Signature Day 4: Signature This form must be completed with a comment and signed by a qualified member of staff that you have worked with each day. If there is no feedback you cannot complete your Clinical Assessment Scheme. If any days are incomplete please note the reason why e.g. off sick. Weekly Comments from Supervisors Week Commencing: ………………………… Radiographer name: Date: Please specify areas of practice where the student demonstrates particular strengths Please specify areas that would benefit from further development
These notes are for guidance only and any concerns should be clearly documented in the comments section if any section is marked as unsatisfactory. For a summative assessment, any unsatisfactory outcomes will result in a further formal review of the students overall clinical performance.The outcome of this review may result in failure of the clinical assessment. PREPARATION Guidance Correctly evaluated and interpreted the clinical information on imaging requests Demonstrated an understanding of the process for justification Proficiently and safely prepared the equipment and self This includes room, equipment, exposure factors, accessories, receptor Correctly checked patient identification * According to department protocols Introduced self and explained procedure and appropriately prepared the patient Including declaration that “I am a student under supervision……” Checked pregnancy status with patient as appropriate * According to department protocols Demonstrated an understanding of departmental protocols Student is able to defend rationale if questioned. Recognised potential hazards and taken appropriate action e.g. manual handling, infection control. This include ANY potential hazards; COSHH; RIDDOR; conflict management; incident and accident reporting; Health and Safety at work act; etc. where applicable RADIOGRAPHIC PROCEDURES Guidance Applied departmental radiographic examination protocols Effectively communicated with the patient and addressed their physical and emotional needs Correctly positioned the patient and equipment for radiographic examinations Correctly selected exposure factors and recorded doses Applied radiation protection measures for each examination According to department protocols Used equipment and accessories safely and proficiently Considered the safety of patients and colleagues Correctly applied identification to and processed the image MANAGEMENT POST EXAMINATION Guidance Technically evaluated the images according to set criteria 12 point checklist Correctly identified radiographic anatomy Effectively managed the patients images /data/records Effectively managed the patient post examination Patient is referred with correct instructions, eg transport arranged Effectively managed the equipment post examination
If an objective is not measurable please mark as N/A The student has: PREPARATION Yes No Correctly evaluated and interpreted the clinical information on imaging requests & applied the process for justification Proficiently and safely prepared the equipment and self Correctly checked patient identification * Introduced self and explained the procedure and appropriately prepared the patient & carer Checked pregnancy status with patient as appropriate and applied rule * Applied departmental & hospital protocols Recognised potential hazards and taken appropriate action e.g. manual handling, infection control. RADIOGRAPHIC PROCEDURES Yes No Applied departmental radiographic examination protocols Effectively communicated with the patient and carer and addressed their physical and emotional needs Effectively communicated with the health care team Correctly positioned the patient and equipment for radiographic examinations and adapted technique when necessary Correctly selected exposure factors and recorded doses (patient & carer) Applied radiation protection measures for each examination Used equipment and accessories safely & effectively * * Considered the safety of patients, carers and colleagues Correctly applied identification to and processed the image* * MANAGEMENT POST EXAMINATION Yes No Critically evaluated radiographs according to set criteria & take appropriate action Correctly identified radiographic anatomy & abnormalities Effectively managed the patients images /data/records Effectively managed the patient post examination Effectively managed the equipment and accessories post examination PROFESSIONALISM Yes No Acted in a professional manner in accordance with ethical, professional codes of conduct & legislation Effectively interacted with radiographic & health care colleagues Recognised their own limitations, sought & acted upon advice when necessary Demonstrated initiative during examinations and in supporting the radiographer
Maintaining confidentiality Maintained confidentiality throughout this placement Failed to maintain confidentiality during this placement Constructive response to feedback Responded to feedback in an appropriate manner Consistently failed to respond to feedback appropriately on more than one occasion Honesty & integrity No evidence of dishonesty and has acted with integrity throughout this placement. Responded to any incidents with due candour. Evidence of dishonesty and not acted with integrity. Not used due candour in reporting an incident. Respects the views of individuals, adhering to equality and diversity procedures Respects the views of individuals and has adhered to equality and diversity procedures and expectations Has not respected the views of individuals or has not adhered to equality and diversity procedures or expectations Refraining from social media unless authorised by relevant placement personnel Has not breached or University policies surrounding social media use and policies. There has been a breach of trust or University policies surrounding the use social media. Communication Consistently uses appropriate language and communication skills as required for their developmental level on the programme. Works effectively within professional boundaries Consistently unable to communicate with staff to effectively work as part of the team. Uses inappropriate language and displays a disregard for professional boundaries. Shows that they are unable to communicate with patients. Team working Understands the roles within the clinical environment and embraces a team ethic towards patient care. The student does not understand the various roles within the clinical environment and shows no concept of what it is to be a professional within the MDT team Commitment & Motivation Motivated towards learning and working within the various within the clinical environment. Not just the roles they prefer, but all aspects of clinical practice. Students should display a commitment to develop and learn The student has not studied materials to support learning or tried to develop skills to achieve a pass. They refuse to do roles within their scope of practice due to personal preference. There is no commitment to learning being displayed. Application of theory to practice Has an understanding of their actions and is able to discuss their activities within the clinical environment in relation to their clinical Cannot articulate reasoning for actions, nor discuss why actions occur at a particular time in relation to the working environment.