievance procedure that is readily accessible, fair, and equitably applied.

1.7 Assures that students are made aware of the JRCERT Standards for an Accredited Educational

Program in Radiography and the avenue to pursue allegations of non-compliance with the

STANDARDS.

1.8 Has publications that accurately reflect the program’s policies, procedures, and offerings.

1.9 Makes available to students, faculty, and the general public accurate information about admission

policies, tuition and fees, refund policies, academic calendars, clinical obligations, grading system,

graduation requirements, and the criteria for transfer credit.

1.10 Makes the program’s mission statement, goals, and student learning outcomes readily available to

students, faculty, administrators, and the general public.

1.11 Documents that the program engages the communities of interest for the purpose of continuous

program improvement.

1.12 Has student recruitment and admission practices that are non-discriminatory with respect to any

legally protected status such as race, color, religion, gender, age, disability, national origin, and any

other protected class.

1.13 Has student recruitment and admission practices that are consistent with published policies of the

sponsoring institution and the program.

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1.14 Has program faculty recruitment and employment practices that are non-discriminatory with respect

to any legally protected status such as race, color, religion, gender, age, disability, national origin,

and any other protected class.

1.15 Has procedures for maintaining the integrity of distance education courses.

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Standard Two:

Resources

Standard Two: The program has sufficient resources to support the quality and effectiveness of

the educational process.

Objectives:

In support of Standard Two, the program:

Administrative Structure

2.1 Has an appropriate organizational structure and sufficient administrative support to achieve

the program’s mission.

2.2 Provides an adequate number of faculty to meet all educational, program, administrative,

and accreditation requirements.

2.3 Provides faculty with opportunities for continued professional development.

2.4 Provides clerical support services, as needed, to meet all educational, program, and

administrative requirements.

Learning Resources/Services

2.5 Assures JRCERT recognition of all clinical settings.

2.6 Provides classrooms, laboratories, and administrative and faculty offices to facilitate the

achievement of the program’s mission.

2.7 Reviews and maintains program learning resources to assure the achievement of student

learning.

2.8 Provides access to student services in support of student learning.

Fiscal Support

2.9 Has sufficient ongoing financial resources to support the program’s mission.

2.10 For those institutions and programs for which the JRCERT serves as a gatekeeper for

Title IV financial aid, maintains compliance with United States Department of Education

(USDE) policies and procedures.

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Standard Three

Curriculum and Academic Practices

Standard Three: The program’s curriculum and academic practices prepare students for

professional practice.

Objectives:

In support of Standard Three, the program:

3.1 Has a program mission statement that defines its purpose and scope and is periodically reevaluated.

3.2 Provides a well-structured, competency-based curriculum that prepares students to practice in the

professional discipline.

3.3 Provides learning opportunities in current and developing imaging and/or therapeutic technologies.

3.4 Assures an appropriate relationship between program length and the subject matter taught for the

terminal award offered.

3.5 Measures the length of all didactic and clinical courses in clock hours or credit hours.

3.6 Maintains a master plan of education.

3.7 Provides timely and supportive academic, behavioral, and clinical advisement to students enrolled in

the program.

3.8 Documents that the responsibilities of faculty and clinical staff are delineated and performed.

3.9 Evaluates program faculty and clinical instructor performance and shares evaluation results regularly

to assure instructional responsibilities are performed.

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Standard Four

Health and Safety

Standard Four: The program’s policies and procedures promote the health, safety, and optimal

use of radiation for students, patients, and the general public.

Objectives:

In support of Standard Four, the program:

4.1 Assures the radiation safety of students through the implementation of published policies and

procedures that are in compliance with Nuclear Regulatory Commission regulations and state laws

as applicable.

4.2 Has a published pregnancy policy that is consistent with applicable federal regulations and state

laws, made known to accepted and enrolled female students, and contains the following elements:

• Written notice of voluntary declaration,

• Option for student continuance in the program without modification, and

• Option for written withdrawal of declaration.

4.3 Assures that students employ proper radiation safety practices.

4.4 Assures that medical imaging procedures are performed under the direct supervision of a qualified

radiographer until a student achieves competency.

4.5 Assures that medical imaging procedures are performed under the indirect supervision of a qualified

radiographer after a student achieves competency.

4.6 Assures that students are directly supervised by a qualified radiographer when repeating

unsatisfactory images.

4.7 Assures sponsoring institution’s policies safeguard the health and safety of students.

4.8 Assures that students are oriented to clinical setting policies and procedures in regard to health and

safety.

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Standard Five

Assessment

Standard Five: The program develops and implements a system of planning and evaluation of

student learning and program effectiveness outcomes in support of its mission.

Objectives:

In support of Standard Five, the program:

Student Learning

5.1 Develops an assessment plan that, at a minimum, measures the program’s student learning outcomes

in relation to the following goals: clinical competence, critical thinking, professionalism, and

communication skills.

Program Effectiveness

5.2 Documents 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,

• Program completion rate,

• Graduate satisfaction, and

• Employer satisfaction.

5.3 Makes available to the general public program effectiveness data (credentialing examination pass

rate, job placement rate, and program completion rate) on an annual basis.

Analysis and Actions

5.4 Analyzes and shares student learning outcome data and program effectiveness data to foster

continuous program improvement.

5.5 Periodically evaluates its assessment plan to assure continuous program improvement.

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Standard Six

Institutional/Programmatic Data

Standard Six: The program complies with JRCERT policies, procedures, and STANDARDS to

achieve and maintain specialized accreditation.

Objectives:

In support of Standard Six, the program:

Sponsoring Institution

6.1 Documents the continuing institutional accreditation of the sponsoring institution.

6.2 Documents that the program’s energized laboratories are in compliance with applicable state and/or

federal radiation safety laws.

Personnel

6.3 Documents that all faculty and staff possess academic and professional qualifications appropriate for

their assignments.

Clinical Settings

6.4 Establishes and maintains affiliation agreements with clinical settings.

6.5 Documents that clinical settings are in compliance with applicable state and/or federal radiation

safety laws.

Program Sponsorship, Substantive Changes, and Notification of Program Officials

6.6 Complies with requirements to achieve and maintain JRCERT accreditation.

94 revised 07/18, 5/2019 eml

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) can be initiated only at the written request of the chief executive

officer or an officially designated representative of the sponsoring institution.

This process is initiated by submitting an application and self-study report, prepared according to

JRCERT guidelines, to:

Joint Review Committee on Education in Radiologic Technology

20 North Wacker Drive, Suite 2850

Chicago, IL 60606-3182

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 instructor(s).

d. Paying JRCERT fees within a reasonable period of time.

e. Returning, by the established deadline, a completed Annual Report.

f. 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 being

placed on Administrative Probationary Accreditation and 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

JRCERT accreditation actions for Probation may be reconsidered following the established procedure.

JRCERT accreditation actions for Accreditation Withheld or Accreditation Withdrawn may be

appealed following the established procedure. Procedures for appeal are available at www.jrcert.org.

All other JRCERT accreditation actions are final.

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 © 2014 by the JRCERT

STUDENT HANDBOOK AGREEMENT

Please indicate your agreement with each of the following statements by initialing on the line:

____ I have read and understand the information provided in the clinic/student handbook.

____ I have had an opportunity to ask questions about all material and have had those questions answered.

____ I understand that failure to follow any of these policies may result in disciplinary action up to and

including my dismissal from the Radiography program.

____ I agree that while enrolled in the Radiography program I will treat my studies, labs, and clinical

practicums as an employee would treat job responsibilities, recognizing that my instructor assumes the role

of my supervisor. I will make every effort to learn the technical skills required of a radiographer, and to

develop professional behaviors and attitudes.

Student Signature_________________________________ Date______________________

_______________________________________

Print Name

Photography Release

I give permission to release photographs taken for the purpose of identification of my status as a student

enrolled in the Radiography Program to the affiliated clinical facilities where I will be assigned as well as for

any school events and activities for marketing purposes or school use in instructional materials and photo

albums.

_______________________________________ __________________________

Student Signature Date

_______________________________________

Print Name

Permission to Survey Future Employer

I give permission for you to survey my future employer as part of the radiography program’s assessment

process. I understand that this information will be kept confidential and will be used solely for the purpose

of evaluating the effectiveness of the program meeting its goals.

_______________________________________ __________________________

Student Signature Date

_______________________________________

Print Name