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AL 301, AL 340, AL 380PROGRAM AND CLINICAL MANUALWASHBURN UNIVERSITY OF TOPEKASCHOOL OF APPLIED STUDIESRADIATION THERAPY PROGRAMTOPEKA, KS2022-2023
Monthly Submission ChecklistFALL SEMESTERDue in August: (28 Clinical Hours)Orientation ChecklistClerical Skills ChecklistNursing Skills Checklist & Patient Care Competencies (if completed; not officially due until end ofprogram)Brachytherapy Experience (must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Treatment competencies cannot be attempted until the first week of October.* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in September: (96 Clinical Hours)Professional Development Evaluation (due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)Radiation Therapy Treatment Room Checklist (must be completed prior to completing treatmentdelivery pre-competency checklists)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Nursing Skills Checklist & Patient Care Competencies (if completed; not officially due until end ofprogram)Brachytherapy Experience (must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Treatment competencies cannot be attempted until the first week of October* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in October: (104 Clinical Hours)Professional Development Evaluation (due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)Radiation Therapy Treatment Room Checklist (must be completed prior to completing treatmentdelivery pre-competency checklists)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Completed Treatment Delivery Competencies (7 treatment comps due by end of fall semester)Nursing Skills Checklist & Patient Care Competencies (if completed; not officially due until end ofprogram)Brachytherapy Experience (must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Treatment competencies cannot be attempted until the first week of October* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.
Due in November: (108 Clinical Hours)Professional Development Evaluation (due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery pre-competency checklist)Any Completed Treatment Delivery Competencies (7 treatment comps due by end of fall semester)Nursing Skills Checklist & Patient Care Competencies (if completed; not officially due until end ofprogram)Brachytherapy Experience (must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in December: (Fall Semester-40 Hours, Spring (Winter Intersession.) -40 Hours Total 80 ClinicalHours)Any completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any completed Treatment Delivery Competencies (7 treatment comps due by end of fall semester)Student Self-Evaluation (Due by the last day of the Fall semester).Nursing Skills Checklist & Patient Care Competencies (if completed; not officially due until end ofprogram)Brachytherapy Experience (must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.).4 Continued Treatment Competencies (to be completed over competencies tested in fall semester;completed during winter intersession - due by the end of winter intersession)* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.SPRING SEMESTERDue in January: (Winter Intersession- 72 Hours, Spring- 36 Hours Total 108 Clinical Hours)Professional Development Evaluation (due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)4 Continued Treatment Competencies (to be completed over competencies tested in fall semester;completed during winter intersession - - due by the end of winter intersession)Any Completed Imaging Pre-Competency Checklists (must be completed prior to completing eachimaging competency)Any Completed Imaging Competencies (3 Imaging Competencies due by end of spring semester)Patient Tattoo Checklist (due by end of spring semester)Part 1 Treatment Accessory Competencies for Aquaplast Mask & Thorax/Abd/Pelvis immobilizationdevice (due by end of spring semester)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Completed Treatment Delivery Competencies (all remaining treatment delivery competenciesdue by end of program)
Nursing Skills Checklist & Patient Care Competencies (if completed; not officially due until end ofprogram)Brachytherapy Experience (Must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Simulation competencies cannot be attempted until the Module 1 assignment is submitted in AL340course.* Dosimetry competencies cannot be attempted until the Module 2 assignment is completed and mailedto Clinical Coordinator. Assignment is located in AL340 course.* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in February: (112 Clinical Hours)Professional Development Evaluation (Due by 15th of each month)Student Evaluation of Clinical Experience (Due by 15th of each month)Any Completed Imaging Pre-Competency Checklists (must be completed prior to completing eachimaging competency)Any Completed Imaging Competencies (3 Imaging Competencies due by end of spring semester)Any Completed Simulation Competencies (7 competencies due by end of spring semester)Patient Tattoo Checklist (Due by end of spring semester)Part 1 Treatment Accessory Competencies for Aquaplast Mask & Thorax/Abd/Pelvis immobilizationdevice (due by end of spring semester)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Completed Treatment Delivery Competencies (All remaining treatment delivery competenciesdue by end of program. Completed after the pre-competency checklist has been submitted).Brachytherapy Experience (Must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until summer)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Simulation competencies cannot be attempted until the Module 1 assignment is submitted in AL340course.* Dosimetry competencies cannot be attempted until the Module 2 assignment is completed and mailedto Clinical Coordinator. Assignment is located in AL340 course.* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in March: (112 Clinical Hours)Professional Development Evaluation (due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)Any Completed Imaging Pre-Competency Checklists (must be completed prior to completing eachimaging competency)Any Completed Imaging Competencies (3 Imaging Competencies due by end of spring semester)Any Completed Simulation Competencies (7 competencies due by end of spring semester)Patient Tattoo Checklist (Due by end of spring semester)Part 1 Treatment Accessory Competencies for Aquaplast Mask & Thorax/Abd/Pelvis immobilizationdevice (due by end of spring semester)Part 2 Treatment Accessory Device Checklist and Competencies (submission allowed after springbreak; not officially due until end of program)Any Completed Dosimetry Competencies (6 competencies due by end of the spring semester)
Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Completed Treatment Delivery Competencies (All remaining treatment delivery competenciesdue by end of program)Brachytherapy Experience (Must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until summer)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Dosimetry competencies cannot be attempted until the Module 2 assignment is completed and mailedto Clinical Coordinator. Assignment is located in AL340 course.* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in April: (100 Clinical Hours)Professional Development Evaluation (due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)Any Completed Imaging Pre-Competency Checklists (must be completed prior to completing eachimaging competency)Any Completed Imaging Competencies (3 Imaging Competencies due by end of spring semester)Any Completed Simulation Competencies (7 competencies due by end of spring semester)Patient Tattoo Checklist (Due by end of spring semester)Part 1 Treatment Accessory Competencies for Aquaplast Mask & Thorax/Abd/Pelvis immobilizationdevice (due by end of spring semester)Part 2 Treatment Accessory Device Competencies for Custom Bolus and Electron/Photon Block(may be submitted after spring break; not officially due until end of program)Any Completed Dosimetry Competencies (6 competencies due by end of the spring semester)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Completed Treatment Delivery Competencies (All remaining treatment delivery competenciesdue by end of program)Brachytherapy Experience (Must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Dosimetry competencies cannot be attempted until the Module 2 assignment is completed and mailedto Clinical Coordinator. Assignment is located in AL340 course.* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in May: (0 Clinical Hours)Student Self-Evaluation (Due by the last day of the Spring semester in May)Any Completed Imaging Pre-Competency Checklists (must be completed prior to completing eachimaging competency)Any Completed Imaging Competencies (3 Imaging Competencies due by end of spring semester)Any Completed Simulation Competencies (7 competencies due by end of spring semester)Patient Tattoo Checklist (Due by end of spring semester)Part 1 Treatment Accessory Competencies for Aquaplast Mask & Thorax/Abd/Pelvis immobilizationdevice (due by end of spring semester)Part 2 Treatment Accessory Device Competencies for Custom Bolus and Electron/Photon Block(may be submitted after spring break; not officially due until end of program)Any Completed Dosimetry Competencies (6 competencies due by end of the spring semester)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)
Any Completed Treatment Delivery Competencies (All remaining treatment delivery competenciesdue by end of program)Brachytherapy Experience (Must observe a minimum of 1 procedure before attempting theparticipatory brachytherapy competency; not officially due until end of program)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.SUMMER SEMESTER*All remaining requirements due by the end of the program*Due in May: (64 Clinical Hours)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Remaining Completed Treatment Delivery Competencies4 Continued Treatment Competencies (to be completed over competencies tested in fall or springsemester)5 Quality Control Competencies2 Data Interpretation CompetenciesNursing Skills Checklist & all Patient Care CompetenciesPart 2 Treatment Accessory Device Competencies for Custom Bolus and Electron/Photon BlockBrachytherapy Experience (Must observe a minimum of 1 procedure before attempting the participatorybrachytherapy competency)All participatory competencies (TBI, CSA, Stereotactic)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.Due in June: (144 Clinical Hours)Professional Development Evaluation (Due by 15th of each month)Student Evaluation of Clinical Experience (due by 15th of each month)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Remaining Completed Treatment Delivery Competencies4 Continued Treatment Competencies (to be completed over competencies tested in fall or springsemester)5 Quality Control Competencies2 Data Interpretation CompetenciesNursing Skills Checklist & 4 Patient Care CompetenciesPart 2 Treatment Accessory Device Competencies for Custom Bolus and Electron/Photon BlockBrachytherapy Experience (Must observe a minimum of 1 procedure before attempting the participatorybrachytherapy competency)All participatory competencies (TBI, CSA, Stereotactic)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.)* Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.* Treatment accessory device competencies for photon/electron block and custom bolus can be completedat any time, as long as the required logs are completed prior to the competency.
Due in July: (96 Clinical Hours)Any Completed Treatment Delivery Pre-Competency Checklists (must be completed prior tocompleting each treatment delivery competency)Any Remaining Completed Treatment Delivery Competencies4 Continued Treatment Competencies (to be completed over competencies tested in fall or springsemester)5 Quality Control Competencies2 Data Interpretation CompetenciesNursing Skills Checklist & 4 Patient Care CompetenciesPart 2 Treatment Accessory Device Competencies for Custom Bolus and Electron/Photon BlockBrachytherapy Experience (Must observe a minimum of 1 procedure before attempting the participatorybrachytherapy competency)All participatory competencies (TBI, CSA, Stereotactic)If Applicable, email or mail in any excused absence documentation to the Clinical Coordinator withinseven (7) days of the absence (for example: physician’s note, court document, etc.) *Must besubmitted no later than the last day of the program** Daily Logsheet is to be maintained for stereotactic procedures, motion management strategies, photonblocks (if applicable), electron blocks, custom bolus, and immobilization construction throughout the year.
TABLE OF CONTENTSSection 0 Orientation InformationMRI Student Screening Policy. 2-3Orientation Worksheet . 4Scientific Calculator Expectation . 5Tips to Impress your Clinical Instructor . 6Advice from the Class of 2021 . 7-8Essential Functions Form . 9-10COVID-19 Student Clinical-Related Exposure . 11Affirmation and Acknowledgment of Risk . 12-13Policy Acknowledgment Form . 14-18Section 1 Program InformationProgram Information . 2Requirements for Certificates of Completion . 3ASRT Curriculum Guide Subjects . 4Program Mission Statement, Goals & Outcomes . 5Accreditation . 6Faculty . 7Course Sequence . 7Advisory Committee . 7Reasonable Accommodation . 7ARRT Examination . 8University Catalog . 9Additional Fees . 9Fall Semester Online Meetings . 10Adobe Connect Guide . 11Computer System Requirements . 12Textbook List & Ordering Instructions . 13-14Program Expectations . 15Online Meeting Polices . 16-18Respondus Student Guide . 19-22Plagiarism and Proper Citation Review . 23-26Section 2 Clinical Guidelines & PoliciesClinical Terminology . 3Clinical Education Role & Duties . 4Chain of Command . 5Clinical Education Plan . 6-8Program Schedule . 9Activation of the Treatment Unit . 10Background Check Policy . 10-11Cell Phone Policy . 11
Clinical Attendance Policy (Absences & Personal Time) .11-13Clinical Education Focus . 13Compensation Time Policy .13-14Confidentiality Policy . 14Consensual and Familial Relationship Policy . 14Course Grade Computation . 15Course Grade Deficiency . 15Dress Code Policy .15-16Grievance/Due Process . 16Grievance Policy for Unsatisfactory Clinical Evaluation Policy . 17Grievance Policy for Student Program Status .17-19Health . 19Incident Report Policy . 19Infectious Disease Policy .19-20Liability Insurance . 20MRI Student Screening Guidelines . 21MRI Student Screening Questionnaire . 22Pregnancy Policy .23-41Radiation Protection Guidelines .42-43Sexual Harassment . 44Social Media . 44Student Counseling and Dismissal Policy . 45Student Employment Policy .45-46Student Supervision Policy . 46Substance Abuse Policy .46-52Tardy Policy . 53Trajecsys Guidelines .53-59Section 3 Clinical Rotations, Checklists & Evaluation FormsClinical Objectives . 2Clinical Education Rotations. 3-6Competency Requirements per Semester. 7-8Guidelines and Performance Expectations for all Competency Evaluations . 9Low Workload Guidelines and Activities . 10Anatomy Review . 11Tolerance Doses . 12Treatment
WASHBURN UNIVERSITY OF TOPEKA SCHOOL OF APPLIED STUDIES RADIATION THERAPY PROGRAM TOPEKA, KS 2022-2023 . Monthly Submission Checklist FALL SEMESTER Due in August: (28 Clinical Hours) . Radiation Therapy Treatment Room Checklist (must be completed prior to completing treatment
