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Advanced Clinical Practice Skills

Course Details

Course Number
RADS 3213
Section Number
RADS 3213
Spring 2018
Bridwell Hall
Classroom Number
Days & Times


This is an online course and there are no mandatory sessions. However, the student should be vigilant in logging in to D2L. Regular checks will ensure that messages from the instructor are received in a timely manner.

Vicki Sanders MSRS, RRA, RT(R)(CV)(CT) (view Profile)

Course Attachments


Course Objectives

Course Overview

This course focuses on the current healthcare delivery environment including patient assessment, monitoring, and management.  It includes working with multicultural patients, managing problem patients, infection control, and patient education.  Additional topics include an overview of considerations when working in an increasingly digital imaging environment.


Course Objectives

Upon completion of this course, the student should be able to:

  • Evaluate vital signs and EKG strips
  • Identify normal and abnormal diagnostic laboratory values
  • Properly chart actions and observations pertaining to a patient.
  • Demonstrate familiarity with pharmacology to include drugs, contrast media and applicable regulations.
  • Apply learned communication skills and techniques.            
  • Identify factors influencing communication.
  • Demonstrate familiarity with concepts and methods of infection control


Teaching Strategies

Independent reading assignments, Desire2Learn open book unit quizzes, projects/assignments, and proctored Desire2Learn (D2L) closed book final examination.

Course Expectations



Independent Reading Assignments

Students should complete the reading assignments, answer the chapter objectives, review the internet resources, and review the questions at the chapter end before attempting the open book unit quizzes. The course content is divided into units by chapters. Additional resource material is available through the Internet. Each unit has a quiz. See the Course Schedule at the end of this syllabus for quiz deadlines.

Unit reading



Unit 1:

Nursing Interventions and Clinical Skills- Chapters 6, 7

Unit 2:

Nursing Interventions and Clinical Skills- Chapter 9

Unit 3:

Pharmacology and Drug Administration for Imaging Technologists- Chapters 1,2,6,7,11

Nursing Interventions and Clinical Skills- Chapter 3

Unit 4:

Nursing Interventions and Clinical Skills- Chapters 2

Unit 5:

Pharmacology and Drug Administration for Imaging Technologists Chapter 9

Nursing Interventions and Clinical Skills- Chapter 5


Desire2Learn Open Book Unit Quizzes - 15%

Students should complete the reading assignments, answer the chapter objectives, and review the questions at the end of the chapter before attempting the unit quizzes.

When a student has reviewed a unit and is ready for the quiz, he or she will log on to Desire2Learn and receive a customized timed unit quiz consisting of randomized multiple choice questions.

It is important to know the unit content before attempting the unit quizzes because the quizzes are timed. Quizzes contain random questions and students will have 60 minutes to complete. Quiz scores will be available immediately after a student submits his or her quiz for grading.

Students are encouraged take the quizzes at regular intervals throughout the semester to provide a better educational experience, but all unit quizzes are available starting the day classes begin to provide maximum flexibility with student schedules. Quizzes must be completed by the due dates or a “0” will be recorded. Students who know they will miss a due date because of extenuating circumstances should contact the instructor so their situations can be dealt with on an individual basis. Acceptance of an extenuating circumstance is the discretion of the instructor.

If students have technical difficulties during a quiz, they should use the “Report a problem” link in the “Help” area located at the right side of the Desire2Learn RADS 3213 Advanced Clinical Practice Skills course, contact the MSU Information Systems Support Staff, and send an email right away to the course instructor explaining what happened.

If a student finds a faulty quiz test item or believes a quiz question has been scored incorrectly, he or she should send an email to the course instructor which includes the following:

  • Unit Quiz Number (1 - 6)
  • Question Stem
  • Answer Scored as Correct by the Computer
  • Answer the Student Thinks Should be Correct
  • Rationale Supporting Why the Student’s Answer is Correct
  • Page numbers must be included when referencing the textbook in a rationale

After reviewing the case, if the course instructor thinks a revision is justified, the student’s quiz score will be revised to reflect the additional points and the test bank will be updated.


Patient Assessment - 15%

HIPAA requirement: Do not place ANY patient name on your assignments. Any proper name that appears on an assignment, other than yours will be considered a HIPAA violation and the assignment will automatically drop one letter grade.

On a volunteer or patient, using information found in Chapters 6 and 7 of Nursing Interventions and Clinical Skills and any other sources needed, perform the portions of a patient assessment. The requirements and instructions are found in the unit notes.  You are to address every item listed in the list of required items, recording your observations and the clinical implications/significance of each.

Please note that "normal" is an impression (the examiner's diagnosis or assessment of a problem, disease or condition) and NOT an implication (what may be causing what it is you are observing).  DO NOT use “Normal” or “Within Normal Limits”. Be sure to look at the example in your unit notes.  DESCRIBE the implications/significance of what you observe for the "implications/significance" section.  Be thorough and complete.

Submitting the assignment:

The assignment is to be typed as a single WORD document only with a cover page. Submit the assignment to the area in the Unit 1 module as one attachment. The assignment is due by the deadline listed in the syllabus.


ECG and Lab Values Learning Activity - 15%

The student will watch the Basic of ECGs and Lab Values videos found in the Unit 2 learning module and review the course notes on ECG and lab values. The students will perform the ECG and Lab values learning activity also found in the Unit 2 learning module. The student should put their full name and email in the opening page. After completion of the ECG and Lab values learning activity the score should automatically be sent to the instructor’s email address. Please print the score for your records. If the instructor does not receive the score the student will have the printed score for verification and might be asked to fax or scan the score to your instructor.

The activity will be complete before the date in the course syllabus or a score of "0" will be recorded. Although students may take the learning activity as many times as they would like, only the first submission grade will be recorded.   


Charting & Pharmacology Assignment - 15%

There are two parts to the assignment for this unit.

HIPAA requirement: Do not place ANY patient name or other identifying information on your assignment. Any information that appears on an assignment, other than yours will be considered a HIPAA violation and the assignment will receive a grade reduction equivalent to one letter grade. (You may put Patient A or Patient X to differentiate between patients).

Part 1: (Patient Charting): Using one of the formats found in Box 3.1, page 39-41 (6th ed.) use the SBAR, APIE, PIE, SOAP, SOAPE, DAR, basic narrative, or CBE to chart ANY FOUR PATIENT procedures YOU perform at your workplace (EX: CT chest w/contrast, ankle x-ray, IVU, US abdomen, radiation therapy brain, etc.). Do not forget to add a date, time, signature and credentials to each of the four patient procedures you chart. To “sign” your chart entry change the font to a cursive or script for the signature.

Ex. Jane Doe, R.T.(R).

Part 2 (Medication Information): Find one medication listed in any patient chart, you may even use the package insert from a medication. Locate a Physician's Desk Reference (PDR), or any suitable reference and provide the following information in the clearly labeled sections seen below.

  • Trade/Brand Name (If more than one type, injection liquid, tablet, specify which one you are using).
  • Drug Manufacturer
  • Generic Name
  • Designated Chemical Name (chemically known as) or Empirical Formula
  • Drug Classification
  • Indications (what is it used for)
  • Contraindications (when should the drug absolutely not be used)
  • Adverse reactions (summarize if needed)
  • Dosages
  • Methods of drug administration

NOTE: If you are using a source other than the PDR for the medication portion of this assignment, please state the package insert or the URL of the website where you got your information.

Submitting the assignment:

The student can upload the work and submit it as ONE file to the assignment dropbox in Unit 3.

Note: Assignments turned in are considered completed assignments and will be graded accordingly. Review your work to that of the assignment criteria prior to submitting the assignment.


Cultural Communication Assignment - 15%

The goal of this assignment is to research a culture that is unfamiliar to you. You are to describe how you would communicate to someone of that culture when performing a diagnostic examination.

Although the Hispanic culture is an interesting culture to research, this culture constitutes the majority minority of this area and region of Texas and perhaps other areas of the country. To avoid replication of this assignment, I am limiting research of the Hispanic culture, or any other culture, to five (5) reports. If the culture you choose speaks predominately English, use the culture’s secondary language as the language in which the patient communicates. Approach this assignment as if the patient and you as the technologist are speaking different languages and you have to communicate.

Please note: Do not choose a culture that you may be a part of or know a great deal about. This defeats the purpose of the assignment.

All cultural topics must be approved before you begin to start your research.  Students must get the topic of their cultural report approved by the instructor prior to beginning this assignment. Post topic on the Discussion Board under correct category. Place the culture you have chosen in the subject area. Instructor will respond with approval or disapproval. Please check the calendar and the course schedule for the due dates for posting of the culture and assignment.

With the information you find and information from your textbook, supplemental notes, and internet websites (not Wikipedia), address the following: All bullet points must be addressed.

  • Give a brief introduction of your culture and demonstrate awareness of cultural taboos and norms, health beliefs and practices, and nature of relationships within the family.
  • Describe verbal, non-verbal, and culturally competent communication skills that will aid you in developing trust between you and your patient. Discuss signs of demonstrating respect or disrespect? Include the use of speech, body language, touch, and space that could be used to communicate with your patient.
  • Describe how you would obtain an allergic history (or other type of history). Include obstacles you may encounter if the patient was of the opposite sex. With the information you researched, especially the cultural taboos, what methods would you use if you did not have the luxury of using any form of translator?
  • Select a diagnostic procedure of your choosing and explain the procedure to a patient of this culture using the information you have just researched. With the information you researched, especially the cultural taboos, what methods would you use if you did not have the luxury of using any form of a translator?   


The paper should follow guidelines of the American Psychological Association. It is recommended that you obtain a copy of the APA publication manual. You can also find helpful tips in the APA Help folder on the course homepage.

The paper:

  • must have a MSU cover page
  • is to be a single Word document only
  • 2-5 pages,
  • double spaced,
  • 1" margins
  • Times New Roman, Arial, or Calibri 12 point font
  • References appropriately cited in the text of the paper according to APA guidelines see APA 6th ed chapter 6.
  • A minimum of two references submitted on a separate references page.


Submitting the assignment: 

Submit the assignment in the Unit 4 Dropbox area of the Unit 4 Module by attaching the assignment as a single WORD document. Assignment is due by the deadline listed in the syllabus.

The paper will be graded on correct APA usage, content (make sure to complete the four instructions above), grammar, tone (informal or formal), and format (including cover page).

Note: Assignments turned in are considered completed assignments and will be graded accordingly. Review your work to that of the assignment criteria prior to handing in the assignment.


Comprehensive Final Exam - 25%

The final examination is a "closed book", comprehensive examination of multiple-choice format.  The final is to be scheduled with ProctorU and will require an additional fee. All students are REQUIRED to have a webcam & microphone for the Final Exam.

SEE THE PROCTORU INSTRUCTIONS FOR COMPLETE DETAILS. The appointment with ProctorU should be scheduled by the date listed in the syllabus. Scheduling an appointment requires payment at that time.

To make an appointment, simply create an account at ProctorU

Once logged in, click on the “new exam” link and selecting the exam, date, and time desired.

The student must submit payment (based on the length of the exam) at this time - usually about $25.00. The student will receive an email confirming their reservation at the email address they provided to ProctorU.

Students must complete the final (and all course work) by the dates published in the course schedule.  There will be NO alteration of any type to this schedule.  Extenuating circumstances may be discussed and an alternative arrangement may be made at the discretion of the instructor.

Note: Any decision by the instructor is final and there will be no further changes made.

The unit objectives, study guides, and examinations can be utilized to review for the final.


Technical problems

  • If you are disconnected during your exam, you must immediately send an email to your professor, and immediately contact ProctorU by phone. All exams are monitored and a log is created by the proctor and by D2L.
  • *All times will be documented*
  • The exam must be taken within the scheduled test dates, regardless of any technical issues that may arise. This is the student’s responsibility.
  • Late submissions will not be accepted.
  • A suggestion is to take the exam during the first days it is available (listed below) to avoid receiving a zero due to technical issues. If you have to reschedule, it must be within the scheduled dates and times.

All course requirements must be completed before a grade is awarded. Students must complete the final and all course work by the dates published in the course schedule.



Grading Standards

Grade distribution

  • 15%    D2L open book unit quizzes
  • 15%    Patient Assessment Assignment
  • 15%    ECG & Lab values learning activity
  • 15%    Charting and Pharmacology Assignment
  • 15%    Cultural Communication Assignment
  • 25%    Proctored D2L comprehensive open book final exam


Grade Scale

A = 100 - 90

B = 89 - 80

C = 79 - 70

D = 69 - 60

F = 59 and below

Grading Cycle

All assignments are graded together as a group to maintain a higher level of consistency. Grading begins on the first business day after a due date, outside of university holidays and professional meetings, and is typically completed before the next due date. You may track your progress through the Gradebook in D2L.


Submission Format Policy

See course syllabus for instructions on submitting quizzes and assignments

RADS 3213 Spring 2018 Course Schedule




* Note: These are Central Times*

Saturday January 13

Classes Begin

Tuesday, January 30

Unit Quiz 1 due by 23:59

Tuesday, January 30

Cultural Communication Topics are due by 23:59

Submit to the appropriate Discussion Board

Tuesday February 6

Patient Assessment Assignment due by 23:59

Tuesday, February 20

Unit 2 Quiz due by 23:59

Tuesday, February 27

ECG and Lab Values Learning Activity- due by 23:59

March 11-18

Spring Break

Tuesday, March 20

Unit 3 Quiz – due by 23:59

Monday, March 26

Last day to withdraw with a “W” in the class

Tuesday March 27

Charting and Pharmacology- due by 23:59

March 29-April 1

Easter Break

Tuesday, April 10

Unit 4 Quiz- due by 23:59

Monday, April 16

Schedule appointment for Final Exam with ProctorU (payment required)

Tuesday, April 17

Cultural Communication Assignment due by 23:59. The file should be named: “lastname_topic”…….e.g.., Smith_Gullah_culture

Friday, April 27

Unit 5 Quiz – due by 23:59

April 30- May 10

Final Exam

The Closed-Book Final Exam will only be available as soon as all quizzes are completed.

The exam must be complete and submitted for grading by 17:00 (5:00 pm) CST on May 10



Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.
Late Paper Policy

Late Work

Due Dates. Assignments and quizzes must be submitted by 23:59 (11:59 pm) Central time, on scheduled due dates in the course schedule. If a student fails to meet a deadline the student will receive no (0) credit for the assignment or quiz not submitted on time.


Emergency Extension. If you have a major event such as a death in the family, illness, hospitalization, or other extenuating circumstances, email the instructor as soon as possible and on or before the scheduled due date. I will grant extensions on an individual basis.


Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements


This is an online course and there are no mandatory sessions. However, the student should be vigilant in logging in to D2L. Regular checks will ensure that messages from the instructor are received in a timely manner.

Other Policies

Course Materials




Required textbooks

Picture of Nusing interventions & clinical skills 6th ed Textbook

Perry, A. G., Potter, P.A. & Ostendorf, W. R. (2016).  Nursing interventions & clinical skills (6th ed.).  St Louis: Elsevier.  ISBN 978-0-323-18794-7.

Picture of Pharmacology & Drug Administration for imaging technologists 2nd ed textbook.

Jensen, S.C. & Peppers, M.P. (2006).  Pharmacology & drug administration for imaging technologists (2nd. Ed.).  St. Louis: Mosby. ISBN 978-0-323-03075-5 (or newest edition)

Recommended Textbooks (not required):


American Psychological Association. (2009). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author. [ISBN 13: 978-1-4338-0561-5 or ISBN 10: 1-4338-0561-8]


Internet connectivity

Students need an up-to-date computer with an internet connection in this course.

Proctor Specifications/ Computer Requirements:

  • PC Users: A well-working computer running Windows XP or higher with 1024 MB of RAM or higher.
  • Mac Users: A well-working computer running Mac OS X or higher.
  • Headphones or working speakers connected to the computer.
  • A reliable high speed internet connection (minimum 768 Kbps/384 Kbps Download/Upload).
  • A web browser with Adobe Flash Player installed.

Detailed instructions for ProctorU are in the RADS 3213 D2L course shell under the section labeled Final Exam.



Communication with Instructor

Contact information for the instructor is listed at the beginning of this syllabus. Email is the preferred mode of communication. Students must use their standardized MSU Student email for correspondence about this course. When emailing the instructor, you must use the following subject header:


3213_your last name_topic of message Example: 3213_Smith_Quiz 4

 When there is a need to contact a student, the instructor will use the student’s email account. The instructor is not responsible for sending emails to any other email account (set up your email to forward messages to an email you check often to avoid potentially missing any correspondence).

Faculty members will not be responsible for keeping up with other email addresses for students. If you have not established this account or you need help forwarding messages, do so as soon as possible by going to MSU IT Help.


The instructor will respond or at least acknowledge email messages from students within a maximum of five (5) business days when MSU is in session. Beyond standard university holidays and breaks, the instructor will notify students of any extended periods of time when email contact is not practical (professional meetings, etc.).


Technical Difficulties

On occasion, you may experience problems accessing D2L or class files located within D2L, Internet service connection problems, and/or other computer related problems. Make the instructor aware of a technical problem as soon as possible. If a problem occurs on our end, such as D2L failure, then a due date extension will typically be granted. Dropbox assignments that can be attached in an email should be emailed to the professor as soon as a problem is encountered. Failure to do so may result in points being lost.

For help:

  • Use the D2L help link in D2L
  • Contact your Instructor
  • And for other computer access issues, contact information systems at MSU IT Help

Special Needs

In accordance with Section 504 of the Federal Rehabilitation Act of 1973 and the Americans with Disabilities Act of 1990, Midwestern State University endeavors to make reasonable adjustments in its policies, practices, services, and facilities to ensure equal opportunity for qualified persons with disabilities to participate in all educational programs and activities.


The Office of Disability Services (ODS) provides information and assistance, arranges accommodations, and serves as a liaison for students, instructors, and staff. The ODS has assistive devices such as books on tape, recorders, and adaptive software which can be loaned to qualified individuals. A student/employee who seeks accommodations on the basis of disability must register with the Office of Disability Services in the Counseling Center, Clark Student Center Room 168 (940)397-4140. Documentation of disability from a competent professional is required.


Individuals with grievances related to discrimination or lack of accommodation on the basis of a disability are encouraged to resolve the problem directly with the area involved. If the matter remains unresolved, advice and/or assistance will be provided by the Office of Disability Services for resolution. The grievance procedure may be found in the Student Handbook and Activities Calendar.


The ADA Coordinator may be contacted at (940)397-4140, or 3410 Taft Blvd., Clark Student Center Room 168.


Administrative Process

Unresolved issues related to this course should be first addressed between the student and the course instructor. If there is no resolution, students must follow this sequence:

  • Interim Department Chair – Debra Wynne (940-397-4608)
  • College Dean - Dr. Jeff Killion (940-397-4679)
  • Dean of Students – Matthew Park (940-397-7500)


Honor System

RADS 3213 adheres to the MSU Code of Conduct.


In particular, academic dishonesty, however small, creates a breach in academic integrity. A student's participation in this course comes with the expectation that his or her work will be completed in full observance of the MSU Code of Student Conduct. A student should consult the current Student Handbook for answers to any questions about the code.


All  components  of  RADS  3213  are  designed  to  represent  the  efforts  of  each  student individually and are NOT to be shared, copied, or plagiarized from other sources. When students submit their efforts for grading, they are attesting they abided by this rule.


Cheating includes, but is not limited to,

  • Use of any unauthorized assistance in taking quizzes, tests, or examinations;
  • Dependence upon the aid of sources beyond those authorized by the instructor in writing papers, preparing reports, solving problems, or completing other assignments; or
  • The acquisition of tests or other academic materials belonging to the university faculty or staff without permission.

Plagiarism includes, but is not limited to,

  • The use of, by paraphrase or direct quotation without correct citation in the text and in the reference list,
  • The published or unpublished works of another person.
  • Students may NOT submit papers and assignments that they have previously submitted for this or other courses.
  • The use of materials generated by agencies engaged in "selling" term papers is also plagiarism.

Academic dishonesty (cheating, plagiarism, etc.) will not be tolerated in this class. Whenever a student is unsure of whether a particular situation will be interpreted as academic dishonesty, he/she should ask the instructor for clarification. If students are guilty of academic dishonesty, a grade of zero (0) will be given for the quiz, assignment, etc. Cases may also be referred to the Dean of Students for possible dismissal from the university.


Students are encouraged to review the tutorials and suggested websites for more information about plagiarism. If you have any questions about what constitutes plagiarism, please consult:


1 iParadigms. (2014). What is plagiarism? Retrieved from


The instructor will be using an online plagiarism checker in this course.



By enrolling in this course, the student expressly grants MSU a "limited right" in all intellectual property created by the student for the purpose of this course. The "limited right" shall include, but shall not be limited to the right to reproduce the student’s work/ project in order to verify originality and authenticity, and for educational purposes. Specifically, faculty may submit student papers and assignments to an external agency to verify originality and authenticity, and to detect for plagiarism.


Senate Bill 11

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage


If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at



Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at