DMS 109 Intro to Clinical Internship II


Campus Location:
Wilmington
Effective Date:
2020-51
Prerequisite:
DMS 108, SSC 100 or concurrent
Co-Requisites:

none

Course Credits and Hours:
1.00 credits
0.00 lecture hours/week
4.00 lab hours/week
Course Description:

This continuation of Intro to Clinical Internship I offers practical experiences in a clinical setting for application of previously learned principles.

Required Text(s):

Obtain current textbook information by viewing the campus bookstore online or visit a campus bookstore. Check your course schedule for the course number and section.

Additional Materials:

DMS Program Student Manual, including policies and DMS Clinical Competency Requirements
CCHS Non-Employee Orientation Manual
Allied Health/Science Department Policy Manual
Instructor Handouts

Schedule Type:
Classroom Course
Disclaimer:

None

Core Course Performance Objectives (CCPOs):
  1. Integrate learned didactic and lab principles in the clinical setting. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  2. Comply with college and clinical affiliate department policies and procedures. (CCC 1, 2, 3, 4; PGC 2, 3, 4)
  3. Demonstrate professional behaviors in all matters relating to patient, family, and other healthcare members. (CCC 3, 4, PGC 3)
  4. Practice using ultrasound instrumentation and other equipment necessary for sonographic procedures. (CCC 1, 2, 5, 6; PGC 1, 2, 4)
  5. Explain proper pre-examination preparation and acquisition of pertinent patient medical information. (CCC 1, 2, 5; PGC 2, 4)
  6. Compare sonographic examination protocols and required images related to the field of study. (CCC 1, 2, 5, 6; PGC 1, 2, 3, 4)
  7. Initiate and practice in diagnostic medical sonographic procedures within the plan of care and scope of responsibility. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  8. Perform with competency the basic views of the abdomen and the nongravid pelvis using real-time ultrasound equipment. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)
  9. Perform with competency the lower extremity pulse volume recording/segmental limb pressure (PVR/SLP) study using physiological equipment. (CCC 1, 2, 3, 4, 5, 6; PGC 1, 2, 3, 4)

See Core Curriculum Competencies and Program Graduate Competencies at the end of the syllabus. CCPOs are linked to every competency they develop.

Measurable Performance Objectives (MPOs):

Upon completion of this course, the student will:

  1. Integrate learned didactic and lab principles in the clinical setting.
    1. Apply skills for performing basic 2D sonography and physiological tests in the clinical setting.
  2. Comply with college and clinical affiliate department policies and procedures.
    1. Comply with college policies, including allied health department policies and diagnostic medical sonography program policies.
    2. Comply with clinical affiliate department policies and procedures.
    3. Maintain student clinical record.
    4. Document clinical activity in a timely manner.
  3. Demonstrate professional behaviors in all matters relating to patient, family, and other healthcare members.
    1. Demonstrate appropriate interaction skills with physicians, staff, patient, family, and other healthcare members in the clinical setting.
    2. Demonstrate professional behavior, including appropriate attire.
    3. Comply and maintain confidentiality in verbal and written communication.
  4. Practice using ultrasound instrumentation and other equipment necessary for sonographic procedures.
    1. Identify and explain the function of the basic, generic instrumentation controls on a duplex ultrasound system and other equipment necessary for sonographic procedures.
    2. Select the appropriate transducer according to the procedure requested and patient body habitus.
    3. Explain the correct usage of the controls for optimal study results and image quality.
    4. Explain the system components for documentation of the ultrasound study.
  5. Explain proper pre-examination preparation and acquisition of pertinent patient medical information.
    1. Explain and practice pre-examination preparation by:
      1. Selecting correct instrumentation
      2. Obtaining optimum machine setting
      3. Obtaining patient history and identifying clinical signs and symptoms
      4. Positioning the patient properly and safely assisting the patient for the procedure
    2. Properly prepare and maintain the patient area within the clinical site.
  6. Compare sonographic examination protocols and required images related to the field of study.
    1. Explain protocol and required images of the examination participated related to field of study.
    2. Compare and discuss protocols from different sites to professional society recommended protocol.
  7. Initiate and practice in diagnostic medical sonographic procedures within the plan of care and scope of responsibility.
    1. Select pertinent information from medical chart and patient report for documentation.
    2. Formulate significant clinical information and historical facts from the patient and the medical records that may impact diagnostic information.
    3. Explain exam protocols and criteria necessary for interpreting sonographic study.
    4. Identify problem states; then clearly describe known solutions to problems.
    5. Practice diagnostic medical sonographic procedures within the plan of care and scope of responsibility.
  8. Perform with competency the basic views of the abdomen and the nongravid pelvis using real-time ultrasound equipment.
    1. Select appropriate transducer and instrument settings appropriate to the requested part and body habitus.
    2. Perform required competency as outlined in DMS clinical competency requirements to include basic views of the abdomen and the nongravid pelvis.
    3. Document properly annotated diagnostic images of the pertinent normal and abnormal anatomy in all the appropriate scan planes of the abdomen, including liver and kidneys.
    4. Document properly annotated diagnostic images and measurements of the pertinent normal and abnormal anatomy in all the appropriate scan planes of the nongravid pelvis, including transabdominal scanning of uterus and ovaries.
  9. Perform with competency the lower extremity pulse volume recording/segmental limb pressure (PVR/SLP) study using physiological equipment.
    1. Select appropriate transducer and instrumentation appropriate to the type of exam and body habitus.
    2. Perform required competency as outlined in DMS clinical competency requirements to include lower extremity PVR/SLP using appropriate records, patient information, and clinical skills.
    3. Explain the protocol for lower extremity PVR/SLP examination, and practice the procedures that include:
      1. Identifying normal waveform and waveform morphology.
      2. Obtaining PVR.
      3. Obtaining multilevel segmental pressures bilaterally and ability to calculate ankle-brachial index (ABI).
      4. Explaining segmental pressure and determining need for exercise testing if applicable.
      5. Discussing the need to perform duplex imaging where appropriate.
      6. Recognizing levels suggesting stenosis and degree of flow reduction.
Evaluation Criteria/Policies:

Students must demonstrate proficiency on all CCPOs at a minimal 75 percent level to successfully complete the course. The grade will be determined using the Delaware Tech grading system:

92 100 = A
83 91 = B
75 82 = C
0 74 = F

Students should refer to the Student Handbook for information on the Academic Standing Policy, the Academic Integrity Policy, Student Rights and Responsibilities, and other policies relevant to their academic progress.

Final Course Grade:

Calculated using the following weighted average

Evaluation Measure

Percentage of final grade

6- 10 Clinical Competencies (summative) (weighted equally)

55%

Assignments (formative)

5%

Midterm Appraisal (summative)

Satisfactory/ unsatisfactory

Site Evaluation (summative)

20%

Faculty Final Evaluation (summative)

20%

TOTAL

100%

Core Curriculum Competencies (CCCs are the competencies every graduate will develop):
  1. Apply clear and effective communication skills.
  2. Use critical thinking to solve problems.
  3. Collaborate to achieve a common goal.
  4. Demonstrate professional and ethical conduct.
  5. Use information literacy for effective vocational and/or academic research.
  6. Apply quantitative reasoning and/or scientific inquiry to solve practical problems.
Program Graduate Competencies (PGCs are the competencies every graduate will develop specific to his or her major):
  1. Perform competently a full range of diagnostic medical sonographic procedures pertaining to their learning concentration.
  2. Utilize professional verbal, nonverbal, and written communication skills in patient care, procedure intervention, and professional relationships.
  3. Act in a professional and ethical manner and comply with professional scope of practice.
  4. Integrate critical thinking and problem solving skills as expected of a healthcare professional.
Disabilities Support Statement:

The College is committed to providing reasonable accommodations for students with disabilities. Students are encouraged to schedule an appointment with the campus Disabilities Support Counselor to request an accommodation needed due to a disability. A listing of campus Disabilities Support Counselors and contact information can be found at the disabilities services web page or visit the campus Advising Center.

Minimum Technology Requirements:
Minimum technology requirements for online, hybrid, video conferencing and web conferencing courses.