Practice Placement (M1)
| Module title | Practice Placement (M1) |
|---|---|
| Module code | RADM104DA |
| Academic year | 2024/5 |
| Credits | 30 |
| Module staff | Ms Demelza Green (Convenor) |
| Duration: Term | 1 | 2 | 3 |
|---|---|---|---|
| Duration: Weeks | Please see note below* | Please see note below* | Please see note below* |
| Number students taking module (anticipated) | 20 |
|---|
Module description
*Please note that Degree Apprenticeship programmes have variable start dates and modules are taught across the full year.
This module provides practical experience of the safe and effective practice of radiography practice. You will develop patient-care skills and learn to identify 'professional' and ‘leadership’ issues and understand how these are inter-related.
The module commences with an attendance block at the University of Exeter with an emphasis on face-to-face learning. The module then runs over a 12 month period with a series of six Masterclasses consisting of live online learning. In the non-block weeks there will be protected ‘off the job’ learning (one day (7.5 hours) per week) supported by e-learning materials provided by the academic team. The full calendar of activities and assessment will be made available via the handbook. Annual leave may be booked in accordance with the requirements laid out in the handbook.
Module aims - intentions of the module
This module will equip you with increasingly complex clinical skills to enable you to undertake medical imaging examinations on patients who have complex needs or require adaptation of techniques. . Through successful completion of this module, you will gain an appreciation and understanding of the needs of patients along with legal, professional and ethical aspects of radiographic practice. You will gain an understanding of the relative roles of all common modalities within the field of medical imaging. You will gain experience of caring for patients, adapting practice to meet diverse patient needs, and you will become equipped with the ability to recognise and support a deteriorating patient, including performing basic life support.
Intended Learning Outcomes (ILOs)
ILO: Module-specific skills
On successfully completing the module you will be able to...
- 1. Practice safely and effectively within the scope of this placement, demonstrating proficiency in equipment handling, infection control, basic radiographic positioning, patient immobilisation, manual handling, optimal exposure selection and image acquisition across all patient age groups
- 2. Care for and communicate with patients appropriately, demonstrating a duty of care and awareness of legal and ethical professional boundaries including confidentiality.
- 3. Explain and implement radiation protection (or other safety) measures (including consent, patient identification, interpreting referral information, and ensuring appropriate use of medical imaging) as appropriate to the area of practice
- 4. Evaluate medical images encountered within the scope of this placement using a recognised methodology, identifying normal, developmental and anatomical variant anatomy, assessing image quality and taking corrective action.
- 5. Demonstrate the ability to assess, monitor and care for patients, before during and after medical imaging procedures, and be able to recognise the deteriorating patient and have the skills and knowledge to undertake basic life support.
ILO: Discipline-specific skills
On successfully completing the module you will be able to...
- 6. Demonstrate ability to further develop skills and knowledge by reflecting on clinical experience and identifying strengths and areas for further learning.
- 7. Maintain accurate records, meeting professional requirements, as well as an individual learning journal.
- 8. Contribute positively to the placement department, working in partnership with service users, work effectively with other professions and professionals, support staff and others, ensure effective management of caseload and resources.
ILO: Personal and key skills
On successfully completing the module you will be able to...
- 9. Practice within limits of own scope of practice seeking advice as appropriate, accepting responsibility for decisions made and demonstrate awareness of own physical and mental wellbeing.
- 10. Solve problems using knowledge, experience and personal initiative.
Syllabus plan
Whilst the module’s precise content may vary from year to year, an example of an overall structure is as follows. The amount of time is not prescribed and is at the discretion of the employing department but must be such that the learning outcomes / proficiencies are achievable.
It is expected that apprentices will undertake basic life support, manual handling, fire safety and other annual Trust requirements as part of their employment contract, and as such these requirements are not, therefore, stipulated here. As a condition of employment, apprentices must abide by their employers’ policies and procedures and as such this is not stipulated within the syllabus.
SAFE AND EFFECTIVE PRACTICE
Proficiency in positioning, and patient immobilisation for x-ray imaging including modification of technique to meet patient needs and supplementary projections for the following areas of practice:
- General and Emergency Department / Minor Injuries,
- Fluoroscopy,
- Mobiles (Portables) and Theatre,
- Dental radiography,
- Paediatrics,
- Computed Tomography (CT)
- Magnetic Resonance Imaging (MRI)
- Out of hours services.
Observe and assist with imaging in the following areas:
- Interventional,
- Ultrasound (US),
- Radionuclide Imaging (RNI) (including PET-CT where possible).
Demonstrate ability in optimal exposure selection and imaging acquisition in medical imaging examinations
Operate equipment accurately, working safely, manage hazards and risks in accordance with health and safety legislation.
Safe and effective manual handling.
Understand the principles underpinning infection control and management of waste and spills.
Infection control principles in practice, including use of personal protective equipment.
Differences between aseptic technique and the sterile environment (some fluoroscopy settings and within interventional radiography and theatre).
Applicable health and safety legislation, and relevant safety policies and procedures including incident reporting.
Safety considerations associated with MRI and US.
COMMUNICATION AND SAFEGUARDING
Patient identification, provision of accurate information
Informed consent in range of settings encountered within this placement setting
Care for, and communicate with, patients appropriately, including paediatrics, respecting and upholding their rights, dignity, values and autonomy, exercising a professional duty of care.
Care for, and communicate with, patients appropriately, including paediatrics, encouraging their active participation in their care.
Care for, and communicate with and support patients appropriately, including in situations of personal incompatibility,
Care for, and communicate with, patients appropriately, adapting means of communication to meet needs taking into account factors such as age, capacity, learning and physical ability.
Care for, and communicate with, patients appropriately, taking into account factors such as age, culture, ethnicity, gender, socio-economic status and spiritual / religious beliefs.
Care for, and communicate with, patients appropriately including use of interpreters as appropriate.
Applicable ethical issues, including confidentiality, limits of confidentiality and the need to act in the best interests of service users at all times.
Situations when information needs to be shared to safeguard individuals or the wider public.
Practice in a non-discriminatory manner
Emotional intelligence, empathy, compassion and emotional resilience
RADIATION PROTECTION
Referral and other information from other healthcare professionals to ensure appropriate and optimal use of medical imaging.
- Radiation protection measures, showing awareness of current legislation and local application in the following environments:
- General X-Ray Rooms,
- Fluoroscopy and Interventional Rooms,
- Theatre,
- Dental,
- CT,
- Paediatrics,
- Wards.
Local justification criteria, clinical priorities based on urgency of clinical conditions
Risk benefit approach to ensure individual patient exposure is appropriate, both to protect individual patients and the population gene pool.
Radiation protection issues associated with unsealed sources of ionising radiation (RNI).
IMAGE EVALUATION
Use processing and other software for imaging viewing.
Recognise and describe normal, developmental and anatomical-variant radiographic anatomy and common pathology demonstrated on the range of images encountered within the scope of this placement.
Assess and evaluate images and identify images of poor diagnostic quality and take corrective action.
Assess and evaluate images and identify the need for further projections.
Image assessment (technical) and evaluation including escalation of unexpected findings
PATIENT CARE
Gain experience in the ward setting of basic patient monitoring (blood pressure, pulse oximetry, temperature, pulse, respiratory rate), and how to record findings, and how and when to escalate.
Gain experience in the ward setting of general patient comfort (bed positioning, management of catheters, drips, drains, minimising risk of pressure sores, nutrition and hydration).
Recognise a deteriorating patient and have the skills and knowledge to undertake basic life support.
Assess, monitor and care for the service user before, during and after medical imaging procedures, including removal and reapplication of supports and dressings.
CONTINUING PROFESSIONAL DEVELOPMENT
Reflection on clinical experience and identifying personal strengths and areas for further learning.
DOCUMENTATION
Information governance and related legislation as it relates to healthcare in practice.
Maintain accurate and up-to-date records, in accordance with applicable legislation, protocols and guidelines including exposure factors and dose.
Placement experience documentation.
Administration of appointments, cancellations and ‘DNA’ processes, and information given to patients.
Administration of PACS management including problem solving.
PROFESSIONALISM
Relevance and application of general radiography in order to advise other healthcare professionals in relation to the patient's needs.
Partnership with service users, and effective working with other professions and professionals, support staff and others.
Professional relationships, both as an independent practitioner and as part of a team.
Effective practice
Interprofessional team working in different environments including the ward setting, theatres, and within the radiology department.
Personal professional behaviour (honesty, integrity, respect, character as per HCPC Code of Conduct)
SCOPE OF PRACTICE
Limits of own practice - seek advice as appropriate.
Fitness to practice (physical, mental), seeking advice and guidance, actions to be taken in case of change of circumstance
PROBLEM SOLVING SKILLS.
Resolve problems including complex and unpredictable situations, by using knowledge, experience and personal initiative.
Justification decisions taken in relation whether to initiate, continue, modify or cease medical imaging examinations.
Professional responsibility in decision making.
Learning activities and teaching methods (given in hours of study time)
| Scheduled Learning and Teaching Activities | Guided independent study | Placement / study abroad |
|---|---|---|
| 13 | 74 | 696 |
Details of learning activities and teaching methods
| Category | Hours of study time | Description |
|---|---|---|
| Scheduled learning and teaching activities | 3 | 3 x 1 hour lectures |
| Scheduled learning and teaching activities | 10 | 10 x 1 hour e-tutorials |
| Placement | 696 (indicative) | Indicative: 2 x 7.5 days per week (minus leave, study blocks, assessment windows) as per placement guidance and contract with employer |
| Guided independent study | 74 | Directed reading, private study and revision |
| This module is delivered as part of an integrated degree apprenticeship programme. The total required study hours for the programme have been designed in accordance with the ESFA regulations. |
Formative assessment
| Form of assessment | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|
| Written assignment - skeleton plan | A4 draft plan | 2, 3, 6, 8 | Written |
| Portfolio feedback on practice | N/A | 1-10 | Written |
| Discussions with Mentor | N/A | 1-10 | Verbal |
Summative assessment (% of credit)
| Coursework | Written exams | Practical exams |
|---|---|---|
| 50 | 0 | 50 |
Details of summative assessment
| Form of assessment | % of credit | Size of the assessment (eg length / duration) | ILOs assessed | Feedback method |
|---|---|---|---|---|
| Written assignment | 50 | 2500 words | 2, 3, 6, 8 | Written |
| Structured Objective Assessment of Practice (SOAP) ambulatory patient | 25 | 3.5 hour clinical session | 1-10 | Written |
| Structured Objective Assessment of Practice (SOAP) - modified examination | 25 | 3.5 hour clinical session | 1-10 | Written |
| 0 | ||||
| 0 | ||||
| 0 |
Details of re-assessment (where required by referral or deferral)
| Original form of assessment | Form of re-assessment | ILOs re-assessed | Timescale for re-assessment |
|---|---|---|---|
| Written assignment, 2500 words | Written assignment | 2, 3, 6, 8 | During the published assessment period (see ELE) |
| Structured Objective Assessment of Practice (SOAP) ambulatory patient(25%), 3.5 hour clinical session | Structured Objective Assessment of Practice (SOAP) ambulatory patient | 1-10 | During the published assessment period (see ELE) |
| Structured Objective Assessment of Practice (SOAP) - modified examination (25%), 3.5 hour clinical session | Structured Objective Assessment of Practice (SOAP) modified examination | 1-10 | During the published assessment period (see ELE) |
Re-assessment notes
All assessment components must be passed at 50% or above.
Structured Objective Assessments of Practice (SOAPs) must be taken and passed within the placement period for the module; any required assessment not taken within this time is deemed to have been failed. An apprentice who has failed a SOAP component may be reassessed once within the placement period. A second-attempt component mark is capped at 50%. If a second attempt is also failed, a final assessment attempt is permitted during the clinical recovery period, in such cases both the reassessment component mark and the module mark will be capped at 50%.
Reassessment of coursework should be resubmission of the original work with revisions made to bring it up to passing standard. The referred assessment will be capped at the pass mark. The module mark will not be capped.
If any component is not passed at the final referral attempt, the module is capped at 49%.
This programme runs to a non-standard timetable; assessment weeks and Assessment, Progression & Awarding Committees (APACs) for both initial and deferred assessments are held as per the programme’s published timetable.
Indicative learning resources - Basic reading
Whitley AS, Jefferson G, Holmes K, Hoadley G, Sloane C, Anderson C. (2015) Clark's Positioning in Radiography (13th edition). CRC Press, London. ISBN 9781444122350
Raby N. (2014), Accident and Emergency Radiology - A Survival Guide (3rd edition), Saunders Ltd, ISBN 9780702042324
ELE – College to provide hyperlink to appropriate pages
Indicative learning resources - Web based and electronic resources
- UK Statutory Instruments (2017), Ionising Radiation Regulations 2017, The Stationary Office, Available from https://www.legislation.gov.uk/uksi/2017/1075/contents/made,
- UK Statutory Instruments (2017), The Ionising Radiation (Medical Exposure) Regulations 2017, The Stationery Office, Available from http://www.legislation.gov.uk/uksi/2017/1322/made,
- UK Statutory Instruments (2018), The Ionising Radiation (Medical Exposure) (Amendment) Regulations 2018, The Stationary Office, Available from http://www.legislation.gov.uk/uksi/2018/121/contents/made,
- The Health & Safety Executive (2018), Work with Ionising Radiation. Ionising Radiations Regulations 2017: Approved Code of Practice and Guidance, HSE Books, ISBN 9780717666621,
- Standards of conduct performance and ethics https://www.hcpc-uk.org
- Code of Professional Conduct, College of Radiographers (2013), Society and College of Radiographers, https://www.sor.org/
- Principles for continuing professional development and lifelong learning in health and social care, Society and College of Radiographers, https://www.sor.org/
- The Scope of Practice 2013, Society and College of Radiographers, https://www.sor.org/�¢ï¿½�¯
- Obtaining consent: a clinical guideline for the diagnostic imaging and radiotherapy workforce,�¢ï¿½�¯ Society and College of Radiographers, https://www.sor.org/
- Guidance on mental capacity decisions in diagnostic imaging and radiotherapy, Society and College of Radiographers https://www.sor.org/
Indicative learning resources - Other resources
- Radiographic Imaging Concepts and Principles, Carlton R.R. and Adler A.M. (2013), (5th edition), Delmar, ISBNA 9-781-11131-081-3 (UL:On Order ) electronic version also available
- Clark's Positioning in Radiography, Clark K.C. (2016), (12th edition), Hodder Arnold, e version
- Textbook of Radiographic Positioning and Related Anatomy, Bontrager K.L. (2009), (7th edition), Mosby, ISBNA 0-323-05410-2 (UL:616.0757 BON/X)
- Bones and Joints: A Guide for Students, Gunn C. (2017), Churchill Livingstone, ISBNA 0-443-10276-7 (UL: 611.71 GUN) electronic version also available
- Patient Care in Radiography, Ehrlich R.A. and Daly J.A. (2009), (7th edition), Mosby, ISBNA 0-323-05178-2 (UL:616.07572 EHR) electronic version also available
- Becoming a Reflective Practitioner, Johns C. (2017), Blackwell, ISBNA 1-4051-1833-4 (UL:WY 24 JOH )
| Credit value | 30 |
|---|---|
| Module ECTS | 15 |
| Module pre-requisites | None |
| Module co-requisites | RADM101DA, RADM102DA, RADM103DA |
| NQF level (module) | 7 |
| Available as distance learning? | No |
| Origin date | 06/06/2019 |
| Last revision date | 12/07/2023 |
