Date approved or revised Angelina College Sonography August 2017 DMSO 2266-Practicum

I. BASIC COURSE INFORMATION:

A. Course Description: Practical, general workplace training supported by an individualized learning plan developed by the employer, college, and student. Three-hour credit. 384 clinical hours.

B. Intended Audience: Students enrolled in the Diagnostic Medical Sonography Program. Clinic Hours: Monday, Wednesday, Friday 8:00 am – 4:00pm at the assigned clinical site

C. Instructor: Office Office phone Office email Casey Davis BSRS, RT(R), RDMS, RVT HC II 222D 633-5268 [email protected] Jennifer Marshall RDMS, RVT [email protected]

II. INTENDED STUDENT OUTCOMES: A. Core Objectives – (Basic Intellectual Competencies) 1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information. 2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication. 3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions. 4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal. 5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making. 6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities. B. Course Objectives for all sections – Upon completion of this course, the Sonography student will be able to: 1. Identify the anatomy visualized in all body planes. 2. Identify the anatomic place visualized and the patient position. 3. Describe protocol to complete examinations. 4. Demonstrate an understanding of the various types of ultrasound equipment and how to choose the proper type for a particular examination. 5. Demonstrate a working knowledge of equipment image optimization and transducer selection for each particular examination. 6. Explain variations in technical factors and scanning techniques for varying body habitus and uncooperative patients 7. Explain the working relationship with the ultrasound department and other departments within the hospital. 8. Describe the standard operating procedures of the ultrasound department. 9. Describe the comparison of ultrasound to other image modalities. 10. Identify the orientation of the sonogram, the annotation, instrumentation, and scanning sequence. 11. Verbalize the correct ultrasound terminology as it relates to describing anatomical structures. 12. Complete procedures necessary for producing diagnostic sonographic images. 13. Identify associated pathologies. 14. List possible exam differential diagnosis. 15. Adhere to concepts of team practice that focus on organization theories, roles of team members and conflict resolution. 16. Execute imaging procedures under the appropriate level of supervision. 17. Adapt to changes and varying clinical situations. 18. Support patient-centered clinically effective service for all patients regardless of age, gender, disability, special needs, ethnicity, or culture. 19. Integrate the use of appropriate and effective written, oral, and nonverbal communication with patients, the public, and members of the health care team (peers, physicians, nurses, administration, etc) in the clinical setting. 20. Choose patient and family education strategies appropriate to the comprehension level of patient/family. 21. Evaluate the patient’s status and condition before, during and following the sonogram to demonstrate competence in assessment skills. 22. Report equipment malfunctions to assist with appropriate corrective actions. 23. Support safe, ethical, and legal practices. 24. Integrate the sonographer’s scope of practice into the clinical practice setting. 25. Act consistently to maintain patient confidentiality standards. 26. Break down the chain of command in emergencies, disasters, and accidents. 27. Adhere to national, institutional and/or department standards, policies and procedures regarding care of patients, provision of sonographic procedures and the reduction of medical errors. 28. Describe and maintain a professional demeanor and work ethic within the clinical setting.

WECM: End-of-course Outcomes: As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry; and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES: A. Assessments for the Core Objectives – 1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information. 2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication. 3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions. 4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal. 5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making. 6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities.

B. Assessments for Course Objectives for all sections – SCANS Skills Assessments

Foundation Skills Required Reading Written Assignments Decision making & Problem Solving Mathematical Calculations Demonstrated Competency in Lab

Workplace Competencies Acquires and Evaluates Information Organizes and Maintains Information Applies technology Participates as a Team Member Demonstrated Competency in Clinical

C. Assessments for the Course Objectives as determined by the instructor – Non-applicable

IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections Methodologies utilized in this course include familiarization with examinations, procedures, image evaluation, and equipment which will occur through explanation, observation, demonstration, guided practice, and evaluation.

B. Methodologies determined by the instructor-same as above One or more of the following methods will be employed: 1. Observation 2. Laboratory demonstrations 3. Discussion 4. Demonstration/Performance 5. Individualized instruction (as needed)

Methods of Evaluation: Clinical: Required number of clinical competencies (9), two Work Trait Evaluations, and Weekly Quizzes. Methodologies utilized in this course include familiarization with examinations, procedures, image evaluation and equipment which will occur through explanation, observation, demonstration, guided practice and evaluation. Additional methods designed for remediation or enrichment may be individually tailored as needed. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – Clinical Notebook Pocket Notebook

Clinical Supervision: Students enrolled in this course cannot take the responsibility or place of a qualified staff sonographer in a clinical education setting. Angelina College Sonography Program students are instructed through a competency based clinical education plan.

B. Assignments – 1. Log onto Blackboard and post the Clinical Orientation statement no later than Tuesday, August 29th. 2. Clinical Notebook- A Sonography Program notebook containing the Sonography Program Student Handbook and all semester appropriate forms is to be maintained in the clinical notebook by the student and may be checked at any time by the preceptor or clinical instructor. 3. Pocket Notebook- A program pocket notebook is to be maintained by the student and may be checked at any time by the preceptor or clinical instructor. The pocket notebook should include anything that deviates from the AC sonography exam protocols, notes regarding workflow, supplies, special procedure set-ups, etc. 4. Clinical Objectives- These objectives must be met by the specified due date. If the objectives are not met there will be a 12.5 point deduction for each section that is incomplete. (ACDMSO Form 26) 5. Work Trait Evaluations- will be completed by sonographers who have the student in the clinical setting and/or completed competency exams with the student. The number of student Work Trait forms may vary according to student rotation assignments. The college clinical instructors will also complete an evaluation. The evaluations will be done at semester end. The total number of points reflects the overall professional judgment of the evaluator. 6. Nine (9) Clinical Competencies- After sufficient practice, students will demonstrate competency in performing the selected sonographic examinations: (1) Complete Abdomen (2) Liver/Gallbladder, (2) Renal, (2) Pelvis, (1) Obstetric (2nd or 3rd trimester), (1) Small Part. Evaluation of each competency is achieved through the use of the appropriate form. Competency is achieved when the student attains a passing grade of 85 or above. 7. Student Evaluations: The student will complete a self-evaluation (ACDMSO Form 31), an evaluation of the clinical instructor (learner survey) and an evaluation of the clinical site/preceptor (ACDMSO Form 21). 8. Elective/Mandatory Competencies- May be completed in any semester. Check ACDMSO Form#17 for a list of the elective & mandatory competencies. The student may perform no more than 2 elective competencies this semester. See the ACDMSO Form 17 Record of Clinical Competencies for a list of elective competencies. 9. Daily Grades-(5) Timed quizzes will be posted on Blackboard beginning 9/13/17 and every other Wednesday afterward. The quiz will be open until midnight. Check Blackboard weekly for updates. 10. Student Evaluations: The student will complete a self-evaluation (ACDMSO Form 31), an evaluation of the clinical instructor (learner survey) and an evaluation of the clinical site/preceptor (ACDMSO Form 21) at semester end. Important Dates 8/28 Meet on campus 8:30 a.m. 8/30 First clinical day 9/13 Quiz 1- Liver, Spleen 9/27 Quiz 2- Gallbladder, Pancreas 10/11 Quiz 3- Renal 10/16 First day at new clinical site 10/25 Quiz 4- Pelvis 11/8 Quiz 5- OB 11/20 All Semester competencies should be complete. 11/22 Thanksgiving Holiday 12/4 Last clinical day 12/6 Work Trait Evaluations on campus Bring completed self-evaluations, clinical instructor evaluations, and clinical site evaluations, daily procedure log, attendance sheet, and exam count

C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College Handbook.)

Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Sellestine Hunt, Associate Dean of Student Services, Student Center, Room 200. At a post- secondary institution, you must self-identify as a person with a disability; Ms. Hunt will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101, (936) 633-5292 or by email [email protected].

Attendance – See Sonography Student Handbook 2016-2018 (Attendance Information and Policies). Students considering withdrawing from the program should speak with the Program Coordinator for withdrawal and re-entry information.

Additional Policies Established by the Individual Instructor – It is the policy of the instructor that the student be responsible for knowing and understanding the information contained in the AC and Program Student Handbooks. The student is advised to carefully and thoroughly read the handbooks and to review them periodically. Students having any questions regarding rules, requirements, or policies as stated in the handbook should contact their clinical instructor for clarification.

If the need arises, information in this course syllabus may be altered by the instructor. Students will be given adequate notice of any schedule changes.

Attendance –NOTE:**If you are going to be absent from clinical, you MUST call Mrs. Davis’ cell phone and assigned hospital BEFORE 8:00 a.m. Leave a voice mail**

You may not leave clinic early unless approved by your clinical instructor. If your preceptor dismisses you early it MUST be approved by your clinical instructor. If you leave without verbal approval from your instructor an absence will be recorded.

Cell Phones- The sonography program adheres to a zero tolerance policy strictly prohibiting cell phones at the clinical sites. The student may not bring his/her cell phone into the clinical facility; it must be left in his/her car. NO EXCEPTIONS. Each offense will result in the student being dismissed from clinic for the day with an absence recorded. Each student will read and sign the Health Careers Division policy located in program handbook. VI. COURSE CONTENT: A. Required Content/ Topics – I. Course Syllabus, Program Handbook II. Sonographic Equipment Orientation III. College and Hospital Regulations and Procedures IV. Performs required clinical competencies.

B. Additional Content-none

VII. EVALUATION AND GRADING: A. Grading Criteria I. Competencies: All attempts of a required competency will be averaged together for a final grade for that specific competency. You must achieve an 85 or above to pass each competency. Ex. If you attempted an Abdomen competency and failed with a 75, and on the second attempt you passed with an 87. Then you would pass that competency but the grade recorded would be an 81. The more attempts the lower you recorded grade will become. You must independently perform the exam and meet the required standards without the assistance of the preceptor. II. Work Trait Evaluations: The following grading scale only applies to the work trait evaluations. a. 80-100pts = A b. 70-79pts = B c. 60-69pts = C d. 40-59pts = D e. 20-39pts = F

Competencies (9) 54% Work Trait Eval. (1) 21% Clinical Objectives 15% Quizzes 10% 100%

B. Determination of Grade 92 – 100 = A 70 – 74 = D 83 – 91 = B 0 - 69 = F 75 - 82 = C

VIII.SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made.