Jennie Edmundson Hospital

School of Radiologic Technology

Catalog

REVISED JANUARY 2009

Table of Contents

Jennie Edmundson Hospital HOSPITAL ACCREDITATION HISTORY Radiologic Technology A CAREER IN RADIOGRAPHY ADMINISTRATION AND FACULTY PROGRAM ACCREDITATION MISSION STATEMENT PROGRAM GOALS SCHOOL OBJECTIVES/OUTCOMES Admission Information ADMISSIONS EDUCATIONAL REQUIREMENTS COLLEGE PREREQUISITES ESSENTIAL ABILITIES FOR RADIOGRAPHERS PERSONAL ATTRIBUTES APPLICATION PROCEDURE TRANSFER STUDENTS ADVANCE PLACEMENT EXTENSION TIME CRIMINAL CONVICTIONS General Information and Policies PROGRAM LENGTH ETHICS

DRESS CODE CONDUCT SCHOLASTIC DISHONESTY PROBATION CAMPUS SAFETY ATTENDANCE LEAVE OF ABSENCE ALCOHOL, TOBACCO, CONTROLLED SUBSTANCE ABUSE ADVISORY COMMITTEE PROMOTION GRADUATION PROGRAM COMPLETION JOB PLACEMENT

Student Health and Services STUDENT HEALTH STUDENT HEALTH PROGRAM

IMMUNIZATION POLICY INFECTION CONTROL STUDENT PREGNANCY POLICY COUNSELING FOOD SERVICE HOUSING LIBRARY AND COMPUTER SERVICES

Financial Information TUITION AND FEES FINANCIAL AID Curriculum FIRST-YEAR CURRICULUM SECOND-YEAR CURRICULUM Course Descriptions Clinical Education Educational Facilities Clinical Settings Handbook Information Academic Calendar Information

Jennie Edmundson Hospital

HOSPITAL ACCREDITATION Jennie Edmundson Hospital (JEH) was founded in the 1880's by the Women's Christian Association of Council Bluffs (WCA). JEH is a corporate affiliate of Nebraska Methodist Health System. This affiliation has allowed JEH to work with other providers in Iowa and Nebraska to enhance regional access to specialized health care services. The hospital is accredited by The Joint Commission and is an institutional member of the Iowa Hospital Association and the American Hospital Association. The hospital is licensed by the Iowa State Department of Health. HISTORY Jennie Edmundson Hospital had its beginning in 1886 in a small house known as "Cottage Hospital" founded by the WCA, a group of civic-minded women. By 1887 the hospital had outgrown the cottage and relocated to a larger facility. This was the first of many expansions designed to meet the growing health care needs of Southwest Iowa. The central figure in the continued growth and development of the hospital was James D. Edmundson an attorney, teacher, and real estate broker. In 1907 a new hospital was built on the present site and named the Jennie Edmundson memorial Hospital in memory of Edmundson's wife. To keep pace with the growing health needs of Southwest Iowa, the hospital has expanded many times. Services have been added and changed as medical technology and methods of care have advanced. Although the years have brought change, the goals have remained the same as in 1886: to provide competent compassionate medical care. With foresight and dedication, JEH will continue to offer that care for generations to come. JEH MISSION STATEMENT To improve the quality of life by caring for the body and the mind. VISION STATEMENT We will be the health care resource of choice for the communities we serve. SCHOOL OF RADIOLOGIC TECHNOLOGY The JEH School of Radiologic Technology was founded in 1945. Six students are accepted annually and classes begin each August. The 2 year program is accredited by the Joint Review Committee on Education in Radiologic Technology. The JEH program is a competency based radiography program with academic and clinical components taught on the JEH campus. A rigorous curriculum insures students acquire the knowledge and skills to become proficient radiographers. During clinical rotations students experience cutting-edge radiologic technology. Clinical rotations include participation in digital and computed radiography, interventional procedures, CT, ultrasonography, and MRI as well as diagnostic and surgical imaging.

The small class size allows students to receive individual attention in the classroom and hands-on experience in the clinical setting. Graduates of the JEH certificate program are eligible to apply for admission to the certification examination administered by the American Registry of Radiologic Technologists (ARRT).

Radiologic Technology

A CAREER IN RADIOGRAPHY Radiography is the art and science of using radiation to produce images of the tissues, organs, bones, and vessels of the body. These images may be recorded on film or may be displayed on a computer monitor. Dynamic images can demonstrate motion of internal organs. Radiologic technologists or radiographers are health care professionals who operate imaging equipment used for diagnosis. Using radiographic or fluoroscopic x-ray machines, computed tomographic (CT) scanners, magnetic resonance imagers and other types of equipment they provide images which the radiologist can interpret. The radiographer uses this equipment to perform routine procedures of bones and lungs as well as special procedures to image internal organ systems. At times the radiographer performs procedures in surgery or in the intensive care unit using mobile equipment. The radiographer is a specialist in the manipulation of x-ray equipment, positioning of patients, use of radiation protection devices, and selection of technical factors needed to produce optimum quality images. Administrative tasks, image evaluation, patient care procedures, and response to emergencies may all be part of the radiographer's duties. Specialty areas of radiography include mammography, cardiovascular-interventional technology, computed tomography, magnetic resonance imaging, nuclear medicine, and ultrasonography. Most radiographers are employed in hospitals, physicians' offices, or clinics. Their jobs may include evening, weekend, holiday or on-call hours. The salary range and employment opportunities vary according to geographic location and specialization.

JEH School of Radiography ADMINISTRATION AND FACULTY John Nelson, CPCU, Chairperson, JEH Board of Directors Steven P. Baumert, PT, MPA, JEH President and CEO Evan Ray, MBA, MSHA, JEH Vice President Administration James Smith, MD, Medical Director of Radiology Kathleen Rollins, MHA, RT (R) (M), ARRT, Program Director Kristin Schnitker, BA, RT(R), ARRT, Clinical Coordinator PROGRAM ACCREDITATION The JEH Radiography Program is accredited by the Joint Review Committee on Education in Radiologic Technology (JRCERT), 20 North Wacker Drive, Suite 2850, Chicago, IL 60606-3182, (312) 704-5300, email: mail@jrcert.org, web site: www.jrcert.org. Graduates are eligible to apply for admission to the certification examination administered by the American Registry of Radiologic Technologists (ARRT). MISSION STATEMENT The JEH School of Radiologic Technology's mission is: To offer a program in radiologic technology which will educate individuals to become competent, compassionate, entry-level radiographers and members of the health care team. 5/07 PROGRAM GOALS In support of the mission statement, the goals of the Jennie Edmundson Hospital School of Radiologic Technology are: Student Learning Goals 1. The student will become a competent Radiographer. 2. The student will develop problem solving and critical thinking skills 3. The student will practice effective communication skills. 4. The student will demonstrate professional growth and development. Program Effectiveness Goals 5. JEH will provide an effective Radiography Program. 7/08

SCHOOL OUTCOMES The curriculum is designed to insure the student will acquire the knowledge, skills, and attitudes necessary to become a proficient radiographer. The mission statement and program goals provide a foundation for student success. To assist the student in meeting the goals of the program, outcomes have been developed. A variety of tools are used to measure the outcomes throughout the curriculum. This is evaluated using the program’s Assessment Plan. Student-learning outcomes include but are not limited to: 1. Perform diagnostic imaging procedures 2. Operate imaging equipment 3. Evaluate images for quality 4. Practice radiation protection 5. Provide appropriate patient care 6. Revise procedures/positioning based on the patient’s condition 7. Modify exposure factors as the situation warrants 8. Perform non-routine (trauma) radiography 9. Communicate instructions to patients 10. Communicate with healthcare professionals using medical terminology 11. Apply Professional ethical principles 12. Prepare for professional growth through life-long learning Program effectiveness outcomes include but are not limited to: 1. Retain enrolled students in the program 2. Graduates will learn course (ASRT curriculum) material 3. Graduates will be employed as radiographers 4. Enrolled students express satisfaction with the educational program 5. Alumni express satisfaction with their education 6. Employers indicate satisfaction with JEH graduates 7/08, 8/07, 4/03, 4/98 Adopted 1995

Admission Information

ADMISSIONS The JEH School of Radiography does not discriminate on the basis of race, sex, creed, handicap, color, national origin, age, or marital status in the recruitment and admission of students or employment of faculty as specified by federal laws and regulations. EDUCATION REQUIREMENTS The school requires all applicants to have earned a high school diploma or the equivalent. Consideration will be given to the applicant’s class rank, ACT scores, and grade point average (GPA). Students in the upper one-third of the class, with an ACT composite above 19, and a GPA above 2.9 on a 4-point scale, (GED above 254) are preferred. COLLEGE PREREQUISITES In order to meet accreditation requirements, fifteen (15) credit hours of college “General Education” course work are required prior to admission. A minimum of 3 credit hours each must be in mathematics and communication. The remaining credits may be from other categories. Required post-secondary general education must be gained through college credit bearing course work which meets the stated objectives. Mathematical/logical reasoning (3 hours minimum)

The student should develop skills in analysis, quantification, synthesis and problem solving.

Suggested courses: intro to algebra, intermediate algebra, college algebra, trigonometry, precalculus or calculus, statistics Communication (3 hours minimum)

The student should develop the ability to read, write, listen critically; gather, organize, and present information; evaluate and synthesize material.

Suggested courses: English composition I and II, public speaking, technical writing, interpersonal communications, critical thinking in writing Natural Sciences

The student should understand scientific method, make informed judgments, learn scientific vocabulary.

Suggested courses: physical science, medical terminology, CPR/first aid, physics I and II (with lab), biology I and II (with lab), human biology, human anatomy and physiology (with lab), microbiology, chemistry I and II (with lab), organic chemistry

Information Systems The student should be able to use computer technology to retrieve, evaluate, and apply information.

Suggested courses: intro to information technology, computer applications, word processing, spreadsheet, database

Social/behavioral Sciences The student should adapt to meet cultural/psychological needs of people, understand behaviors, develop leadership skills, and exercise responsible behavior.

Suggested courses: psychology, sociology, human growth and development Arts and Humanities

The student should gain knowledge of and respect for diverse populations, examine attitudes and values, act ethically. Suggested courses: foreign language, sign language, leadership development, ethics

Courses which will be accepted as prerequisites include, but are not limited to, the suggested courses listed above. The minimum grade accepted for college courses will be > 2.0 or C. Preference will be given to those students who have excelled (received A’s and/or B’s) in English composition, physics, computer sciences, chemistry, biology, geometry, algebra, or other science and math courses at both the high school and college level. To be considered for admission into the JEH radiography program, a personal interview is required. Communication skills, attitude, interest in the field, preparation for this career and involvement in extracurricular or community activities are assessed during the interview. Applicants who have completed a minimum of 6 credit hrs. of college course work will be granted an interview. Applicants must show proof of college enrollment (if they are still working to complete the required 15 credit hrs.) prior to Feb. 20th. Accepted candidates must show attainment of 15 hrs. of college credit by June 15th of the year they wish to enroll. If the class is not filled with qualified students by the selection date, program officials will continue to take and process applications until all positions are filled. ESSENTIAL ABILITIES FOR RADIOGRAPHERS All prospective students must meet and maintain essential technical abilities. The Radiographer(Student) must have strength, mobility, motor skills and tactile ability to: 1. transport, move, and transfer patients to and from wheelchairs, stretchers, tables,

and beds. Propel a patient in a wheelchair or stretcher. 2. lift, push, pull or carry up to 50 lbs. 3. reach up and bend down (from floor to 6 feet above the floor). 4. operate equipment. Move, adjust, and manipulate supplies and instruments. 5. position patients during imaging procedures. 6. stand or sit for long periods of time (up to 3 hours). 7. respond quickly, physically and mentally, to an emergency situation. 8. perform palpation to center a patient to an image receptor.

The radiographer(student) must be capable of: 1. handle multiple priorities in stressful situations related to imaging procedures and patient care situations. 2. provide physical and emotional support to the patient during procedures. 3. manage a variety of patient expressions in a calm manner. 4. visually monitor patients for color change and patient response. 5. hear patient responses and cries for help, emergency equipment alarms, etc. 6. communicate verbally with patients to explain procedures. 7. converse in English with staff and patients 8. use the telephone, intercom, and keyboard. 9. read text or view images on a computer monitor. 10. read and interpret records. Read and write for effective communications. 11. work with chemicals (disinfectants, etc.), odors, and body fluids. The radiographer (student) must have the mental and intellectual capacity to: 1. understand and apply instructions given by faculty and radiology staff. 2. use good judgment, make valid decisions. Set goals and develop plans. 3. meet academic educational requirements. 4. calculate and select proper technical exposure factors. 5. view and evaluate radiographs for the purpose of identifying image quality. 6. practice appropriate ethical behavior as outlined in the student handbook. 7. adapt to various clinical settings The student must submit evidence of good health. After acceptance, but prior to admission, the student must: 1. have medical (dental) examinations and submit the completed forms. 2. show proof of immunization or have required vaccinations. Immunizations may be given at the time of admission. Reasonable accommodation will be made for students who are disabled, but who can perform the essential student functions. All students will be required to adhere to the reasonable and necessary conditions of the course syllabus regarding attendance, punctuality, and performance.

PERSONAL ATTRIBUTES The prospective student should be interested in and willing to care for sick and injured patients of all ages. Students who achieve the highest degree of technical competency and personal satisfaction in the field of radiologic technology are those who are: • honest • responsible • understanding • empathetic • assertive • congenial

• accurate • alert • calm • self-starters • good decision makers

APPLICATION PROCEDURE 1. Obtain an application form from the School of Radiography. Jennie Edmundson

Hospital, 933 East Pierce Street, Council Bluffs, Iowa 51503, (712) 396-6746. 2. Complete the application form according to the instructions. Submit the

application prior to the February 20th deadline. It is advantageous to submit credentials well in advance of the deadline,

because interview time slots are quickly filled. 3. Request an official high school transcript (including GPA, ACT, class rank,

attendance) be sent to JEH. 4. Submit ACT test scores. Applicants who have taken the ACT test and have a

composite score above 19 will be given preference. If you haven’t taken the test, it is recommended that you do so. The JEH ACT school code is 1261.

5. Request an official college transcript be sent from all colleges you attended. To be considered for acceptance 15 credit hours of college “general education” are required. A minimum of 3 credits each in mathematics and communications is necessary.

6. If academic requirements are not met, the applicant will be notified. 7. After all credentials are submitted, you must call to arrange for a tour and

interview. Call early because interviews must be completed before the February 20th deadline. Phone (712) 396-6746.

An admissions committee composed of the program director, clinical coordinator, and an advisory committee member selects the incoming class. After evaluation of applicants by the admissions committee, all candidates will be notified regarding acceptance by mail. TRANSFER STUDENTS Transfer students are considered on an individual basis. The program director must be contacted and reason for transfer given. Credit will be given only for courses which are equivalent to those at JEH. Transfer students must meet all of the requirements of the students currently enrolled at JEH. The possibility and/or date of transfer is dependent upon requirements the student must fulfill, as well as availability of a position in a class that will not exceed the total student capacity.

Students applying for transfer must submit: 1. all materials list under "Application Procedure" in this catalog. 2. a transcript from their initial radiography program. 3. a written recommendation from the director of the initial program. 4. a school catalog or brochure from the initial program. 5 course descriptions and syllabi for all completed courses. 6. attendance records. 7. other documents as requested by JEH officials.

ADVANCE PLACEMENT If a student with previous education is accepted into the JEH School of Radiography, advance placement will be considered on an individual basis. If advance placement is granted, a document will be prepared at the time of admission and signed by both the entering student and program officials. This document will outline the terms of admission, advance placement, and anticipated graduation date. All students entering the radiography program must meet equivalent academic requirements and clinical objectives required of other JEH students.

It is not the policy of the program to permit early release. Selected clinical rotations are scheduled near the end of the program and students are expected to participate in all clinical rotations. Non-completed clinical rotations (and insufficient evaluation forms) could adversely affect the required minimum grade required for graduation. EXTENSION TIME Since every student works at his/her own pace, all students may not complete clinical objectives and requirements at the same time. For that reason, extension time may be granted on an individual basis to a student who is making reasonable progress in the program. Extension time, not considering make-up time for a leave of absence, will not exceed three months. All students will complete the program in no more that 150% of the stated program completion time (36 months). CRIMINAL CONVICTIONS Self-disclosure of a criminal background is required of all candidates (students) prior to entering the JEH School of Radiography. This is done to help: 1. select the highest quality students to promote patient care and safety. 2. prospective students determine if they will be eligible for ARRT certification upon

graduation. "One issue addressed by the Rules of Ethics [ARRT] is conviction of a crime -- which includes felony, gross misdemeanor or misdemeanor, with the sole exceptions of speeding and parking violations. All alcohol and/or drug related violations are included. "Conviction," as used in this provision includes a criminal proceeding where a finding or verdict of guilt is made or returned but the adjudication of guilt is either withheld or not entered or a criminal proceeding where the individual enters a plea of guilty or nolo contendere." (ARRT 2007 Radiography Certification Handbook) To be eligible to attain and retain ARRT certification. Candidates must comply with the ARRT Rules and Standards of Ethics. The rules of ethics are intended to promote the protection, safety and comfort of patients. Anyone engaging in improper conduct or activities noted in the rules of ethics, or who permit the occurrence of said conduct or activities may have violated the rules of ethics and are subject to sanctions as described. The ARRT alone will be responsible for ruling on eligibility.

Graduates applying for ARRT certification who have violated the rules of ethics must provide the ARRT with a written explanation including: court documentation of the charges, the nature of the conviction, the sentence imposed, and the current status of the sentence. If an ARRT applicant is convicted between the time of application and the exam administration date, it is the applicant's responsibility to inform the ARRT immediately and begin the review process. A student may began a Pre-Application Review if he/she is concerned about whether a conviction record will affect ARRT eligibility. A form is downloadable from the "Ethics" section of the www.arrt.org web site or by phone from the ARRT (651) 687-0048. An Iowa criminal history check will be conducted prior to clinical participation.

General Information and Policies

PROGRAM LENGTH The course of study is 2 years, with one class of full-time students admitted annually in August. The JEH School of Radiography is designated as a clock-hour program with a total of 3496 contact hours. ETHICS The faculty has established a code of ethical practices and policies pertaining to student behavior. Enrollment in the JEH School of Radiography constitutes an agreement to comply with the policies of the school and of the hospital (or other clinical site). Upon admission, each student is given a school handbook containing policies. Regulations affecting admission, promotion and other policies may be changed at anytime by the faculty and will apply to all students. Students will be notified of changes. The faculty reserves the right to recommend the resignation of any student at any time on the basis of health, conduct, scholastic standing or lack of aptitude. The school adheres to the Family Education Rights and Privacy Act of 1974. The school does not release any student information (academic or financial) to parents or any agency without a signed release of information from the student or a court subpoena for the information. Family Education Rights and Privacy Act (FERPA) and Federal Trade Commission guidelines are followed. DRESS CODE The student is required to wear a uniform in accordance with the dress code described in the student handbook. The cost varies depending on the number and quality purchased. CONDUCT The student is responsible for obeying the laws governing the community as well as the policies of the JEH School of Radiography. Any student who violates rules will be subject to disciplinary action.

SCHOLASTIC DISHONESTY Scholastic dishonesty will not be tolerated in any course. Disciplinary proceedings may be initiated against a student accused of scholastic dishonesty including cheating and plagiarism. PROBATION A student may be placed on probation for excessive absenteeism, failure to meet course and level objectives or irresponsible behavior. Probation is a specified period of time during which the student can make necessary improvements. Failure to make the stated improvements will result in dismissal from school. A grievance procedure (appeals policy) is available for the prompt, fair and impartial consideration and disposition of complaints or disputes.

CAMPUS SAFETY A security department develops and implements safety practices and procedures needed to provide a safe secure environment for students, patients, and employees. Statistics on campus crime are available from the director of safety and security. ATTENDANCE (vacation, holidays, sick days) Attendance is mandatory in both the classroom and clinical settings. Students are scheduled for class and clinical assignments no more than 40 hours per week. Approximately 15 personal days off are granted each year. These may be used as vacation days, snow days and/or sick time. Eight all school holidays are observed during the year. A short vacation is also scheduled for all students during the winter holiday season. LEAVE OF ABSENCE In the event of an emergency, a leave of absence may be granted upon written request from the student. This leave cannot exceed one year without special permission. Upon re-entry into the program, the student must again meet all objectives and complete the remainder of the 24-month educational program before a certificate is awarded. ALCOHOL, TOBACCO, CONTROLLED SUBSTANCE USAGE The use of tobacco is prohibited on campus. The possession, use, and distribution of alcoholic beverages and illegal drugs on school/hospital property is prohibited. ADVISORY COMMITTEE An advisory committee composed of people involved in or affected by the program meets semi-annually to assist the program director in developing the curriculum, recruiting students, formulating policies, and evaluating the program. PROMOTION In order to successfully complete each level of study the student must maintain a "C" average or above in each course and a 2.3 cumulative GPA for each semester. Successful clinical achievement is outlined in the clinical competency policy.

GRADUATION To graduate from the JEH School of Radiography the student must: 1. Successful complete the 2 year program 2. Meet attendance requirements 3. Meet all academic requirements 4. Maintain the required minimum grade point average 5. Meet all clinical objectives and submit required evaluation forms 6. Meet financial obligations

Upon successful completion of the program, a certificate/diploma is awarded. The graduate is eligible to apply to take the ARRT certification examination. Radiographers employed in the state of Iowa must apply for an Iowa Permit to Practice. Applicants must pass an examination approved by the State of Iowa, Department of Public Health (IDPH). The ARRT certification examination is approved by the IDPH. PROGRAM COMPLETION A maximum of 3 years (36 months) will be allowed to complete the program. JOB PLACEMENT The JEH School of Radiography does NOT offer job placement services.

Student Health and Services STUDENT HEALTH The student must have a medical examination and submit evidence of good health and vaccination prior to admission. The proper health forms will be mailed to all accepted students. STUDENT HEALTH PROGRAM Minor ailments are managed as part of the student health program. 1. While at school, the student is required to report any illness or accident to school

officials. 2. Consultation with the health nurse or a physician may be suggested. 3. The student will be required to consult with a physician if absenteeism prevents

him/her from progressing toward school objectives. 4. The faculty reserves the right to suggest a medical leave of absence for extended

illness. 5. The student is encouraged to carry health insurance. 6. The student is financially responsible for his/her own medical expenses.

IMMUNIZATION POLICY Purpose: To protect students from contracting certain communicable diseases from an at-school exposure and to protect patients from student transmission. MMR (measles, mumps, rubella) Any student/faculty member born after December 31, 1956 must provide written proof of immunization. If a student or faculty member is unable to do so, titers may be drawn, or the student/faculty member may receive the immunizations according to Employee Health Policy. If the immunizations are not indicated at this time due to a physical condition, he/she will receive the shots as soon as possible. Vaccine are offered free of charge. Hepatitis B OSHA requires that we offer this immunization free of charge to all high-risk personnel and students. All radiography students/faculty members should receive the series of 3 Hepatitis B vaccinations. If the student/faculty member has previously had this vaccine series, it should be documented with dates. The employee health nurse may require that a HBsAb titer be drawn as proof of immunity. Varivax (chickenpox vaccine) Students must provide proof of immunization. Proof may include having had the diagnosed disease, having had the vaccination, or a having a positive VZV titer. Tetanus( DPT, dT or Adacel) Proof of the primary series of injections for tetanus immunization or combination with booster doses to maintain immunity every 7-10 years is recommended. Mumps A mumps titer may be drawn as needed to determine immunity. Flu shots Students and faculty members are eligible to receive flu shots according to the Employee Health Policy. TB Skin Test TB skin tests will be required annually. Delayed Immunization If the immunizations are not indicated at the time of registration, due to physical condition (i.e. illness, allergies to eggs or neomycin, or pregnancy) the immunization will be given as soon as is possible. Waiver A student who strongly opposes immunizations/vaccinations may refuse them. A waiver will be signed and dated by the student and placed in his/her file. Students who sign a waiver will be offered the opportunity for immunization annually.

HEALTH NURSE Minor ailments and emergencies which occur during school hours should be reported to the Program Director. All emergencies are to be reported when they occur. She will report injuries, illnesses, or health problems to the health nurse. If the student is under 18 years of age and treatment is necessary, the student's parents or guardian will be notified. Student's parents, spouse, or other designee will be notified in case of serious illness. INFECTION CONTROL In consideration of the welfare of patients, students, and personnel, all communicable diseases will be reported according to the policies and procedures of the Jennie Edmundson Hospital. The policy for reporting of exposure to or contraction of communicable disease is as follows: Any student exposed to an infectious disease will report or be reported by his/her immediate supervisor to the Program Director who will contact the health nurse and nurse epidemiologist. The exposure will be investigated, recommendations will be made and implemented, a written report documented, the student will be referred to his/her physician or the health nurse for treatment according to accepted policy and procedure. Students who show signs or symptoms of (or have questions about) contagious or infectious disease shall be referred to the health nurse. STUDENT PREGNANCY POLICY A pregnant student has the option of deciding whether or not to inform program officials of her pregnancy. In the absence of the voluntary written disclosure, a student is not considered pregnant. If the student chooses to disclose her pregnancy, the following procedure is used: 1. The student may report any confirmed or suspected pregnancy to the Program

Director, in writing. If she chooses to disclose her pregnancy, she is encouraged to report it as soon as possible.

a. The student will be asked to complete a "Declaration of Pregnancy" form. b. The student will indicate the expected date of delivery

c. The student will be asked to review Regulatory Guide 8.13 from the Nuclear Regulatory Commission (NRC). This document is provided to all enrolled students at orientation.

2. After confirmation of pregnancy by a physician, the student must confer with the Program Director. Options available to the student include: a. The student will be allowed to resign from the school.

b. The student will be allowed to take a one year's LOA c. The student may continue in the program without modification or

interruption. She will be allowed to take a short LOA at the time of delivery and return to school with her class.

d. The student may be allowed certain modifications or LOA in clinical assignments.

3. A written plan will be developed and approved by the student and school officials.

The plan will include make-up work (in both academic and clinical courses) to be completed before and/or after the LOA period. Students are allowed to return to school after presenting a written permission slip from her physician to the Program Director.

4. In certain situations other arrangements can be made at the discretion of the Program Director. Regulatory Guide 8.13 is provided to students prior to any assignment to work in a restricted area. The student will sign a form indicating that instructions has been given. This document will become part of the student's file.

The Program Director will review acceptable practices of radiation safety and protection with the pregnant student who decides to stay in the radiography program during her pregnancy. 1. A pregnant student will wear a radiation monitor at the waist level and under the

lead apron (when such a protective apron is worn). The student's monitor will be closely monitored to insure she doesn't exceed the maximum exposure limits during her pregnancy (based on the date of conception/declaration).

2. A lead apron must always be worn when performing mobile radiography, fluoroscopy, or when in the presence of ionizing radiation. Wrap-around aprons are available.

3. The dose limit for the fetus during the entire period of gestation is 0.5 rem (and < .05 rem per month). However, a much lower dose is expected. Every effort to keep the dose to the pregnant student and the fetus as low as reasonably achievable will be made.

4. The pregnant student will be assigned to her regularly scheduled clinical rotations and assignments. She may be excused from procedures with high radiation risk, such as extended fluoroscopy and mobile radiography, at the discretion of the Program

Director or Medical Director. She can, of course, refuse any clinical assignment if she feels it conflicts with her well being. Any assignments, didactic or clinical, missed will be made up. All didactic and clinical objectives will be met prior to graduation.

COUNSELING Counseling is available to students. The Program Director and clinical instructor are available for academic and career counseling. Student conferences are held every 12 weeks to discuss student progress. Additional or specialized help is available through the Employee Assistance Program. FOOD SERVICE Students are eligible for discount meal tickets which can be used in the hospital cafeteria. HOUSING All students are responsible for their own housing and transportation to and from school Radiography students may apply for housing in hospital owned, furnished houses within walking distance of the hospital. Housing Coordinator (712) 396-6059.

LIBRARY AND COMPUTER SERVICES A school of radiography library and computer labs with internet access are available for student use. Books may be ordered for students at cost. A resource center is also available for research projects.

Financial Information

TUITION AND FEES All tuition, fees, and charges for textbooks, etc. are due at the beginning of each academic year. Tuition may be paid in two installments, one-half of the total amount each semester. Arrangements for installment payments may be made in advance. All fees must be paid prior to graduation. Besides tuition, the student must pay professional society membership dues, malpractice insurance premiums, book and workbook costs, library and graduation fees. Expenses for uniforms, shoes, room and board, and/or transportation should also be considered prior to entering the program. There will be NO refund of the tuition and/or fees once the student has begun course instruction. FINANCIAL AID The JEH Radiography Program does NOT participate in the Title IV Federal Financial Aid Programs (FASFA). Students may inquire about financial aid, grants, and scholarships by contacting the Program Director. Availability of scholarships will be announced to all enrolled students.

Scholarships 1. The Raymond and Marilyn McDonald Scholarships are available to all students

enrolled in the radiography program. The awards are based on financial need, potential for success, commitment, and character.

2. The JEH Auxiliary Scholarships are awarded to second-year students based on

academic achievement and financial need. 3. The Iowa Society of Radiologic Technologists (ISRT) also sponsors a lottery type

scholarship. To be eligible, the applicant must be a member of the ISRT and currently enrolled in an approved education program (for > 9 months by July 1st).

4. The JEH Medical Association provides money for student grants. All JEH

radiography students are eligible. These grants are distributed for second semester expenses. Grants are based on achievement and program progress.

Other Financial Assistance: Jennie Edmundson Hospital Educational Assistance Program: JEH employees are eligible for educational assistance. Employees of the JEH, can contact a supervisor or the human resources department for additional information. Veterans Benefits: The JEH School of Radiography is approved by the Veterans Education Section, Department of Public Instruction.

Curriculum The curriculum is based on two years of full-time study. The JEH School of Radiography follows a JRCERT recognized and accepted curriculum that prepares the student to practice in the professional discipline. Content is structured to include those courses which will provide a well rounded education in radiologic technology. The JEH School of Radiography is designated as a clock-hour program with 3496 contact hours in the program. FIRST-YEAR CURRICULUM Approximate First Semester Clock Credit (August - February) Fall Session Hrs Hrs

Introduction to Radiography & Patient Care 45 3 Professional Medical Ethics 20 1 Medical Terminology 30 1 Anatomy & Physiology, Radiographic Positioning 145 6 Principles of Radiographic Exposure I 105 5 Applied Clinical Education I > 300 3 19 Second Semester (March - June) Spring Session Pathology 50 3 Pharmacology and Contrast Media 35 2 Anatomy & Physiology I 30 2 Film Evaluation I 20 1 Radiologic Physics I 50 3 Critical Thinking 30 2 Applied Clinical Education II > 350 3 (July) Summer Session Applied Clinical Education II > 150 1 17

SECOND-YEAR CURRICULUM Approximate First Semester Clock Credit (August - February) Fall Session Hrs Hrs Anatomy Physiology and Positioning II 48 3 (Sectional , Systems Review, Trauma ) Principles of Radiographic Exposure II 48 3 Radiobiology and Radiation Protection 50 3 Modality Imaging 48 3 Professional Development (Development Testing) 15 1 Film Evaluation II 30 2 Applied Clinical Education III > 600 6 20 Second Semester (March - June) Spring Session Principles of Radiographic Exposure II and Quality Management (including QC lab) 28 2 Film Evaluation II 20 1 Anatomy, Physiology and Positioning II (Pediatrics, Skull) 28 2 Modality Imaging 28 2 Radiologic Physics II 30 2 (Developmental Testing and Review) 34 2 Applied Clinical Education IV > 500 5 (July) Summer Session Clinical Education IV > 100 1 17 Clinical education hours I, II, III, and IV are approximate hours of supervised clinical experience. These vary slightly from year to year depending upon academic and clinical assignments. Both academic and clinical hours may be varied at the discretion of program officials in order to meet educational objectives.

Course Descriptions INTRODUCTION TO RADIOGRAPHY AND PATIENT CARE 45 clock hours (3 credit hours) Prerequisite: none The introduction portion of this course provides an overview of radiologic technology and the part it plays in healthcare delivery. The student will become acquainted with the history of radiology; the health care environment; and professional organizations, accrediting, and credentialing agencies related to radiologic technology. The organization of hospitals and imaging departments will be described. School policies will be discussed, and student's rights and responsibilities will be outlined. Professional development and advancement are discussed. A study of the basic principles of radiation protection for the patient and radiographer, as well as personnel monitoring, will prepare the student for clinical assignments. Sources of ionizing radiation and their potential biologic damage is discussed. The units of radiation measurement are taught. The patient care portion of this course covers general patient care procedures such as: vital signs, patient assessment, medical histories, drug administration, venipuncture, and infection control/standard precautions. Units on proper body mechanics, patient transfer, tubes, catheters, and lines are presented. Common abbreviations are explained. Patient/radiographer interactions, communication, and empathy is discussed and practiced. The student is taught to recognize and respond to emergency situations. Students are introduced to mobile and surgical radiography. Medical and surgical asepsis are discussed. PROFESSIONAL ETHICS 20 clock hours (1 credit hour) Prerequisite: None The office procedures section of this course is taught to familiarize the student with the function, organization and supervision in a radiology department. Record keeping, scheduling, and computer application are demonstrated. Students are taught the correct method for obtaining patient consent. A study of legal issues will help the student discriminate between ethical principles and legal responsibilities. HIPAA regulations are emphasized. The student is introduced to ethical principles and responsibilities, problem solving, and critical thinking techniques. The course stresses the importance of effective interpersonal relationships with patients, customers and other caregivers. The radiographer's code of ethics and the patient bill of rights are described. Ethics and professional ethical behavior is discussed.

MEDICAL TERMINOLOGY 30 clock hours (1 credit hour) Prerequisite: None This course introduces medical words and phrases which the professional will use throughout his/her career. The student studies prefixes, suffixes, and word roots so that many medical words become familiar. The student uses word parts to build medical words. The student learns break down complex words into understandable terms. He/she is taught to distinguish the meaning of words within the context orders, diagnostic reports, and other technical papers. Medical abbreviations and symbols are introduced.

ANATOMY AND PHYSIOLOGY AND RADIOGRAPHIC POSITIONING I (APP I) 175 clock hours (8 credit hours) Prerequisite: None [A&P] This course provides the student with detailed knowledge about human structure and function. The student studies all body systems, but special emphasis is placed on the skeletal system. Videotapes, models, skeletons, phantoms, diagrams and radiographs/images are used as aids to teach the structure and function of the body. The first semester includes study of the skeletal (upper and lower limbs), integumentary, respiratory, and digestive systems. The second semester includes the skeletal (vertebrae, thorax, and cranium), reproductive, endocrine, urinary, cardiovascular, muscular, and nervous systems. [Positioning with lab] The student learns how to correctly position a patient for both radiographic and fluoroscopic examinations. Instruction includes both routine and supplementary techniques in the classroom and laboratory. Units of study in radiographic positioning class are correlated with those in anatomy and physiology class. FILM EVALUATION I 20 clock hours (1 credit hours) Prerequisites: Principles of Radiographic Exposure I, APP I first semester The student will view and study actual radiographs and/or images in order to recognize the difference between diagnostic and poor quality. Film evaluation I is integrated with Principles of Radiographic Exposure I and APP I. Emphasis is placed on identifying correct anatomy and positioning and to recognizing suitable radiographic quality factors.

PRINCIPLES OF RADIOGRAPHIC EXPOSURE I 105 clock hours (5 credit hours) Prerequisite: None This course gives the student an understanding of the concept of x-ray exposure and technique selection. It correlates this knowledge with laboratory and clinical experiences. The student learns to use equipment, control panels, and accessory devices to achieve optimum radiographic results. The student is taught to apply the principles of radiation limitation, not only for patient protection, but also to improve the quality of radiographs. A basic darkroom and processing unit provides a study of radiographic film characteristics, artifacts, storage, handling, holders, processing methods, and room design. Students begin to evaluate radiographic images and correct or compensate for diagnostic inadequacies. Introductory units in computed tomography (CT), computed and digital radiography (CR/DR) and film-screen radiography and fluoroscopy (R/F) precede clinical assignments. RADIOLOGIC PHYSICS I 50 clock hours (3 credit hours) Prerequisite: None This radiographic physics course combines basic chemistry, physics and physical science. It emphasizes the fundamentals of electricity and the principles underlying the operation of x-ray equipment and auxiliary devices. It introduces the multiple energy transformations required for radiation production. Properties of electromagnetic radiation; the energy associated with radiation; x-ray interactions with matter; and radiation measurements are all studied and discussed. APPLIED CLINICAL EDUCATION I 300 clock hours (3 credit hours) Prerequisites: Introduction to Radiography and Patient Care; Professional Medical Ethics; Medical Terminology Corequisites: APP I, Principles of Radiographic Exposure I The student observes and participates in film processing procedures; patient care and transport/transfer; office and film library duties. He/she observes, assists, and performs diagnostic radiographic procedures of the chest, extremities, genitourinary and gastrointestinal systems, mobile radiography, and fluoroscopy. The student begins testing on clinical competency evaluations (CCES). The student is directly supervised by ARRT registered technologists.

PATHOLOGY 50 clock hours (3 credit hours) Prerequisite: APP I first semester

This course acquaints the student with pathologic terms, definitions, and conditions,

and the impact these conditions have on the radiographic image. This basic knowledge of diseases will help the student produce optimal diagnostic images and insure effective patient care. The student learns about pathological conditions which allows him/her to better communicate with other health care workers. PHARMACOLOGY AND CONTRAST MEDIA 39 clock hours (2 credit hours) Prerequisite: Intro & Pt. Care, APP I first semester This course introduces the importance of pharmacologic principles and practices in patient care. The focus is on essential information that technologists need to know for safe administration of drugs. Information on pharmacokinetics and pharmacodynamics is discussed. Chemistry, classifications, and characteristics of contrast media used for radiologic examinations is taught. Clinically oriented, this course provides instruction in selection, clinical application, routes of drug administration, and contraindications/ complications for medical imaging. Ionic and non-ionic contrast agents are studied. Reviews of patient care, contrast media administration, and emergency care for drug reactions are included. Students are taught venipuncture and intravenous drug (cm) administration. CRITICAL AND CREATIVE THINKING 30 clock hours (2 credit hours) Prerequisite: None Assuming critical/creative thinking is not always inherent in humans, but a skill which can be taught, this course will make radiographic technology students aware of techniques they can use to become better thinkers and problem solvers. Critical thinking activities are also integrated into the curriculum in other didactic courses, labs, and clinical experiences. Introductions to various modalities in imaging will be incorporated into this course. Students will explore and study the basics of radiation therapy, ultrasonography, magnetic resonance imaging, positron emission tomography, nuclear medicine, special procedures-catheterization laboratory, and mammography. This will help prepare them for future clinical assignments in these areas.

APPLIED CLINICAL EDUCATION II 500 clock hours (4 credit hours) Prerequisite: Applied Clinical Education I The student assists with more complex examinations and begins to assume an increasing amount of responsibility for the performance of procedures including: diagnostic radiography of the spine, thorax, and skull; urography; surgical and mobile radiography and additional gastrointestinal fluoroscopy. He/she begins participation in computed tomography and orthopedic radiography. The student continues to test required CCES. He/she is supervised according to the supervision policy. ANATOMY PHYSIOLOGY AND POSITIONING II 76 clock hours (5 credit hours) Prerequisite: APP I, Introduction to Radiography and Patient Care This course reinforces previously learned knowledge about the structure and function of the human body, and provides additional detail. The student brings with him/her experience from the clinical setting as well as APP I. More emphasis is placed upon analysis of the situation and patient condition in performing the procedure. A review of body systems and their imaging is completed. Special units pertaining to sectional anatomy, pediatric, trauma, and skull radiography are also studied. PRINCIPLES OF RADIOGRAPHIC EXPOSURE II 76 credit hours (5 credit hours) Prerequisite: Principles of Radiographic Exposure I, Physics I This course correlates the knowledge of x-ray technique selection with clinical experience. The student learns to achieve optimum radiographic results. Units of study on radiographic quality; materials, ancillary equipment, and accessories; and processing are built on knowledge acquired. A study of sensitometry teaches the relationship between the exposure and density of a processed film and how this can be used to determine radiographic quality. Facility design and technique charts are also discussed. The quality management unit is used to teach the importance of QA/QC in radiology. It introduces the student to tests that are used as well as concepts related to quality management.

RADIOBIOLOGY AND RADIATION PROTECTION 50 clock hours (3 credit hours) Prerequisites: Intro & Pt. Care, Radiologic, APP I, Physics I The student studies the scientific theory, the principles, and concepts explaining interactions of radiation with matter. Students study cell biology and molecules of the body. They learn types of ionizing radiation, biophysical events, and radiation effects. Measurement units, dose limits, exposure monitoring and measurement, and radiation protection practices for both patients and personnel are discussed. Early and late effects of ionizing radiation, public accountability, and regulatory agencies regulations are included. MODALITY IMAGING 76 clock hours (5 credit hours) Prerequisites: Introduction to Radiography & Patient Care, APP I, Radiologic Physics I, Principles of Radiographic Exposure I, Pharmacology and Contrast Media This course provides an introduction to computer literacy, as well as an overview of those specialized imaging modalities. In the first semester students study computer basics. Imaging modalities such as digital radiography/ fluoroscopy, computed radiography, computed tomography, digital mammography, nuclear medicine and positron emission tomography, and bone densitometry are studied. Historical developments; basic components; quality assurance; principles of operation; image acquisition and display; and clinical application for each modality is taught. Safety and patient protection are discussed. During the second semester students study various types of special imaging. Equipment, contrast media, procedures, indications and contraindications for each exam are discussed. The course includes instruction in angiography, myelography, foreign body radiography, hysterosalpingography, and several other radiographic special procedures. MRI and Ultrasound are also introduced. The basics of electrocardiography is covered. Specific anatomy related to the various procedures is reviewed. Including but not limited to study of the cardiovascular system, the breast and female reproductive system, and spinal canal. APPLIED CLINICAL EDUCATION III 600 clock hours (6 credit hours) Prerequisite: Applied Clinical Education II The student takes an active role in the performance of many procedures such as mammography, myelography, orthopedic radiography, surgical and mobile radiography, and continued diagnostic and fluoroscopic experiences. The student continues testing required CCES. The student is supervised according to the supervision policy.

FILM EVALUATION II 50 clock hours (3 credit hours) Prerequisite: Film Evaluation I Film Evaluation II builds on knowledge acquired from both Film Evaluation I and clinical experience to help the student recognize subtle differences between optimum, passable, and substandard images. Film artifacts and their causes will be reviewed. As the student progresses through the curriculum the complexity of film evaluation/critique will increase. Problem solving skills will be challenged. The student will learn how to improve the diagnostic quality of future images. RADIOLOGIC PHYSICS II 30 clock hours (2 credit hours) Prerequisite: Radiologic Physics I This course emphasizes the fundamentals of electricity and the basic principles underlying the operation of x-ray and auxiliary equipment. It explains in detail energy transformations related to x-ray production, interaction with matter, units of measurement, and the design and function of the components of the x-ray circuit. Fluoroscopy, image intensification, automatic exposure control, and cineradiography are studied. APPLIED CLINICAL EDUCATION IV 600 clock hours (6 credit hours) Prerequisite: Applied Clinical Education III The student participates in diagnostic and interventional procedures to include: angiography, digital subtraction, and cardiac catheterization; ultrasonography, nuclear medicine; magnetic resonance imaging; pediatric and trauma radiography. He/she continues to maintain competency in diagnostic fluoroscopic, mobile, and surgical procedures. The student completes required and terminal clinical competency evaluations (CCEs). He/she is supervised according to the supervision policy. PROFESSIONAL DEVELOPMENT (SENIOR REVIEW AND DEVELOPMENTAL TESTING) 50 clock hours (3 credit hours) Prerequisites: first year curriculum The student takes 9 developmental tests (November - July). After the tests are taken each student corrects the questions he/she missed. An oral discussion of those questions missed by a majority of the class is held. A comprehensive review of academic material is held in preparation for the ARRT certification examination. Self-study, computer based exercises and testing, and cooperative learning techniques are used.

Clinical Education EDUCATIONAL FACILITIES Educational facilities are located at Jennie Edmundson Hospital, on the first floor of the Ridge Street Building. These include faculty offices, a classroom, and a library for academic purposes. A resource center and computer lab are available for research. Diagnostic radiographic/fluoroscopic rooms, a linear tomographic unit; special procedures/cardiac catheterization rooms, mammographic and stereotactic units, a nuclear medicine/positron emission tomography department, ultrasonography equipment, a computed tomographic unit, mobile and c-arm units, and magnetic resonance imagers are available for demonstrations, laboratory, and clinical experiences. CLINICAL SETTINGS Two JRCERT recognized clinical settings provide learning experiences for students enrolled at JEH School of Radiography: The radiology department at Jennie Edmundson Hospital (primary clinical site) and Miller Orthopaedic Affiliates, P.C. (orthopedic radiography). Both are located on the JEH campus at 933 East Pierce Street, Council Bluffs, Iowa. A one-week observation at Children's Memorial Hospital, Omaha, Nebraska provides an over-view of pediatric radiography. A one or two elective observational rotation may be requested in radiation therapy/oncology. This is available at Jennie Edmundson Hospital. The student is responsible for providing his/her own transportation to all clinical settings. JEH RADIOGRAPHY PROGRAM STUDENT HANDBOOK Available upon request by contacting the Program Director at JEH School of Radiography, 933 East Pierce Street, Council Bluffs, Iowa 51503. Also available on-line www.bestcare.org bestcare affiliates Jennie Edmundson Hospital School of Radiography JEH RADIOGRAPHY PROGRAM ACADEMIC CALENDAR Available upon request. Contact the Program Director at Jennie Edmundson Hospital, School of Radiography, 933 East Pierce Street, Council Bluffs, Iowa 51503.