1. Faculty of Health Sciences
Faculty of Health SciencesMRSC5028This unit of study outline MUST be read in conjunction
with the information publishedon the Faculty of Health Sciences Coursework Student
Information site:http://sydney.edu.au/health-sciences/current-
students/coursework/index.shtml. The siteprovides essential information about common
policy and procedures that apply to all units ofstudy offered by the Faculty, and key
processes such as assessment, Special Consideration,and appeals.When considering
applications and appeals relating to these matters, it will be assumed thateach student has
taken the time to familiarise themselves with these key policies andprocedures.2. Unit of
Study InformationWelcome to the unit of study Clinical Studies Radiography 3. This unit of
study is aimed atproviding the student with a structured program of clinical experiences
that will develop theirskills, attributes and knowledge of the Diagnostic Radiography
clinical environment. This unitof study is the third of four units in clinical education in
which students are placed in theclinical environment. The unit will consolidate the
students’ competence in routine diagnosticradiography procedures and allow a
broadening of knowledge and experience in moreMRSC5028 Clinical Studies Radiography 3
Page 2 of 8specialised procedures and modalities. The development of lifelong learning and
professionalskills is encouraged.2.1 Aims and contextThis unit of study is one of the clinical
units that relates directly to your understanding andpractice as a radiographer. The unit is
based on 6 weeks of clinical experience, 5 days perweek. Briefing classes are conducted
prior to the placement to assist students in preparationfor placement. Debrief classes will
be conducted on campus at the conclusion of theplacement to assist in analysing the
group’ s experience, thereby learning from each other byparticipating in large group
discussions.. The UoS aims to develop your practical skills in theworkplace, with an
emphasis on effective communication and teamwork in the workplace withappropriate
behaviour and professionalism.2.2 Prerequisites and assumed knowledgeMRSC5027
Clinical Studies Radiography 22.3 Attendance RequirementsIt is expected that all students
attend the compulsory clinical briefing in this subject in order tocommence clinical
placement. Students should also be attending the clinical debriefing classto consolidate your
clinical experience.3. Learning OutcomesAt the completion of this unit students will be able
to:1. Demonstrate effective verbal, non-verbal and written communication in the
workplaceincluding interactions with staff, other health practitioners, patients and
accompanyingpersons (MRPBA Domain 2.1a, 2.1b)2. Recognise communication barriers
and apply strategies to facilitate effectivecommunication, particularly with individuals from
2. culturally and linguistically diversebackgrounds (MRPBA Domain 2.1e, 2.1f)3. Demonstrate
an ability to work effectively as a member of the interdisciplinary team,including applying
the principles of self-directed learning in the work place (MRPBADomain 2.2a)4.
Demonstrate the ability to confirm the appropriateness of clinical procedures
includingunderstanding clinical indicators and radiation risks, and identifying factors which
mayaffect the patient’ s’ capacity to undergo a procedure (MRPBA Domain 5.4a, 5.5a)5.
Apply a system that ensures the correct identification of patients and correct matchingof
patients with their intended procedure (MRPBA Domain 4.2a)6. Demonstrate the ability to
provide each patient with an appropriate level of care anddignity, including respecting
socio-cultural differences and behaving in a nondiscriminatorymanner (MRPBA Domains
1.2a, 1.2b)7. Assume responsibility, and accept accountability, for professional decisions,
includingrecognising and responding appropriately to unsafe or unprofessional practice
andadhering to departmental policies and guidelines (MRPBA Domain 1.3a, 1.3b)8.
Demonstrate an understanding of when it may be appropriate to advocate on apatients’
behalf during a radiographic procedure, and begin to develop the ability toadvise other
members of the health care team regarding the appropriateness of aradiographic procedure
(MRPBA Domain 1.4b, 1.4c)9. Demonstrate an understanding of the principles of Work
Health and Safety, and applythese principles to the radiographic work place (MRPBA
Domain 4.2c, 4.2d, 4.4g)10. Demonstrate an awareness of procedures for reporting and
rectifying equipmentMRSC5028 Clinical Studies Radiography 3 Page 3 of 8faults and safety
hazards in the radiographic work place (MRPBA Domain 4.3c, 4.4b)11. Demonstrate
knowledge of medical terminology as relevant to the role of aradiographer (MRPBA Domain
5.1b)12. Identify and respond to a patient/client’ s deteriorating condition, or inability to
undergoa procedure or treatment, consistent with duty of care and statutory
requirements(MRPBA Domain 5.6b)13. Demonstrate the ability to use patient information
management systems appropriately(MRPBA Domain 5.3b, 5.3c)14. Apply knowledge of
standard specialised projections, exposure factors, image criteriaand safe radiation practice
for all general radiographic examinations (MRPBA Domain5a.1a, 5a.1c)15. Apply
knowledge of patient preparation, care and aftercare, delivery systems, imagecriteria and
safe radiation practice for fluoroscopic examinations (MRPBA Domain5a.2b, 5a.2c)16.
Apply clinical reasoning and reflective thinking skills to determine diagnosticacceptability
of own work (MRPBA Domain 3.2b, 3.2c, 3.2d)17. Demonstrate an understanding that
patient cases can involve a number ofcomplicating factors, both physical, psychosocial and
cultural, and use thisknowledge to treat patients holistically (MRPBA Domain 5.5a, 5.5b,
5.5c, 5.5d, 5.5e)4. Learning and Teaching Resources4.1 Required Textbook /
ResourcesStudents will be provided with readings and resources on the LMS (Blackboard)
site whichaim to complement your learning in this unit of study.4.2 Learner
PreparationPrior to attending clinical placement, all students must have received a
complete compliancecheck from NSW Health. Students will not be allowed on any clinical
site if they have notreached the minimum vaccination requirements.Compulsory
requirements for undertaking clinical placement include:? A national police check clearance
letter? A complete vaccination record card? CPR certificate? Complete the NSW Health Code
of Conduct module? Have full clinical uniform? Have a current PRM (provided by the
3. University)? Have a complete set of lead markers (students are to purchase these at their
ownexpense)4.3 Learning Management System (LMS)A Learning Management System
(LMS) supports teaching in this unit. Material presented inlectures will be posted after the
lecture on the LMS site, as will announcements and updates.You should go to the site at
least twice a week. You will access online learning activities thatcomplement the seminar
program through the LMS site.MRSC5028 Clinical Studies Radiography 3 Page 4 of 85.
Assessment5.1 Assessment scheduleAssessment Item
Individual/GroupAssessmentConditions Length Weight DueUnit
/AccreditationOutcomesAssessed1. ClinicalSupervisor FinalAssessmentIndividual N/A N/A
50%* Monday 27thJuly 2015LO 1-17MRPBADomains 1.2a,1.2b 1.3a, 1.3b,1.4b, 1.4c,
2.1a,2.1b, 2.1e, 2.1f,2.2a, 3.2b, 3.2c,3.2d, 4.2a, 4.2c,4.2d, 4.3c,4.4b, 4.4g,5a.1a, 5a.1c,5.1b,
5a.2b,5a.2c, 5.3b,5.3c,5.4a, 5.5a,5.5b, 5.5c, 5.5d,5.5e, 5.6b2. Individual
CaseStudyAssignmentIndividualSee furtherinformationbelow2000words 50% Monday
27thJuly 2015LO 4, 6, 11, 17MRPBADomains 1.2a,1.2b, 5.1b, 5.4a,5.5a,5.5b, 5.5c,5.5d, 5.5e3.
CompetencyManual IndividualCompulsory,formativeassessmentonlyN/A 0% Monday
27thJuly 2015LO 1-7, 9, 11-16MRPBADomains 1.2a,1.2b, 1.3a, 1.3b,2.1a, 2.1b, 2.1e,2.1f, 2.2a,
3.2b,3.2c, 3.2d, 4.2a,4.2c, 4.2d,4.4g,5a.1a,5a.1c, 5a.2b,5a.2c, 5.1b,5.3b, 5.3c, 5.4a,5.5a,
5.6bTotal 100%*A pass in this assessment task is required in order to pass the unit of
studyMRSC5028 Clinical Studies Radiography 3 Page 5 of 85.2 Assessment
detailsAssessment Item 1: Clinical Supervisor Final AssessmentTask description This is the
final assessment that makes up 50% of your mark for thisunit of study. It is your
responsibility to ensure that your supervisorcompletes it prior to the end of your placement
block. You mustobtain a pass in the departmental assessment to pass the unitof study.You
will be assessed on your clinical skills at the end of theplacement based on what is expected
for a Year 2 student.However, you will need to consistently demonstrate your clinicalskills
throughout the placement. Remember your attributes will beassessed constantly, in other
words your attitude to learning,eagerness to participate, and willingness to fit in and be a
teamplayer are all important to your final assessment. Clinical practice isabout
demonstrating an applied knowledge (theory to practice) ofDiagnostic Radiography, and to
have the necessary attributes of ahealth care professional.Task length N/ALinks to
unit’ sintended learningoutcomesLO 1-17Assessment criteria The clinical supervisor final
assessment can be found in the ‘ ClinicalStudies 3 Assessment forms and policies 2015’
document availableon the LMS siteDates and times due Hardcopy to be submitted Monday
2nd March 2015 in diagnosticradiography assignment box, Level 2 J blockAssessment Item
2: Individual Case Study AssignmentTask description The individual case study is designed
to allow you to demonstrateyour depth of understanding regarding a complex patient
case.Students are required to write a 2000 word assignment based on thesupplied patient
case below. The case study should be written usingwhole sentences and paragraphs. You
are encouraged to use theheadings supplied in the marking rubric in order to structure
yourwriting.Task length 2000 wordsLinks to unit’ sintended learningoutcomesLO 4, 6, 11,
17Assessment criteria Please refer to the information supplied (including marking
rubric)under ‘ Assessment Item 2: Individual Case Study Assignment’ .Dates and times due
Monday 27th July 2015 by 5pm. Submission via Turnitin assignmentdrop box on LMS
4. site.MRSC5028 Clinical Studies Radiography 3 Page 6 of 8Assessment Item 3: Competency
ManualTask description The competency manual is assessed as a pass/fail component ofthe
overall clinical assessment scheme. The focus is to ensure youare competent to perform a
whole range of examinations that youwill be expected to perform when you qualify. These
records arerequired to be satisfactorily completed before you can graduate.For the purpose
of this assessment, competence may be consideredto be: the ability of the student to
successfully undertake anexamination (to the satisfaction of the supervising radiographer)
atthe standard of a newly qualified member of staffTask length N/ALinks to unit’ sintended
learningoutcomesLO 1-7, 9, 11-16Assessment criteria Please refer to the information
supplied under ‘ Assessment Item 3 – Competency Manual’ Dates and times due Monday
14th December by 5pm. Submission via Blackboard (LMS)site in ‘ Clinical Competency
Submission’ dropboxFurther Information Regarding Assessment Item 2 – Individual Case
StudyAssignment:CasePresenting Signs and Symptoms:25 year old male presents to the
emergency department after high speed MVA (head oncollision). He has been trapped in the
vehicle for 1 hour, with his legs trapped under thedashboard. The vehicle is not equipped
with airbags, and his chest has impacted the steeringwheel. He has an obvious compound
fracture of the mid-shaft of the right femur, withsignificant blood loss, and a suspected flail
chest. On arrival at emergency, he has a GCS of12. Symptoms of hypovolaemic
shock.Imaging Findings:Comminuted fracture of the mid-shaft of the right femur. Flail
segment right side anteriorchest wall. Sub-dural haematoma.Post-Surgical Complications:2
days post op presents with heat, swelling and redness of femoral fracture site. Also
chestpain and extreme shortness of breath. Symptoms suggestive of post-op infection, and
fatpulmonary embolism.Social History:Patient’ s personal beliefs prohibit blood
transfusions. He is slightly overweight, and has apoor diet. He lives alone, and has no family
or friends who are immediately contactable.Sedentary lifestyle.Medical History:Previously
well, but quite unfit. No past history of surgery or drug use. Non-smoker,
socialdrinker.MRSC5028 Clinical Studies Radiography 3 Page 7 of 8INDIVIDUAL CASE
STUDY – MARKING CRITERIAMain issues of case discussed,including the rationale for
whythese issues need to be considered/10What examinations/imagingprotocols would be
required for thegiven clinical history, taking intoaccount the issues from Criteria 1
/10Involvement of other healthprofessionals. Who are they? Whyare they involved? What
are theygoing to do for the patient? /10Prognosis/follow up. Treatment forPE, ORIF#femur,
rehab/physiooutcomes etc. /10Conclusion /4Referencing demonstrates broadreading and
depth of understanding /6TOTAL/50MRSC5028 Clinical Studies Radiography 3 Page 8 of
8Further Information Regarding Assessment Item 3 – Competency Manual:The competency
manual is assessed as a pass/fail component of the overall clinicalassessment scheme. The
focus is to ensure you are competent to perform a whole range ofexaminations that you will
be expected to perform when you qualify. These records arerequired to be satisfactorily
completed before you can graduate.For the purpose of this assessment, competence may be
considered to be: the ability of thestudent to successfully undertake an examination (to the
satisfaction of the supervisingradiographer) at the standard of a newly qualified member of
staff.It is your responsibility to ensure these competency records are correctly completed.
Pleasehave them signed by your clinical supervisor as soon as the examination has
5. beenperformed.To gain a competency you should have, firstly, observed qualified staff
perform the procedure.You should then have assisted qualified staff to perform the
procedure. The next step is toperform the procedure unaided several times under the
observation of an authorised clinicalsupervisor. You may then attempt a competency for
that particular examination, subject to theapproval of your supervisor. This supervisor
should use the supplied competencychecklist to assess your competency. There is a
separate checklist for each categoryin your book. A supervisor can be any radiographer who
is not an NPDP.If you do not achieve the competency at first do not worry, as it is all good
practice. Bemindful of the feedback received and try again. You should continue to perform
andrecord these examinations after the competency has been gained to provide evidenceof
clinical currency.Competency classification:Stage A – the patient is mobile and
cooperativeStage B – the patient is not as mobile but still cooperative and may require
modification oftechnique. Examples may include a chest x-ray carried out on a trolley
patient, an extremity inplaster, or an erect and supine abdomen on a patient who cannot
standStage C – the patient may be uncooperative due to their condition, and requires
modificationof technique, such as decubitus abdomen. This may include victims of major
trauma (patient’ sinjuries preclude co-operation), individuals with a cognitive impairment,
individuals under theinfluence of drugs and/or alcohol and uncooperative children.Further
Information Regarding Mid Clinical Assessment:It is your responsibility to ensure the mid
placement assessment form is completed by yoursupervising radiographer. You should give
the form to the supervisor PRIOR to the end ofweek 3 of placement so they can provide you
with feedback. If you are unclear about theirimpressions of your performance, make sure
you ask questions to help you to clarify what youneed to do to improve. You do not need to
submit this form unless you are marked‘ Unsatisfactory’ in any area, or have specific
concerns about it. If this is the case, contact theuniversity clinical educator immediately so a
plan can be put in place to avoid failure. Clinicalsupervisors may fill out the mid clinical
assessment form as many times as they choose, attheir discretion.