Diagnostic Medical Sonography (DMS)

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DMS-Specific Handbook

Program Description

See About the Profession and Our Program for complete descriptions of the Diagnostic Medical Sonography program.

Program-Specific Policies & Procedures

All DMS students will be required to sign the Student Responsibility Statement.

Supervision of Students

Clinical Supervision of Students: All MITS students must have adequate and proper supervision during all clinical assignments as specified by individual institutional, program, and accreditation policies. The following conditions constitute adequate and appropriate supervision.

Procedure:

1. During the fall semester, direct one-on-one supervision with a staff sonographer will be provided to the student for all examination procedures regardless of type of exam or degree of difficulty. One-on-one supervision involves having a staff sonographer present during the entire procedure if a student is observing or performing an examination.
2. During spring semester, students will receive one-on-one supervision for examination procedures which, in the opinion of the supervising staff sonographer, are beyond the student’s capacity to perform without full supervision. If a procedure is determined to be within the student’s capacity to perform, partial direct supervision will be provided to the student. Partial direct supervision involves periodic checks on the student’s progress during an exam and assistance with the exam as requested by the student or at the discretion of the sonographer.
3. During the summer semester, students will receive one-on-one, partial, direct, or indirect supervision depending on the student’s capacity to perform an examination. If indirect supervision is deemed appropriate by the supervising staff sonographer, the student may perform the examination in its entirety without sonographer supervision. Sonographer assistance will be available at the student’s request. The supervising sonographer will scan after the student has completed the exam.
4. Any sonographic exam performed by a DMS student must also be scanned by a staff sonographer.

The DMS Program uses educational scanning labs as a component of the program. These labs are performed under the supervision of an appropriately credentialed sonographer. All scan lab models, including DMS students, are required to review and sign the Volunteer Authorization Form and the Scan Lab Policy Form if they volunteer as a scan model.

Procedure for Clinical Evaluations

1. Clinical evaluations also include the three domains of learning: cognitive (knowledge), affective (professional behaviors), and psychomotor (technical skills).
2. Students who perform at a non-acceptable level as defined by the program, in any of the three domains, may be placed on immediate academic probation. Students who do not show immediate rectification of the problems will be put on academic probation. See CAHP academic probation policy.

Clinical Compliance

Accidents/Incidents: As general policy, MITS students will comply with the policies and procedures with the clinical site at which they are assigned. It is the policy that there be written reports of all unusual incidents/accidents.

An incident is an unusual occurrence which is not consistent with the routine operation of the institution or clinical rotation which may or did cause harm, involves possible negligence, requires some immediate consideration or action by a supervisor.

A student enrolled in a program in the Department of Medical Imaging and Therapeutic Sciences is expected to provide prompt, complete and accurate written documentation of the details related to any accidents/incidents, thus enabling corrective actions and/or programs for prevention. The program adheres to the Infection Control Policy for University Hospitals and Clinics. Students with signs and symptoms of an infectious process should report immediately to the program director for appropriate referral.

All accidents/incidents must immediately be reported to the clinical supervisor or immediate person in charge. Proper report forms must be completed.

Equipment Use and Operation: The professions in the Department of Medical Imaging and Therapeutic Sciences employ the use of highly specialized equipment. Any equipment failure or equipment that is not in proper working order must be reported immediately to the clinical supervisor. Do not place any calls to equipment representatives. Do not attempt to repair.

Blood Borne Pathogens Exposure Plan for Students Campus Blood Borne Pathogen Exposure (on and off campus): Students must call the Medical Communication Center at 402-559-6824 or the OUCH pager at 402-888-6824 (24 hours a day, 7 days a week) ASAP and report to the nearest emergency room for appropriate blood borne pathogen procedures. On the next work day, please call the Student Health office at 402-559-5158 with information regarding your ED visit.

Academic Probation

See CAHP academic probation policy.

Student Grievance

Purpose: The MITS Department strives to promote an educational environment that values fair and equitable treatment among students, faculty, and staff. Despite this goal, differences among individuals may occasionally lead to conflicting circumstances that require a process for resolution to take place. The purpose of the Student Grievance Policy is to provide a framework to effectively resolve any justified complaint or grievance without retaliation.

Examples or Types of Grievances (but not limited to):

• Acts or threats of intimidation
• Acts or threats of physical aggression
• Acts of bias or unfair treatment by a fellow student, faculty or staff member which adversely effects the learning process
• Violation of student rights and responsibilities

Procedure:

1. Informal Process - Ideally, grievances can be resolved informally among the parties involved. Therefore, before a formal grievance process takes place, the student is encouraged to meet with the individual whose behavior warranted the grievance. If this action is not feasible, the student should contact the program director for possible resolution. A final option for informal resolution is to utilize an Ombudsperson. The Ombudsperson identified for students on the UNMC campus is located in the Student Counseling Department. The informal meeting must take place within two weeks of the occurrence that caused the grievance.
2. Formal Process- If the student is not satisfied with the results of the informal process, or an informal resolution is not possible then he/she should initiate the formal process within 30 days of the occurrence.
   1. A formal statement of the grievance must be presented in writing to the MITS Department Chair within the timeframe specified. (If the Chair is the individual involved, then the formal statement should be submitted to the Dean of the College of Allied Health Professions). The formal statement must include the following items: A) Full name, address, and telephone number of the person(s) making the charge; B) Full name of each person being charged, location of employment, and work telephone number; C) A concise and factual description of the specific incident(s) surrounding the grievance violation (the description should include a timeline of events); D) A proposed resolution
   2. The Chair (Dean, if applicable) will review the facts surrounding the grievance. If there is justified evidence that a grievance exists, then the grievance will be forwarded to the CAHP Student Grievance Committee.
   3. Within two weeks after receiving the alleged grievance, the committee members will review the statement, convene to discuss the issues at hand, hear testimony, and consider all other facts pertaining to the grievance.
   4. Both parties will have the right to present testimony, evidence, and witnesses. Each party shall have the right to seek legal counsel in the preparation of statements concerning the grievance; however, they may not be represented by counsel in discussions with the committee. Each party shall have the right to hear all testimony surrounding the grievance. The hearing will be closed to the public.
   5. In all proceedings where the complaint touches upon questions of policies, rules and regulations, the CAHP Student Grievance Committee shall be guided by written policies, rules and regulations. The committee will make a decision on the grievance charge after reviewing all facts, testimony, and documentation. The committee’s decision or resolution will be made within two weeks following the hearing. Both parties involved will be notified of the decision in writing. A summary record of the proceedings will be maintained in a confidential file.

The student may appeal the decision of the Student Grievance Committee, to the Office of the Dean. The Dean will review all documents surrounding the grievance, and make a decision within two weeks of receiving the appeal. Both parties involved will be notified of the decision in writing. The decision by the Dean will be final.

Pregnancy

The pregnancy policy is a voluntary program intended to provide safety for pregnant students and their fetus. In the event of a suspected or confirmed pregnancy, it is the responsibility of the student to advise her program director in writing of her condition. Pregnancy will not affect the student’s enrollment in the academic courses in the program. The student will:

1. Provide the program director with written indication of intent to:
   1. continue in the program, or
   2. take a medical leave of absence with intent to complete the program (form available from CAHP Academic & Student Affairs), or
   3. withdraw from the program (form available from CAHP Academic and Student Affairs).
2. The student should provide the program director with written consent from her physician providing medical advice for any limitations placed upon the student while enrolled in the program.

MITS Dress Code Policy

All students will dress in a professional manner, appropriate for the situation and according to the following guidelines.

1. All MITS students will wear Caribbean Blue scrubs with or without a Caribbean Blue lab jacket for both class and clinic.
2. The uniform top will have the UNMC/Nebraska Medicine logo on upper left chest. All uniforms should be purchased online here.
3. A solid white or gray shirt may be worn under the scrub top and must be tucked into the scrub pant.
4. Pant hemlines should not touch or drag on the ground.
5. Simple jewelry may be worn with the uniform, i.e., small earrings, wedding rings, and watches.
   1. Visible piercings and transdermal implants must be removed or covered except ear piercings.
   2. Ear gauges must be plugged with flesh colored plugs while in clinic.
   3. Earrings must be small and not touching the neck.
   4. Bandanas are not permitted.
6. Visible tattoos that are larger than 2” x 2” or clearly offensive, including but not limited to anything hateful, violent, profane and/or containing nudity, must be completely covered.
7. Flat, enclosed-toe, neutral colored shoes are acceptable. Socks must be worn at all times.
8. Students assigned to a surgery rotation will follow the surgical dress code policy of the clinical facility in which he or she is rotating.
   1. Students are to wear from home their uniform or proper street clothing and then change into clean scrubs after they arrive at the hospital/clinic. At the end of the shift, the students are to change back into their uniform or proper street clothing.
   2. All scrub clothing provided by the hospital/clinic may not be removed from the property. Scrubs must not be worn outside of the hospital/clinic buildings.
9. Proper UNMC photo ID and personnel monitoring devices must be worn at all times. The ID must be visible at all times to identify student status.

Students are held responsible for their appearance and will be dismissed from clinic if inappropriately attired, or groomed. If a student is sent home from clinic due to a dress code violation, the amount of time missed from clinic will be deducted from the student comp time allotment.

Use of Technology

1. Personal phone calls during clinic hours must be kept to a minimum.
2. Personal technology may not be used during class or clinic unless for educational purposes as approved by class or clinical instructors.
3. Only department computers may be used for documenting clock in and clock out procedures via Trajecsys. Personal technology may not be used for this function.

Student Leave Time

Personal Time (aka Comp Time)

Students enrolled in the Department of MITS are given 16 hours of leave time for personal affairs each semester. It is intended to provide necessary time for planned or unplanned events without jeopardizing the student’s attendance record. Regarding the use of student leave time, the following guidelines must be followed:

1. Unused time allotted is not transferrable to a successive semester.
2. Students taking more than the allotted number of hours will be required to make up the time according to the discretion of the program director.
3. Unauthorized absenteeism may result in disciplinary actions.
4. A student may be required to furnish satisfactory medical proof of illness, disability or dental work.
5. It is recommended that suspected and confirmed pregnancy be reported to the program director. Time lost due to pregnancy must be made up according to the decision of the program director based on the Radiation Protection and Pregnancy Policies contained in this document.
6. Full time students may request up to 5 days of funeral/bereavement leave in the event of a death of an immediate family member. Documentation may need to be provided upon request.

Compensation Time Guide

Provision of compensation time is intended to ensure fair, uniform, and impartial treatment for all students. Students may voluntarily choose to spend additional authorized time participating in clinic procedures over and above their scheduled hours as long as the student continues to perform in the student capacity, including direct supervision and holding only student clinical responsibilities.

Personal time for professional meetings The Department of MITS supports participation in professional organizations relevant to the student’s professional growth and development. Therefore, students may qualify for time for documented attendance and involvement in these activities. See program director for more information.

Student Employment Guidelines

Opportunities for student employment may exist in the clinic departments and may be initiated and/or discontinued as dictated by manpower needs.

1. Students may not take the place of regular staff in the clinical areas to which they are assigned. It is appropriate, however, for students to assume the responsibility for performing defined activities and tasks, with adequate direction and supervision, after demonstration of clinical competencies.
2. Students may be employed in a clinical setting outside regular educational hours, provided this work does not interfere with their academic responsibilities. In addition, student employment in the clinical setting is non-compulsory and is subject to standard employee policies.

Personal Property

UNMC and all clinical affiliate sites are not responsible for your valuable possessions. All valuables and money should be monitored closely by each individual.

Policy for Authorship of Student/Scientific Papers and/or Presentations

It is a tradition and common accepted practice amongst academic institutions that scientific papers and posters submitted for consideration of publication or presentation include as an author the student’s advisor, program director, professor, department chairperson, or any other similar individual that had a direct relationship to the student and the material being presented.

Inclement Weather Policy

As a general rule, MITS does not cancel classes/clinical rotations because of weather. Students should make their own decision when travel appears to be hazardous. If a student feels they are unable to travel to campus, it is the student's responsibility to communicate with their program director and/or clinical faculty. The amount of time will be deducted from their personal leave.