Mentor`s Name

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