The Associate of Applied Science in Radiography Degree Program is a two-year course of study (four semesters and two summer sessions) combining didactic and clinical radiography courses. It continues a history of radiographic education begun in 1951 at St. Anthony’s Hospital, the predecessor to Franciscan Medical Center, and in 1952 at both Moline Public and Lutheran Hospitals, which combined to form United Medical Center. Trinity Medical Center was formed in 1992 with the consolidation of United and Franciscan Medical Centers. Today Trinity Medical Center consists of four major facilities: Rock Island Campus, Moline Campus, Bettendorf and Muscatine Campus. All of the institutions were and still are acute care facilities and Trinity is now one value-based organization with a comprehensive approach to health care in both Illinois and Iowa.
Radiographers use radiation equipment to produce images of the tissues, organs, bones, and vessels of the body, as prescribed by physicians, to assist in the diagnosis of disease or injury. Radiographers continually strive to provide quality patient care and are particularly concerned with limiting radiation exposure to patients, themselves, and others. Radiographers use problem-solving and critical- thinking skills to perform medical imaging procedures by adapting variable technical parameters of the procedure to the condition of the patient.
Radiographers apply knowledge of anatomy, physiology, positioning, radiographic technique, and radiation biology and protection in the performance of their responsibilities. They must be able to communicate effectively with patients, other health professionals, and the public. Additional duties may include evaluating radiologic equipment, conducting a radiographic quality assurance program, providing patient education, and managing a medical imaging department. The radiographer must display competence and compassion in meeting the special needs of the patient.
The Associate of Applied Science in Radiography degree curriculum includes 54 radiography semester hours as well as 23 general education semester hours of credit. General education courses promote the practice of oral and written communication skills, the use of mathematics and utilization of human and social awareness that promote reflective thinking and problem solving. Application of general education knowledge is an expectation for today’s health care graduates.
The dedicated curriculum prepares the graduate to practice as a professional entry-level radiographer. The curriculum is primarily sequential, combining theory classes and clinical experience to facilitate mastery of the learning process. During the educational program, students study subjects such as anatomy, biology, radiation safety and physics. The student acquires and manipulates computer images and works with some of the most technologically advanced equipment in the medical field. The student develops patient communication skills, problem solving skills and teamwork within the health care system. Emphasis is placed on developing the ability to provide culturally congruent patient care that is accurate as well as compassionate. Students are assigned clinical experiences using the facilities of Trinity Regional Health System and also health institutions within the area. The Radiography Program requires that all graduates demonstrate competency in didactic coursework and a specified list of clinical competencies to include those mandated by the American Registry of Radiologic Technologists (ARRT).
The Radiography Program has been continually accredited by the JRCERT (Joint Review Committee on Education in Radiologic Technology, 20 N. Wacker Drive, Suite 2850, Chicago, IL 60606-3182, phone: 312-704-5300) since 1969. The JRCERT accreditation process offers both a means of providing public assurance of a program meeting accreditation standards and a stimulus to programmatic improvement.
The Trinity Radiography Program prepares competent ethical, and culturally sensitive radiographers that contribute to the global health care community.
The Program Prepares Graduates To:
- Practice as Competent Entry-Level Radiographers.
- Think Reflectively and Problem Solve.
- Practice Professionalism.
Program Core Values
- A quality curriculum provides measurable outcomes and learning activities that promote the synthesis of theory, use of current technology, competent clinical practice and professional values.
- All enrolled students have the ability and desire to learn and deserve equal educational opportunities and treatment regardless of race, color, religion, gender, age, disability and national origin.
- Learning occurs best when students are active participants in structured, guided clinical and didactic experiences utilizing active learning and adult teaching techniques. The curriculum
incorporates communication, humanities, social, mathematics, and biologic sciences to support and enhance radiography education and practice.
- The student’s desire to learn is supported by a safe and progressive learning environment rich in experiences that address intellectual, creative, emotional, and physical needs.
- An education should promote the recognition, sensitivity, and appreciation of the diverse culture that is inherent throughout the global health care community.
- The graduate earns the opportunity to seek certification and licensure as a registered radiographer, to offer a significant contribution in the health care community and to enhance avenues for lifelong learning.
Upon completion, an eligible graduate who has successfully demonstrated competency in both clinical and didactic phases of the accredited program earns the opportunity to write the National Certifying Examination in Radiography, which is administered by the American Registry of Radiologic Technologists (ARRT). Candidates are allowed three attempts within a three-year period of time to successfully complete this exam. Application for examination must be made within five years of program completion. All candidates must comply with the eligibility Rules of Ethics more fully defined later in this section.
Once Registered, the graduate is qualified for employment as a Registered Technologist in Radiography (R.T.R.). The RT(R) must acquire 24 hours of continuing education credits every two years to maintain ARRT certification.
In addition to the ARRT requirements for continuing education, approximately two thirds of the states have licensing laws covering the practice of radiologic technology. Administration of licensing laws differs from state to state. The Illinois Emergency Management (IEMA) Division of Nuclear Safety enforces the Radiation Protection Act of 1987. This Act states Radiologic Technologists who “practice the science and art of applying x-radiation to human being for diagnostic purposes” must be accredited (ARRT) and maintain one hour of continuing education for every month since the issuance of the last accreditation. Please reference the IEMA address below or the ASRT.org
web page for more information concerning state licensure.
Illinois Emergency Management Agency
Division of Nuclear Safety
1035 Outer Park Drive
Springfield, Illinois 52704
The student/graduate is eligible for membership in the American Society of Radiologic Technologists (ASRT), and affiliate State Societies of Radiologic Technologists.
CURRICULUM ASSOCIATE OF APPLIED SCIENCE IN RADIOGRAPHY DEGREE 2012-2013
Indicates course may be chosen from among approved clusters listed in the academic section of the college Catalog/Handbook
- General education courses are taken at another institution or transferred into the major, and may be completed prior to or concurrent with major courses.
- Clinical ratio equals 64 contact hours per one semester hour of credit
**A minimum of 27 semester hours of program major courses must be completed at Trinity College of Nursing & Health Sciences to meet graduation requirements.
All students are expected to attend classes on a full-time basis, and consist of a maximum of 40 hours per week, which is relative to the particular term of study. The Radiography curriculum does not allow for part-time study.
Lab/Clinical Contact Hour Description
In the radiography program, one lab course credit is presented as 32 hours of activity over the term of the course and one clinical semester hour is presented as 64 hours of activity over the term of the course. For example, for a semester-length 16- week course, one lab semester hour of credit requires two hours of lab activity per week and one clinical hour of credit requires four hours of activity per week (for 16 weeks). For a half-semester, eight- week course, one clinical semester hour of credit requires 8 hours of clinical activity per week. Course faculty may offer individual schedule variations. Students should be aware that travel will be required to clinical rotation sites. All clinical education settings are within a fifty mile radius of the College and every attempt will be made to minimize commute or limit the time a student is scheduled at a distant site.
In addition to strict adherence to the College dress code policy concerning name badges, grooming, and jewelry, students on clinical rotations must wear/carry:
- The Program uniform
- A radiation monitoring device
- Anatomical lead markers
Radiography Grading Scale
Clinical Grading Scale
Grades of 83% or below are considered unacceptable in the clinical area. The clinical grading scale is higher than the didactic scale because of the strong emphasis to prepare individuals to become professional and competent entry-level radiographers. Students performing below an 84% in clinical courses will not be allowed to progress in the program.
Radiography Program Progression
Radiography students receiving a WF or grade below a C in required radiography or general educations course will be prohibited from progressing in the Radiography curriculum will be withdrawn from the Program. Students must apply for readmission to the Radiography Program for the following academic year. Readmission is not guaranteed. Students will be ranked by the Admissions Selection Committee. Readmission will be based upon ranking and seat availability. Students wishing to be considered for readmission must complete the Request for Readmission process through the Radiography Program Coordinator. This process must be initiated by the student. It is the student’s responsibility to complete this process in order to be considered for readmission into the Radiography Program, and a student will only be considered for one readmission into the Program.
Any student receiving a WF or grade below a C in a radiography course who is re-admitted to the Radiography Program will be withdrawn from the Radiography Program with a subsequent WF or grade below a C. These students will not be eligible for readmission.
Graduation Requirement for an AAS Degree in Radiography
To meet graduation requirements, students must:
- Fulfill the course requirements of the Associate of Applied Science in Radiography curriculum
- Complete a minimum of 27 semester hours in Radiography at the College
- Earn a minimum of 77 hours of credit attaining a C (2.0) cumulative grade point average, which includes a C or above in each required radiography course and general education course in the curriculum
- Meet all financial obligations incurred with the College
- Be recommended by faculty and approved for graduation by the College Governing Board
(No degree will be awarded until all requirements are met.)
Ionizing Radiation and Protection Policy
Due to participation in the administration of ionizing radiation, the student must be aware of policies and procedures utilized in assuring safety and minimizing radiation exposure to patients, students, and others. Radiation exposure should always be kept to the lowest possible level. Students are provided with NCRP Report No. 105 concerning biological effects of radiation exposure and are advised of the separate policy regarding pregnancy. In addition, the following practices are enforced.
- Time, Distance, and Shielding are the basic components to minimize radiation exposure: The least time, the greatest distance from the source, and protective shielding with devices such as lead aprons.
- Appropriate radiation protective devices are available to students and utilization is enforced. Students must wear a minimum of a 0.25 mm lead equivalent personnel shield any time a permanent barrier will not protect them from exposure. If the potential for direct exposure exists, the shield must possess 0.5-mm lead equivalent. The use of a leaded thyroid shield is strongly recommended. Holding a patient during an exposure can result in direct beam exposure to unprotected areas of the body; therefore, holding of patients during exposure is strongly discouraged.
- A personnel monitoring device is issued to each student. It must be worn at all times during clinical assignments and fastened at the collar level, outside of the lead apron. This badge is changed monthly. Students are advised of their dosimetry reports, which are maintained by the Program and available to students.
- All students are directly supervised pre- competency and indirectly supervised post- competency by a qualified radiographer.
- Any unsatisfactory radiograph that is repeated must be directly supervised regardless of the level of student education.
- All equipment is in compliance with federal and state safety policies and regulations.
- A separate policy is available for pregnant students.
It is the option of the pregnant student to inform the Program Coordinator/Clinical Coordinator of her pregnancy. If the student chooses to voluntarily inform officials of her pregnancy, it must be in writing and indicate the expected date of delivery. In the absence of this voluntary, written disclosure, a student cannot be considered pregnant. If the student chooses to disclose her pregnancy, she will receive counseling on the options available to make an informed decision based on individual needs and preferences. The options are:
- Continue both the didactic and clinical education phases
- All clinical as well as didactic objectives must be fulfilled prior to graduation
- The attending physician must provide written approval
- Continue only the didactic educational phase
- All clinical as well as didactic objectives must be fulfilled prior to graduation.
- Allowance will be made for reinstatement in the clinical phase post pregnancy
- Leave of absence from the Radiography Program
- Discontinue didactic and clinical education phases
- Re-enter program based on College readmission criteria
The ultimate decision regarding the previous options will be the student’s tempered by the gestation period and the student’s level of progress in the educational program. Student’s are required to sign a statement acknowledging explanation of options and stating option choice.
Pregnant students choosing to remain in all educational phases:
- Must review the U.S. Nuclear Regulatory Commission “Regulatory Guide 8.13” Instruction Concerning Prenatal Radiation Exposure (Web Site: http://www.nrc.gov)
- Must wear an additional radiation monitoring device near the lower abdominal area and under the lead apron
- Must closely monitor personal monthly radiation dosimetry reports
- Will be assigned to the same clinical rotations as the non-pregnant student
- It is recommended that pregnant students observe the following precautions:
- Stay out of the field of radiation and, other than during fluoroscopy, remain in the control booth during the exposure period
- Wear additional lead apron or aprons in fluoroscopy, during portable exams or when otherwise necessary
- A pregnant student has the right to rescind her declaration of pregnancy at any time during gestation. If rescinded the student is no longer considered pregnant and no allowances for her condition will be made.
Radiography Standards of Conduct
Standards of conduct are clinical professional objectives, which are deemed to be of such importance to the practice of radiography that satisfactory performance must be met. These objectives are applicable while performing radiographic procedures and when interacting in the health care environment. The expectation/outcome is the student will demonstrate individual accountability for professional behavior. The student will:
- Follow dress code
- Display professional attitude, actions, and respect when interacting with the:
- Family/significant others
- Health care team
- Practice within legal limits of radiography complying with established standards of care as defined in:
- Policies and procedures of the assigned health care organization
- Code of Ethics: American Society of Radiologic Technologists (ASRT). Web site: http://www.asrt.org
- ARRT Standards of Ethics, Web site: http://www.arrt.org
- Use principles of safety including seeking assistance when implementing care based upon the patient’s:
- Physical and psychological condition
- Development level
- Demonstrate emotional and physical stability:
- When performing patient care and imaging procedures
- When interacting with health care team, peers, faculty, and others
- Use accurate, objective verbal and written communication in:
- Reporting and recording patient information
- Written assignments
- Interacting with the health care team, faculty, and others
- Demonstrate ethical behavior:
- Complying with the standards set forth in the Code of Ethics of the ASRT and ARRT
- Reflecting integrity and confidentiality at all times
- Demonstrate punctuality and report absences:
- According to the Radiography Program Clinical Manual of Education
- According to individual course syllabi
- Demonstrate timely preparation of the clinical experience:
- Verbal and written communication
- Patient care
- Demonstrate respect and care for radiographic equipment, supplies, and teaching aids:
- Assume personal responsibility for personnel radiation monitoring device, wear at all times while in clinic
- Have personal ID lead markers on your person at all times in clinic
- Submit only correctly labeled radiographs
- Perform repeated radiographs always with direct supervision of a registered radiographer
Professional Code of Ethics
The American Registry of Radiologic Technologists (2009) establishes the following code of ethics. “The Code of Ethics shall serve as a guide by which Registered Technologists and Candidates may evaluate their professional conduct as it relates to patients, health care consumers, employers, colleagues and other members of the health care team. The Code of Ethics is intended to assist Registered Technologists and Candidates in maintaining a high level of ethical conduct and in providing for the protection, safety and comfort of patients. The Code of Ethics is aspirational:
- The radiologic technologist conducts herself or himself in a professional manner, responds to patient needs and supports colleagues and associates in providing quality patient care.
- The radiologic technologist acts to advance the principle objective of the profession to provide services to humanity with full respect for the dignity of mankind.
- The radiologic technologist delivers patient care and service unrestricted by the concerns of personal attributes or the nature of the disease or illness, and without discrimination on the basis of sex, race, creed, religion or socioeconomic status.
- The radiologic technologist practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories consistent with the purposes for which they were designed, and employs procedures and techniques appropriately.
- The radiologic technologist assesses situations; exercises care discretion and judgment; assumes responsibility for professional decisions; and acts in the best interest of the patient.
- The radiologic technologist acts as an agent through observation and communication to obtain pertinent information for the physician to aid in the diagnosis and treatment of the patient and recognizes that interpretation and diagnosis are outside the scope of practice for the profession.
- The radiologic technologist uses equipment and accessories, employs techniques and procedures, performs services in accordance with an accepted standard of practice, and demonstrates expertise in minimizing radiation exposure to the patient, self and other members of the health care team.
- The radiologic technologist practices ethical conduct appropriate to the profession and protects the patient’s right to quality radiologic technology care.
- The radiologic technologist respects confidences entrusted in the course of professional practice, respects the patient’s right to privacy and reveals confidential information only as required by law or to protect the welfare of the individual or the community.
- The radiologic technologist continually strives to improve knowledge and skills by participating in continuing education and professional activities, sharing knowledge with colleagues and investigating new aspects of professional practice”.
American Registry of Radiologic Technologists (ARRT) Certification
At completion of the Trinity Radiography Program course curriculum, graduates are eligible to write the national certifying examination in radiography administered by the ARRT. Once registered, the graduate is qualified for entry level employment as a Registered Technologist, Radiography (R.T.R.). The following general qualifications apply.
The following text is taken from the “Examinee Handbook in Radiography” for examination administered by the
American Registry of Radiologic Technologists
1255 Northland Drive,
St. Paul, Minnesota 55120-1144
Web site: http://www.arrt.org/
“Candidates must comply with the Rules of Ethics contained in the ARRT Standards of Ethics. The Rules of Ethics are standards of minimally acceptable professional conduct for all Registered Technologists and applicants. The Rules of Ethics are intended to promote the protection, safety, and comfort of patients. Registered Technologists and applicants engaging in any of the conduct or activities noted in the Rules of Ethics, or who permit the occurrence of said conduct or activities with respect to them, have violated the Rules of Ethics and are subject to actions as described.”
One issue addressed by the Rules of Ethics is the conviction of a crime, including a felony, a gross misdemeanor, or a misdemeanor with the sole exception of speeding and parking violations. All alcohol and/or drug related violations must be reported. Conviction as used in this provision.
All potential violations must be investigated by the ARRT in order to determine eligibility. Registered Technologists and applicants who violate the Rules of Ethics must provide the ARRT with a written explanation, including court documentation of the charges, with the application for examination. The court documentation must verify the nature of the conviction, the nature of the sentence imposed by the courts, and the current status of the sentence. If an 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.
Individuals who have violated the Rules of Ethics may request a pre-application review of the violation in order to obtain a ruling of the impact on their eligibility for ARRT examination. The individual may submit a pre-application form at any time either before or after entry into an approved educational program. This review may enable the individual to avoid delays in processing the application for examination that is made at the time of graduation. The pre-application must be requested directly from the ARRT. Submission of a pre-application request form does not waive the application for examination fee, the application deadline or any of the other application procedures.
Computed Tomography Clinical Internship
In cooperation with the University of Iowa Hospitals Radiography Program, Trinity College offers the graduate technologist, who has successfully passed the ARRT certification examination, the opportunity to complete a Clinical Internship in Computed Tomography. This opportunity is available in the fall and spring of each year. This course is designed to enhance the registered radiographer’s skills with the science and practice of computed tomography. Students apply to the University of Iowa’s Radiography Clinical Internship Program and request to perform the clinical component at Trinity College. (http://www.medicine.uiowa.edu/RadSci/
). The student will then apply to complete the clinical component through Trinity College. Interns are chosen on a selective process based on previous coursework completion, GPA, and clinical competency. Online didactic coursework is offered by University of Iowa. Clinical coursework is offered and transcripted through Trinity. Students will complete 640 hours of clinical coursework. The student will complete procedures in head, neck, spine/musculoskeletal, chest abdomen, pelvis and special procedures as well as quality assurance and image display/post processing. The goal is for the student to be prepared for the clinical competency requirements of the ARRT national certification examination in Computed Tomography.
The University of Iowa didactic courses complimenting the clinical component are Sectional Anatomy for Imaging Sciences, CT Procedures, CT Physics Principles and Quality Control, and Pathology for Imaging Sciences. These courses may be taken prior, during, or following the clinical component. It is strongly recommended that Sectional Anatomy for the Imaging Sciences be completed before beginning the clinical component.
Cardiovascular Interventional Clinical Internship
In cooperation with the University of Iowa Hospitals Radiography Program, Trinity College offers the graduate technologist who has successfully passed the ARRT certification examination the opportunity to complete a Clinical Internship in Cardiovascular Interventional Imaging. This opportunity is available in the fall and spring of each year. This course is designed to enhance the registered radiographer’s skills with the science and practice of cardiovascular imaging. Students apply to the University of Iowa’s Radiography Clinical Internship Program and request to perform the clinical component at Trinity College. (www.radiology.uiowa.edu/advanced0/CVI/CVIIntern/ProgramInformation
). The student will then apply to complete the clinical component through Trinity College. Interns are chosen on a selective process based on previous coursework completion, GPA, and clinical competency. Online didactic coursework is offered by University of Iowa. Clinical coursework is offered and transcripted through Trinity. Students will complete 640 hours of clinical coursework. The student will complete competencies in cardiac, peripheral vascular and interventional procedures as well as sterile technique and image display/post processing. The goal is for the student to be prepared for the clinical competency requirements of the ARRT national certification examination in Cardiovascular Interventional Imaging.
The University of Iowa didactic courses complimenting the clinical component are Vascular Anatomy, Cardiovascular Imaging Principles, ECG & Hemodynamics, Peripheral Procedures and Pathology, Cardiovascular Imaging Neuro & Nonvascular Procedures and Pathology, Cardiovascular Interventional Cardiac Procedures and Pathiology. It is strongly recommended that Vascular Anatomy be completed before beginning the clinical component.
CURRICULUM COMPUTED TOMOGRAPHY CLINICAL INTERNSHIP 2012-2013
All “676” courses are offered online through the University of Iowa CT Clinical Internship Program. RT 331 CT Clinical Internship is completed through Trinity College of Nursing & Health Sciences. Students must be officially accepted through the U. of Iowa to be eligible for the Clinical Internship. Registration for the University of Iowa courses is completed through U. Iowa system and may be limited. RT 331 will be registered through Trinity College Radiography Program.
CURRICULUM CARDIOVASCULAR INTERVENTIONAL CLINICAL INTERNSHIP 2012-2013
All “675” courses are offered online through the University of Iowa CVI Clinical Internship Program. RT 332 CVI Clinical Internship is completed through Trinity College of Nursing & Health Sciences. Students must be officially accepted through the U. of Iowa to be eligible for the Clinical Internship. Registration for the University of Iowa courses is completed through U. Iowa system and may be limited. RT 332 will be registered through Trinity College Radiography Program.