Page 115 - JRCERT Pulse Newsletters
P. 115

Page  6




               Recognition of Clinical Settings and Observation Sites . . .

               a little clarification


                                                   Accreditation Management System
                                                   (AMS) portal.  Utilization of an un-  Affiliation agreement?
                                                   recognized clinical setting for stu-
                                                                                   An affiliation agreement is not re-
                                                   dent clinical experience will result in
                                                                                   quired for recognition of a new clinical
                                                   a fine to the program of $500.
                                                                                   setting if the setting is under the same
                                                   Observation Sites               radiologic administrative control as an
                                                                                   associated, currently recognized clini-
                                                   As a method to broaden students’
                                                                                   cal setting or is owned by the pro-
                                                   clinical experience, programs may
                                                                                   gram’s sponsoring institution; howev-
                                                   elect to utilize, on a limited basis,
              We receive several questions each month                              er, a memorandum of understanding
                                                   medical facilities for students’
              regarding whether a clinical facility needs to   “observation” of specialized proce-  between the clinical setting and the
              be recognized, “approved,” by the JRCERT   dures not involving clinical competen-  sponsoring institution is recommend-
              for student clinical experience.  Additional-  cy achievement.  An example might   ed.  At a minimum, the memorandum
              ly, programs are, on occasion, being cited   be one in which radiography program   should address responsibilities of both
              under Standard Two-Objective 2.5                                     parties and student professional liabil-
                                                   students observe bone densitometry
              during a site visit for utilizing clinical set-  at a freestanding women’s health   ity insurance.
              tings that have not been recognized.   clinic.  Students may not assist in, or   For those situations in which an affilia-

              Questions usually arise when a program is   perform, any aspects of patient care   tion agreement is not required, docu-
              considering utilization of a “satellite” facili-  during observation assignments, i.e.,   mentation that the new clinical setting
              ty, such as an outpatient imaging center or   no physical contact with the patient   is in compliance with applicable state
              medical office, as a clinical setting for the   and no operation of the equipment.    and/or federal radiation safety laws
              program.  To help decide if a facility needs   Since the JRCERT does not recog-  must still be submitted in support of
              to be recognized as a clinical setting for the   nize true observation sites, the   the recognition of the setting.
              program, you need to ask these two ques-  “hands off” requirement is necessary
              tions:                               to protect all parties involved, as
                                                   there is likely no affiliation agreement
              1.  Is the facility under different radiolog-
                                                   in place that addresses student liabil-
                 ic administrative control from the
                                                   ity.  The JRCERT recommends estab-
                 currently recognized clinical setting or
                                                   lishing a memorandum of understand-
                 the program’s sponsoring institution?
                                                   ing between the clinical setting and   A Consideration for Observation
              2.  Is the facility geographically dispersed  the sponsoring institution that, at   Sites...
                 from the associated, currently recog-
                                                   minimum, addresses the responsibili-
                 nized, clinical setting?                                          Students may experience pressure to
                                                   ties of both parties and student liabil-
                                                                                   go beyond the “hands off” policy at
                 If the answer to either of these ques-  ity.  Additionally, facilities where
                                                                                   observation sites, thus placing the
                 tions is YES, the facility MUST be   students are participating in service
                                                                                   student in an awkward, uncomforta-
                 recognized by the JRCERT as a sepa-  learning projects or community-
                                                                                   ble, and potentially libelous situation.
                 rate clinical setting for the program.    based learning opportunities do not
                 Programs will need to make applica-  require JRCERT recognition.
                 tion for the new setting through the
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