PLACEMENT 1 – FORMATIVE FEEDBACK SHEET Student’s Name: Mentor’s Name: Date: 1. Identify, where applicable, the role of ethics in the study of the discipline 2. Recognise the changing nature of knowledge and demonstrate a positive attitude to learning 3. Act in accordance with health and safety legislation, demonstrating safe practice 4. Act with limited autonomy using accepted departmental protocols when practicing the radiographic technique of the appendicular skeleton, chest, pelvis and shoulder 5. Appraise images for radiographic anatomy, technical accuracy and presence/absence of disease/trauma within a limited and defined context 6. Recognise the factors that contribute to effective team-working within the clinical environment 7. Act on, and respond to the needs of the individual patient/client/carer acting within their scope of practice 8. Operate ethically in defined contexts and behave in accordance with the ‘Code of Conduct and Ethics’ as published by the Society and College of Radiographers 9. Adhere to departmental protocols for the documentation of patient information and images using the information technology available 10. Demonstrate effective workflow within their scope of practice 11. Remove and reapply dressings when appropriate in a safe, effective and considerate manner 12. Discuss the process of reflection and how this informs their learning 13. Communicate effectively both orally and in writing Agreed Action Plan: Student’s signature: Mentor’s signature: Date of next bipartite meeting (if appropriate): PLACEMENT 2 – FORMATIVE FEEDBACK SHEET Student’s Name: Mentor’s Name: Date: 1. Critically review the range of positive and negative contrast media, their composition and their physiological and toxic effects 2. Differentiate the administration requirements and calculate the appropriate strength, density, volume and dose of contrast media required for a range of radiographic examinations 3. Critically analyse the variety and scope of service user information to encompass the range of radiographic examinations undertaken 4. Appraise the effects of local and national policies on patient management 5. Demonstrate the ability to manipulate images using available technology 6. Practice a range of radiographic examinations of the axial skeleton and abdomen adapting radiographic technique where appropriate within and out with the imaging department 7. Critically review radiographic images of the axial skeleton and abdomen for image quality and diagnostic acceptability 8. Differentiate between normal and abnormal radiographic appearances and modify the examination accordingly 9. Employ safe practice in the preparation of drugs and contrast media for administration by other health care professionals 10. Adhere to policies and protocols of safe practice in aseptic procedures 11. Recognise and respond to any adverse reactions due to the administration of contrast media or drugs administered in the imaging department 12. Practice in a caring and professional manner within a legal and ethical framework 13. Discuss how effective communication and teamwork has an impact on patient management 14. Reflect upon working practices to identify learning needs in order to progress with confidence in self-directed study Agreed Action Plan: Student’s signature: Mentor’s signature: Date of next bipartite meeting (if appropriate): Formative Feedback Sheet – Third Clinical Placement Student name……………………………………… Mentor name………………………………………. 1. Demonstrate a comprehensive and detailed knowledge of anatomy and pathophysiology for the range of radiographic examinations undertaken 2. Employ a problem-solving approach to practice 3. Undertake an holistic approach to patient care and management 4. Manage radiographic equipment associated with general and trauma radiography, theatre, mobile and fluoroscopic examinations, pantomography and CT of the head 5. Evaluate the pathological process and disease in order to tailor the radiographic examination to the condition 6. Undertake pantomography plus a range of radiographic examinations of the appendicular and axial skeleton, adapting radiographic technique where appropriate within and out with the imaging department 7. Demonstrate sound clinical judgement across a range of professional contexts 8. Work as an operator, practitioner, or referrer as local protocols demand, in accordance with the Ionising Radiation (Medical Exposure) Regulations 9. Collaborate effectively with other health care practitioners, patients and clients to manage health care delivery 10. Reflect upon personal performance and learning needs in order to progress with confidence in self-directed study 11. Demonstrate the ability to utilise information technology in a range of settings 12. The student has achieved the level of first post competence as identified by the HCPC Student comments Mentor comments Professional progress to date, i.e. timekeeping, attitude, willingness to learn. Agreed Action Plan - discussion to include evidence that has already been brought or may be brought to support remaining competency statements and professional progress. Student’s signature Date Mentor’s signature Date
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