MISERICORDIA UNIVERSITY
COLLEGE OF HEALTH SCIENCES AND EDUCATION DEPARTMENT OF MEDICAL IMAGING
POLICY #18
ESSENTIAL FUNCTIONS
Purpose:
In compliance with Title III of the Federal Americans with Disabilities Act of 1990, this document presents a list of essential functions for students in the Medical Imaging major at Misericordia University.
Definition:
Essential functions are defined as those skills, both physical and mental, that all Medical Imaging students must have the capacity to complete with or without reasonable accommodations
Introduction:
The care and safety of the patient is of top priority and the responsibility of the student technologist. The practice of medical imaging involves the ability to lift and move heavy equipment both at the level of the waist and above the head. It requires the physical ability to assist the patient on and off examination tables and to and from stretchers or wheelchairs. The student technologist must be able to see and hear the patient well enough to monitor the patient’s condition. The student technologist must be able to discern sharpness, different shades of gray, black and white on images to assess them for image quality.
Policy:
In order to ensure that students, faculty, colleagues and patients are not placed in jeopardy by students with impaired intellectual, physical or emotional functions a qualified student must be able to organize and accurately perform the individual steps of a radiographic examination in proper sequence, and in a timely manner by demonstrating the following essential functions of the program:
1. Cognitive abilities: Critical thinking ability sufficient for clinical judgment. The ability to analyze/ reason, focus and respond is necessary in order to:
a. assess and accurately understand requisitions, orders, charts, directions and other job related documents and communications.
b. interact with other students, faculty, staff and patients under stressful conditions, including but not limited to medically or emotionally unstable patients, situations regarding rapid adaptations.
c. engage in patient care and management.
2. Communication abilities:
Sufficient verbal and written skills to effectively communicate, in English, with patients, family members, and staff.
The ability to communicate both orally and in writing as it relates to:
a. obtaining and recording patient history.
b. explaining and discussing procedures including consent forms.
c. providing clear and concise verbal commands to patients and effectively communicate with patients, physicians, staff, and family members.
d. interacting with other students, faculty and patients under stressful conditions, including but not limited to, medically or emotionally unstable patients.
3. Physical Abilities:
The ability to physically engage in the following: (This list is not inclusive)
a. Lift more than 50 pounds routinely
b. Push and pull routinely
c. Bend, kneel or squat routinely
d. Withstand lengthy periods of physical activity to include moving quickly, at times continuously and/or remain in stationary positions for long periods of time.
e. Stand with a lead apron during fluoroscopy exams
f. Assist patients on and off examination tables and to and from wheelchairs and stretchers
g. Provide strength to transfer and position patient without placing patient at risk
h. Propel wheelchairs, stretchers, etc., alone or with assistance
i. Perform the provisions of CPR
j. Raise arms above head and extend to sides
4. Visual Acuity:
The ability to see fine lines, and to distinguish both colors and gradual changes in blacks, grays and whites necessary to evaluate radiographic images and sufficiently observe patients.
The ability to visually assess the following:
a. A patient for appropriate patient care and management
b. Radiographic positioning
c. The direction of the central ray to the anatomical part being imaged
d. The alignment of imaging field placement
e. Radiographic images
f. Read department protocols for imaging procedures, examination request, monitors and any written directions or orders
g. Contrast agents identifiable by color in order to retrieve supplies
h. Patient identity by their wristband and/or requisition
5. Auditory Ability:
The ability to hear sounds necessary to:
a. Monitor and assess health needs of patients
b. Respond to patient questions, concerns and needs
c. Hear faint or muffled sounds when the use of surgical masks is required
d. Hear faint or muffled sounds since operator control areas are separated from the x-ray table and patient
e. Monitor equipment operation or dysfunction which may indicated by low sounding buzzers or bells
6. Motor Functions Ability:
Gross/fine motor abilities, hand-eye coordination, manual dexterity, and motor skills to: provide safe and effective patient care and management.
The ability to:
a. Reach, manipulate, and operate mechanisms such as imaging tables, x-ray tubes, collimators, control consoles, mobile x-ray machines, digital imaging, and other equipment related to the profession, both in and out of the imaging department
b. Reach overhead in order to manipulate an x-ray tube that is suspended from the ceiling
c. Handle and use procedural items such as vials, syringes, catheters, contrast media preparation, and dressings, etc.
d. Work in a sterile environment, prepare sterile fields, and fill sterile syringes
e. Physically assess patients
f. Operate both mobile and stationary medical imaging equipment.
If a student cannot demonstrate the skills and abilities listed above, it is the responsibility of the student to request an appropriate accommodation (providing they have documentation of a diagnosed disability) in either the educational or clinical environment with reasonable notice to the University and clinical education site. For more information regarding requesting reasonable accommodations refer to the current Misericordia University Undergraduate and Graduate Catalog https://catalog.misericordia.edu/content.php?catoid=9&navoid=605#student-success-center.
Please note: At the end of this policy is a document entitled “Program Applicant Agreement Statement”. Students are required to read and sign this document electronically each academic year. It will be included as part of the required paperwork provided by the program at the sophomore level.
In the event the student does not have a diagnosed disability, they must meet the Essentials Functions as stated above in order to continue in the program. If a disability is diagnosed, and the documentation provided, it is up to the individual clinical education center to determine the “reasonable accommodations”. However, in the event no clinical site can provide the required accommodations, the student may not be able to complete the program.
Reasonable accommodations cannot be made retroactively. This means if the student fails to request accommodations and does not meet the Essential Functions of the program defined for successful completion of an assignment, examination, practical examination or clinical education experience the student will be subject to the policies and procedures defined in the Medical Imaging Student Handbook and Clinical Education Manual or respective course syllabi regarding these matters.
Proposed: 1/24/00
Revised: 8/04, 12/11, 7/12, 5/15, 3/23, 11/23
Reviewed: 12/17, 12/19, 12/22, 3/23