Fillable Radiologic Technology Clinical Instructor Technologist Evaluation (Indian Hills Community College)

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Radiologic Technology Clinical Instructor Technologist Evaluation (Indian Hills Community College)

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Clinical Instructor/
Technologist Evaluation
Radiologic Technology Program
Student Name:
Term: I II III IV V VI VII
EVALUATION
Directions: Select the number that corresponds to the student’s performance BASED ON THEIR LEVEL OF
EDUCATION. Any 0 or 1 selected requires a comment. Any 2 - comments are encouraged.
4 = Excellent 3 = Above Average 2 = Average 1 = Below Average 0 = Unacceptable
1. Performs Positioning Skills Accurately:
a. Demonstrates knowledge of anatomy 4 3 2 1 0
b. Utilizes age-appropriate positioning skills 4 3 2 1 0
c. Manipulates table, tube and bucky correctly 4 3 2 1 0
Comments:
2. Demonstrates Proper Technical Skills:
a. Sets techniques correctly utilizing manual, anatomical programming and
digital equipment 4 3 2 1 0
b. Demonstrates knowledge of imaging skills related to technical factors 4 3 2 1 0
Comments:
3. Performs In A Safe Manner That Minimizes Risk To Patient And Others:
a. Observes health and safety regulations 4 3 2 1 0
b. Utilizes proper radiation safety measures 4 3 2 1 0
Comments:
4. Patient Care:
a. Exhibits sensitivity to dierences in race, creed, gender, age, national or ethnic
origin, sexual orientation, and disability or health status 4 3 2 1 0
b. Assists patient prior to, during, and following procedure 4 3 2 1 0
Comments:
5. Critical Thinking Skills:
a. Applies principles and generalizations already learned to new situations 4 3 2 1 0
b. Performs analysis of films appropriate to level of education 4 3 2 1 0
c. Demonstrates the capacity to think for oneself 4 3 2 1 0
Comments:
6. Communication Skills:
a. Communicates with clinical sta and college faculty in a respectful
and timely manner 4 3 2 1 0
b. Utilizes age-appropriate communication skills eectively 4 3 2 1 0
c. Communicates appropriately based on situational needs 4 3 2 1 0
Comments:
7. Maintains Professional Legal and Ethical Values:
a. Abides by relevant ethical and legal codes, standards and guidelines 4 3 2 1 0
b. Maintains confidentiality 4 3 2 1 0
Comments:
8. Demonstrates Professionalism:
a. Is punctual and dependable 4 3 2 1 0
b. Demonstrates initiative 4 3 2 1 0
c. Maintains productive working relationships with patients and health care team 4 3 2 1 0
d. Accepts constructive criticism from Clinical Coordinator, Instructors
and Technologists 4 3 2 1 0
e. Displays overall confidence for level of education 4 3 2 1 0
f. Adheres to policies related to dress code and personal appearance 4 3 2 1 0
g. Responds to suggestions in a positive manner 4 3 2 1 0
h. Uses downtime constructively to enhance clinical skills 4 3 2 1 0
i. Seeks new learning experiences 4 3 2 1 0
Comments:
Additional Comments:
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Radiologic Technology Clinical Instructor Technologist Evaluation (Indian Hills Community College)

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Completed 18 July 2020

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