Clinical Guidelines and Technical Standards

Health screening requirements must be met before entering the clinical area.

Each student MUST meet vaccination, titer, and physical exam requirements and MUST provide all documentation and health screening information through the online compliance tracking system or if applicable, the appropriate personnel. 

The specific health screening requirements are:

• Measles, Mumps & Rubella (MMR):
  • Documentation of two doses of MMR, or Positive, IgG MMR Titers (copy of titer lab report required). History of the disease is not acceptable.
• Varicella (Chicken Pox):
  • Documentation of two doses of Varicella, or Positive, IgG Varicella Titer (copy of titer lab report required). History of the disease is not acceptable. 
• Tetanus/Diphtheria/Tdap:
  • 1 dose Tdap (includes pertussis), then Td and/or Tdap booster every 10 years. 
• Hepatitis B (HBV) Series:
  • Documentation of complete series of Hep B doses, or Positive, Quantitative Hep B Surface Antibody Titer (copy of titer lab report required), or Hep B Declination form. 
• Tuberculosis Screening: (one of the following is required)
  • 2-Step Tuberculosis Skin Testing or 2 annual negative skin tests
  • Skin Tests must include a millimeter reading even if “0”

• • ONE (1) negative IGRA/TB Gold/T-Spot blood test report within the past 12 months; 

Or,  

• • if a positive TST history then (1) a document showing a positive skin test, (2) a negative chest x-ray report, and (3) a TB Screening form. 
• TB Risk Assessment & Attestation Form:
  • Annual TB skin Test or Completion of Annual TB Risk Assessment Form
• Influenza (flu shot):
  • Submit documentation of a flu shot administered during the current flu season (The school will provide a date).
  • The renewal date will be set for 1 year.
• Physical Exam:
  • Provide your physical exam form completed and signed by a medical professional. Physical Exam must be completed on school form available to download from the online compliance tracking system or if applicable, the appropriate personnel.
• COVID 19 vaccination:
  • Some clinical agencies are requiring students to have a COVID-19 vaccine.
  • Effective September 2021, all students participating in a clinical setting Must meet the clinical agency’s COVID-19 requirements and/or exemption guidelines.

To participate in clinical placement all students must use the approved online compliance system to complete criminal background checks.

The background check is not a requirement for acceptance to the program and should not be completed until the student receives acceptance to the program or completes the registration process.

At that time, the student will receive the program code or placing your order information to be used to complete the criminal background.

The clinical agency reviews the background check and the clinical agency provides clearance for the student to enter the clinical area.

To participate in clinical placement all students must use the approved online compliance system to complete the drug screen.

The drug screen is not a requirement for acceptance to the program and should not be completed until the student receives acceptance to the program or completes the registration process.

The clinical agency reviews the drug screen and the clinical agency provides clearance for the student to enter the clinical area. In addition, some clinical affiliates may require annual drug screens.

Drug screens should be completed ONLY when directed by the Department Chair/Program representative and are time-sensitive.

1. CPR (Infant, Child, and Adult)
   1. American Heart Association BLS Provider course
   2. The renewal date will be set based on the expiration date of your card.
      
2. Proof of Health Insurance
   1. Copy of health insurance care- must have student’s name on the care or proof as dependent. 
3. Program Orientation
   1. Handbook Verification Form
   2. Other documents required by your program of study.

Students MUST comply with all required documentation and submit clinical compliance requirements by required deadlines as stated in the Compliance Policy. 

Recognized Clinical Settings	Address	Miles Main Campus
Cardinal Points Imaging of the Carolinas	166 Springbrook Ave. #103 Clayton, NC 27520	15 miles
Central Harnett Hospital	215 Brightwater Dr. Lillington, NC 27546	32 miles
Eastern Carolina Medical Center	1 Medical Dr. Benson, NC 27504	16 miles
UNC Orthopedics of Goldsboro	2808 McLamb Place Goldsboro, NC 27534	27 miles
Harnett Health Betsy Johnson	800 Tilghman Dr. Dunn, NC 28334	24 miles
UNC Health Johnston-Clayton	2138 NC-42 W. Clayton, NC 27520	16 miles
UNC Health Johnston-Smithfield	509 N. Brightleaf Blvd. Smithfield, NC 27577	1.7 miles
Sampson Regional Medical Center	607 Beaman St. Clinton, NC 28328	37 miles
Sampson Regional Medical Center Outpatient Diagnostic Center	233 Beaman St. Clinton, NC 28328	37 miles
Wayne Radiologists, PA	2700 Medical Office Place Goldsboro, NC 27534	27 miles
UNC Health Wayne-Goldsboro	2700 Wayne Memorial Drive Goldsboro, NC 27534	27 miles

Typical Student Schedule:

Class and Lab

• M – F, day hours
• 2-3 days/week on campus

Clinical

• 1-3 days/week
  • Occasional SAT and/or SUN and evening hours
  • Majority Day hours

Hospital Hours

• 8 or 12 hour shifts, day or night,
• variety of 7 days/week

Other locations

• Hours and days vary 

1. Visually monitor patients in dimmed light and view appropriate anatomy on a radiographic image either on a computer screen.
2. Hear various equipment and background sounds during equipment operations.
3. Reach up to six (6) feet off the floor.
4. Communicate in a clear and concise manner to patients and coworkers in various departments.
5. Read and write or type appropriate instructions in patient treatment charts, notes and records correctly.
6. Lift thirty (30) pounds of weight, up to waist level and hold in position.
7. Move immobile patients from stretcher to radiographic table with assistance from department personnel.
8. Push standard wheelchair from waiting area to radiographic room.
9. Interpret and appropriately utilize clinical instructions given to student by departmental personnel.
10. Utilize keyboard for inputting clinical data into console, computers and charts.
11. Organize and accurately perform the individual steps of a radiographic procedure in the proper sequence within a specified time. 

Demand	Approximation
Sitting	1-2 hrs./day
Standing	4-6 hrs./day
Walking	4-6 hrs./day
Reaching	Frequently
Bending	Frequently
Crouching	Moderately
Kneeling	Occasionally
Dexterity	Frequently
Stooping	Moderately
Lifting Objects	30lbs.
Visual ability in dim light	100%
Good Hearing ability	100%
Ability to speak with clear dictation	100%
Ability to work long/irregular hours	100%
Manual dexterity	Excellent
Pushing/Pulling objects/patients	Frequently

1. Ability to work in a noisy environment with many interruptions.
2. Ability to remember and recall a large amount of information.
3. Ability to accurately read and transcribe illegible handwriting.
4. Ability to assess patient and other situations rapidly, determine the course of action, delegate activities to co-workers, and/or respond as appropriate.
5. Ability to use equipment safely and correctly, such as equipment locks, IV pumps, stretchers, etc.
6. Ability to hear, understand, and respond appropriately to comments, questions, and instructions given in person, over the telephone, and in writing.
7. Ability to calmly and politely cope in stressful situations, in emergency patient situations, or situations with other staff members.
8. Ability to effectively communicate in the medical environment with other health care professionals and patients/family members.

The radiography program sponsored by Johnston Community College has revised its policy, effective October 2016, regarding the placement of students in mammography clinical rotations to observe and/or perform breast imaging.  (Additionally, the policy may be applied to any imaging procedures performed by professionals who are of the opposite gender of the patient.)

Under the revised policy, all students, male and female, will be offered the opportunity to participate in mammography clinical rotations.

The program will make every effort to place a male student in a mammography clinical rotation if requested; however, the program is not in a position to override clinical setting policies that restrict clinical experiences in mammography to female students. 

Male students are advised that placement in a mammography rotation is not guaranteed and is subject to the availability of a clinical setting that allows males to participate in mammographic imaging procedures.

The program will not deny female students the opportunity to participate in mammography rotations if clinical settings are not available to provide the same opportunity to male students.

The change in the program's policy regarding student clinical rotations in mammography is based on the sound rationale presented in a position statement on student mammography clinical rotations adopted by the Board of Directors of the Joint Review Committee on Education in Radiologic Technology (JRCERT) at its April 2016 meeting. 

The JRCERT position statement is included as Addendum A to the program's policy and is also available on the JRCERT Web site, Programs & Faculty, Program Resources.