Policies & Procedures - Wheaton Franciscan Healthcare

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Policies & Procedures

Academic Grades

Purpose

To establish criteria of acceptable performance for all didactic assignments.

Policy

Students must maintain an academic average of 85% in each class. Students must achieve an 85% minimum on all examinations. All examinations with a score lower than 85% will be rewritten until an 85% is achieved. Regardless of the grade achieved on the retake examination the original grade will stand as the score for that examination.

The retake score will be recorded. Quizzes reflect preparation for classroom assignments and will be weighted as examinations in averaging final grades.

All quizzes will be announced. Academic grades will be averaged each semester, recorded and reviewed with the student. Academic averages will be compiled prior to semester evaluations upon request. All corrected quizzes and tests will be returned to the student within a reasonable time frame for their review. Students whose semester cumulative academic averages fall below 85% or one class falling below 75% will be placed on probation.

Grading Scale

A 100 – 93%
B 92 – 85%
C 84 – 77%
D 76 – 69%
F 68 – 0%

Grades are rounded:

  • 5 and greater rounded up. Example: 88.6 = 89%
  • 4 and lower rounded down. Example: 92.4 = 92%

Incompletes

The School of Radiologic Technology does not give a grade of incomplete for any academic or clinical course.

Auditing

The School of Radiologic Technology does not allow students to audit any classes.

Probation

Purpose

To provide the student with a period of adjustment and improvement.

Policy

A student will be put on probationary status when academic or clinical performance is unsatisfactory or a lack of responsibility has been demonstrated. Probationary period will be one semester in length. If the student does not satisfactorily meet requirements designated at the onset of the probationary period he/she may be terminated from the program.

A student will be placed on academic probation if, during the previous semester, their cumulative academic average falls below the required 85% in each class. Two consecutive semesters of academic performance necessitating probationary status in the may result in the student’s termination from the program. Two consecutive semesters of clinical performance necessitating probationary status may result in the student’s termination from the program.

Minimum Standards Program Completion

Purpose

To establish minimum standards for satisfactory completion of the didactic and clinical portions of the School of Radiologic Technology to fulfill graduation requirements.

Policy

In order for a student to successfully complete the didactic portion of the program he/she must achieve a cumulative grade of 80% or better on the final examinations given at the end of the two-year program. If a student does not achieve a cumulative grade of 80% or better on the final examinations during the normal course of the program he/she will not be awarded a certificate of completion for the program and will not be allowed to write the Registry Examination.

After August 1st, a student who has not successfully completed the program will be allowed to retake all the final examinations. If the student achieves a cumulative grade of 80% or better, he/she will be awarded a certificate of completion and will be allowed to write the Registry Examination.

In order for a student to successfully complete the clinical portion of the program, he/she must complete all assigned clinical rotations and must achieve a cumulative grade of 85% or better on all final clinical competency examinations throughout the program. Failure to successfully complete the didactic or clinical portion of the program in the normal time frame makes the student ineligible for a certificate of completion and ineligible to write the Registry Examination.

Vacation

Purpose

To provide the students with a period of rest from program requirements.

Policy

The 1st year students will have six weeks of scheduled vacation:

  • Two weeks of vacation in December/January
  • One week of vacation in the Spring
  • The last week of June
  • The first week of July
  • The last week in August

The 2nd year students will have three weeks of scheduled vacation:

  • Two weeks of vacation in December/January
  • One week of vacation in the Spring

Graduation is mid-July.

Pregnancy Policy

Purpose

In the event that a student should become pregnant and voluntarily declares pregnancy while enrolled in the program.

Policy

The student is to submit written confirmation of the pregnancy signed by her physician within one (1) month of diagnosis of the pregnancy. This confirmation should state an approximate due date and approximate date of Maternity Leave to begin.

The physician should also note any limitations placed on her activity. Students will meet with the Radiation Safety Officer as soon as possible and review all radiation safety policies. An additional film badge will be issued to monitor the fetal dose; this badge will be worn at the level of the abdomen under the lead apron.

The student must meet with the Program Director to discuss attendance issues surrounding a maternity leave. Following the leave of absence, the student is responsible for any missed course work. The clinical rotations missed due to the leave of absence will be made up, and a new graduation date will be determined if necessary.

The student has the option of continuing in the educational program without modifications and also has the option to submit written declaration of withdrawal.

Student Supervision Policy

Purpose

  • To provide clinical participation as a basis for an educational experience.
  • To provide a means of assuring clinical competency of students before they are permitted to perform radiographic examinations.

Policy

During the first through fourth semesters of the program, the students shall perform radiographic procedures under direct supervision. Direct Supervision is interpreted to mean the following:

  • Direct Supervision - Student supervision by a qualified practitioner (not another student), who reviews the procedure in relation to the student’s achievement, evaluates the condition of the patient in relation to the student’s knowledge, is physically present during the conduct of the procedure and reviews and approves the procedure and/or image. A qualified radiographer is physically present during the conduct of a repeat image and must approve the student’s procedure prior to re-exposure.

During semesters five and six of the program, students who have demonstrated clinical competency to the satisfaction of the Program Director, Clinical Coordinator or Instructor shall be under indirect supervision. Indirect Supervision is interpreted to mean the following:

  • Indirect Supervision - For radiography, that supervision provided by a qualified radiographer immediately available to assist students regardless of the level of student achievement. Immediately available is interpreted as the physical presence of a qualified practitioner adjacent to the room or location where a radiographic procedure is being performed. This availability applies to all areas where ionizing radiation equipment is in use on patients. Not able to perform exams in ER or portables by themselves. Not able to do surgery by themselves. A qualified radiographer is physically present during the conduct of a repeat image and must approve the student’s procedure prior to re-exposure.

A registered radiographer shall check and approve all student radiographs prior to the dismissal of the patient.

Supervising radiographers shall be registered by the American Registry of Radiologic Technologist in diagnostic radiographic technology.

A first year student may not perform exams or be supervised by a second year student, even if this second year student is deemed competent.

A first year or second year student may not perform exams with students from another radiography program.

During the 24 month program the presence of a registered radiographer is required when students are functioning in the operating room or when performing mobile radiographs on inpatient units.

Personal Appearance & Uniform Policy

Purpose

To reflect professionalism, cleanliness, safety and good judgment through general appearance and dress. Exotic or bizarre attire might be fashionable but is not considered proper attire for students.

Policy

Students are required to wear uniforms to assure a neat appearance, to help identify students connected with a given function or work area, and to project a positive image of the hospital. The students shall wear the following:

Scrub Dress Code
  • Solid or print colored scrub pants, tops and lab coats may be worn.
  • No denim scrubs.
  • Fleece is permitted only with the Wheaton logo.
General Appearance & Safety
  • Earrings shall be of conservative post type, no larger than one inch and no hoops, gauges no larger than 4mm.
  • Hair must be tied back entirely or shorter than shoulder length.
  • Jewelry:
    1. No more than two rings on each hand shall be worn
    2. Wrist watch is optional
    3. Any other jewelry shall not be hazardous to patients, i.e., sharp or protruding edges that may cut or scratch patients.
  • The use of perfumes and colognes should be kept to a minimum.
  • Students may have a trimmed beard or mustache.
  • All students shall wear a hospital name badge and personal radiation monitoring device. (See policy A-09)
  • Gum chewing shall not be allowed.
  • Colored nail polish shall be allowed BUT artificial nails or nail art shall not be allowed.
  • Visible facial piercing shall not be allowed (this includes tongue).
  • Appropriate shoes must be worn and must be in good, clean repair.
    1. Heel height should not pose a safety risk.
    2. Shoes shall not have open toes, elevated heels or be of clog type.
    3. Shoes must be all enclosed including the heel.
    4. Athletic type shoes may be worn

All students must wear a student patch on their left sleeve, one inch from top of shoulder. Patches will be provided to students upon request. Personal radiation monitoring devices shall also be worn at all times.

Release from Program Requirements

Purpose

To provide students with time away from clinical/academic assignments due to illness or in order to meet personal obligations.

Policy

  • The students will be allowed 16 release days during the two years of the program.
  • Release days may be used as full days or half days (five hours). A “Time Off/Schedule Change Request” must be filled out and submitted to the Clinical Coordinator/Instructor as soon as possible.
  • Time away from scheduled assignments will be recorded as follows:
    1. Scheduled Release – Absence scheduled with at least one day prior notice to the Program Coordinator or Clinical Coordinator/Instructor.
    2. Unscheduled Release/Sick – Any absence not scheduled as above.
  • In the event of illness or injury requiring unscheduled release from clinical/academic assignments, the student must notify the Program Director or Clinical Coordinator/ Instructor before the start of their scheduled assignment. Messages are to be left at 414-527-5149.
  • A release/OK to return to clinical/academic assignments will be required for sick days or three consecutive days or more.
  • Students will be released from clinical/academic assignments in lieu of the above for the following:
    1. Interviews and physical for radiography positions or the following educational programs:
      • Ultrasound
      • Radiation Therapy
      • Nuclear Medicine
    2. Funeral of immediate family, three days outside of release day policy (See Policy A-07).
    3. Student seeking special need accommodation. This will be reviewed by the Program Director on an individual basis.
  • Students are responsible for all clinical/academic information presented during their absence.
  • Make-up tests and quizzes must be arranged with the instructor prior to release day(s) or when student returns.
  • In the event a student exceeds the 16 allotted release days, assignments may be rescheduled. (See Policy A-07).
  • The students may also bank time obtained from educational seminars attended outside the clinical assignments – this time may be taken in increments of 30 minutes or more and known as comp-time.
  • Students may also obtain comp-time by working in the basement film room after clinical hours or on weekends. A comp-time verification form must be completed. This time must be in 30 minutes increments. Make-up time must be completed before additional comp-time may be earned.
  • In the case of a student voluntarily staying later than their scheduled time, this comp-time must be taken in that same week.
  • If a student has gone beyond the sixteen release days and has to make-up time, comp-time may not be earned until make-up time is complete.
  • If a student has gone beyond the sixteen release days and has time to make-up, that student may not leave early if the class has been dismissed. That student must stay and make-up time until the end of scheduled time.

Radiation Safety

Purpose

  • The purpose of this policy is to specify the requirements for personnel radiation monitoring for the enrolled students.
  • All students are instructed to implement the ALARA principle – As Low As Reasonably Achievable during orientation and Radiation Protection class in the first semester.
  • All students are educated about the three Cardinal Principles of utilizing radiation: Time, Distance and Shielding during orientation and Radiation Protection class in the first semester.

Policy

  • A film badge will be furnished by the Hospital to all enrolled students.
  • A student’s film badge will be processed immediately when it is suspected that he/she might have received a single exposure greater than 100 mRem or an accumulated exposure greater than 300 mRem in one week.
  • A record of the individual's radiation exposure status will be kept by the Radiation Safety Officer. These records will comply with 10CFR 19 and 20 and the State Radiation Protection Code. The personnel exposure readings will be available for the student’s inspection at the Wheaton Franciscan – Brown Deer Campus within 30 school days following receipt of this data. Yearly totals of an individual's exposure are available from the Radiation Safety Officer.
  • The RSO reviews all the dosimeter reports. If there is a high reading, it is categorized into 2 categories: Level 1 and Level 2. The Level 1 category involves the student getting a notification letter with no response needed from said student. Level 2 category involves an investigation into the high exposure. A notification is given to the student and the student signs the notification acknowledging the dose. The RSO interviews thee student and together they come up with a reasoning of why and how it happened and how to prevent further exposure. Level 1: >125 mrem/quarter. Level 2: >375 mrem/quarter.
  • The students receive a copy of their radiation exposure record quarterly. A copy is also placed in their personal file. A cumulative deep and shallow total is located on their final transcript.
  • At no time will a film badge be exposed to radiation unless worn by the individual to whom it is issued. Any infraction of this rule may result in termination from the program
  • Collection and distribution of the film badges for routine processing will be the responsibility of the Radiation Safety Officer. However, it is the responsibility of the school’s faculty to aide in this process.
  • If a pregnant student chooses to declare her pregnancy, she must submit this in writing to the Radiation Safety Officer so that a separate waist-level badge can be provided to estimate the fetal exposure.
  • The estimate of radiation exposure made from the monitoring devices will only be correct if these rules regarding the wearing of the badges are observed:
    1. The film badge shall be worn at all times while working at assigned clinical campuses.
    2. Wear the badge at collar level outside the lead apron. Pregnant workers should request an additional badge to be worn at waist level inside any lead aprons.
    3. Leave the film badge in a safe place.
    4. Never wear a film badge issued to another person.
    5. The film badge issued to you is your responsibility. Turn it in at the right time in exchange for a like one and take care of it.
    6. Do not tamper with the film badge (by removing the film, for example).
    7. Report loss of badge immediately to a member of the faculty.
    8. Report any other incident relative to the wearing of the film badge (such as possible accidental exposure when badge is not worn) to a member of the faculty.
    9. The hospital's film badge is not to be worn while on duty at facilities not assigned by the program. The badge is the property of the hospital and meant to indicate the efficiency of this hospital's radiation safety program.
  • It is the responsibility of the faculty to see that the above rules are observed and to report radiation protection problems to the Radiation Safety Officer.

Semester Exams

Purpose

To test the student on a cumulative examination basis on material covered in the previous semesters.

Policy

At the end of each semester an examination covering material taught in the previous semesters is given. The test will consist of 100 multiple choice questions for the first year and 200 multiple choice questions for the second year. Questions will cover material that the student has been tested on prior to the examination The test question break-down by subject will be posted prior to the examination.

Three of the five cumulative exams must be of a passing score in order to qualify for Early Release. See Policy #B-02A

A passing score is 80% or better. If an 80% is not achieved, the student will re-write the cumulative until 80% is achieved and all scores will be recorded.

Evaluations

Purpose

To evaluate the student's performance both academically and clinically.

Policy

The student is responsible to give the evaluation to a technologist weekly. All technologists are encouraged to report both good as well as poor progress of the student. This evaluation will be returned to the student via the Clinical Coordinator / Instructor to read and sign. A student’s refusal to sign an evaluation indicates that the student and technologist did not agree on the comments made. In this case, the parties involved will be asked to speak with the Program Director about the remarks made.

At mid-semester, an informal discussion with each student and the Program Director and the Clinical Coordinator / Instructor is performed concerning both academic and clinical performance.

At the end of each semester the clinical evaluations are reviewed by the Program Director and the Clinical Coordinator/ Instructor. Each student is personally evaluated by the Program Director and the Clinical Coordinator/Instructor. At this time a report concerning performance both academically and clinically is discussed with the student. A report of competencies and release days are also discussed.

Student Grievance Process

Purpose

A procedure whereby students' differences of opinion and/or feelings of unfair treatment, real or alleged, can be promptly heard and fairly resolved.

Policy

All students are insured the opportunity to express grievances in a manner intended to afford a fair hearing with members of the school's staff in a successive order, as summarized below, without fear of reprisal or prejudice.

Procedure

Program Director - Whenever a student feels he/she has a grievance the student should discuss the matter fully with the Program Director within 2 business days of occurrence. The Program Director will make every effort to resolve the grievance in a fair and amiable manner within 7 business days.

Department Manager - Failing a resolution, the student may request a meeting with the Department Manager within 2 business days to review all facts and resolve the grievance. The Department Manager will make every effort to resolve the grievance in a fair and amiable manner within 7 business days.

Department Director - Failing a satisfactory resolution, the student may request a meeting with the Department Director within 2 business days. It shall be the Program Director’s responsibility to introduce documentation which specifically cites the essence of the student’s complaint with the steps taken in the attempt to arrive at a settlement. The Department Director will make every effort to resolve the grievance in a fair and amiable manner within 7 business days.

Administrative Staff Representative - Final decision failing a satisfactory resolution at the previous level, the student may request a meeting with the Administrative staff representative within 2 business days. A representative from Hospital Education Department must attend. The Department Director will make every effort to resolve the grievance in a fair and amiable manner within 7 business days. A grievance should be resolved within a period of not more than forty business days from the initial complaint.

JRCERT Standards

Purpose

A procedure whereby a student believes the program is in non-compliance of JRCERT standard(s). The JRCERT standards are posted at every clinical site and located in the student handbook.

Policy

If a student feels that the program is in non-compliance with one or more of the JRCERT standards, the student should contact the JRCERT directly within 3 business days of the occurrence:

JRCERT
North Wacker Drive, Suite 2850
Chicago, Illinois 60606-3182
Phone: 312-704-5300
E-mail: mail@jrcert.org

Any records of such complaints and their resolutions will be kept permanently in the radiology school file.

Tuition, Fees & Reimbursement

Purpose

To clarify payment of tuition and fees for the School of Radiologic Technology and to clarify payment of tuition if a student voluntarily withdraws from the program.

Policy

Tuition, for those students not affiliated with a university, is $4000.00 yearly. Students will be notified in July of the year of enrollment of the tuition cost and the cost for books and related materials which will be purchased by the School. A $100.00 non-refundable deposit is required. Full payment of book fees and tuition for one year less deposit must be made prior to the first day of class. The student will be notified in July of the time-table for payment of tuition and book fees. Second year tuition will be due on the first Monday of September beginning the final year of school.

Book fees are non-refundable. Tuition will be reimbursed to students who voluntarily terminate their enrollment, using the following schedule:

  • Termination prior to start or during the first week of school – 80% Reimbursement
  • Termination during week 2 or 3 – 60% Reimbursement
  • Termination during week 4 – 40% Reimbursement
  • Termination during week 5 or 6 – 20% Reimbursement

No reimbursement will be made following termination after the sixth week of school.

The same reimbursement schedule will be followed if a student voluntarily terminates enrollment after paying second year tuition.

Student Records

Purpose

To outline a procedure whereby student records are maintained confidential in accordance with the Family Education Rights and Privacy Act – Buckley Amendment.

Policy

All student records kept in the personnel file shall remain confidential. The student may have access to his/her records at any time. The Program Director may give appropriate faculty access to student personnel files. Student records will be released upon request of the student. Student personnel files will be kept permanently. Student transcripts will be released upon request to the Program Director by the student filling out a transcript request form and forwarding this request. The Student’s radiation monitoring reports are located in a locked cabinet in the Quality Control area at the Wheaton Franciscan – Brown Deer Campus. They are also located in a binder in the classroom. Students may review these reports at any time. Students are notified of their FERPA rights annually by publication in the Wheaton Franciscan – St. Joseph School of Radiologic Technology Student Handbook.

Misconduct & Suggested Degrees of Corrective Action

Purpose

To explain the use of systematic corrective action necessary to insure compliance with school rules, policies and procedures, to maintain proper conduct and to insure uniformity when selecting corrective action. All corrective action will be documented in the student’s personnel file.

Policy

All depending on the offense, the Program Director would normally use the following sequence:

  • Verbal Warning - Verbal counseling is the least severe type of corrective action. The student will be made aware that failure to comply with the rules and procedures in the future will result in more severe action.
  • Written Reprimand - This action will be taken when verbal counseling has not corrected the student’s conduct or where the seriousness of the violation for the first time warrants a formal reprimand. An offense necessitating a written warning may carry with it a 1- to 3-day suspension or a semester probationary period in which the student must demonstrate improvement. (time taken from student’s release time). The student and the Program Director will sign the letter. The student will receive a copy of the letter and a copy will be kept in the student’s file.
  • Discharge - Before a student is discharged the facts must be presented to the faculty. A decision will be made whether to discharge the student or take other corrective action by the faculty. Each case will be decided on an individual basis.

Students charged with a criminal act may, depending on the nature of the crime, be suspended until a trial of the case.  If found not guilty, a student so suspended shall be eligible for return to school.

Possible to administer a more strict disciplinary sequence, i.e., verbal warning followed by immediate discharge if the “material” is considered damaging, immoral, malicious, hostile, etc., depending on the facts.

Dishonesty, deliberate deception, fraud, theft, deliberate damage to hospital, employee or student property, using hospital equipment or materials for commercial use or personal gain.                                 

Coming to school under the influence of alcohol and/or drinking alcoholic beverages on hospital property.  Alcoholic beverages consumed within reason in conjunction with hospital sponsored activities is not an act of misconduct as long as you are off duty.

Illegally obtaining, possessing, selling or using narcotics, barbiturates, marijuana and other dangerous drugs on hospital property or grounds.                         

Taking a repeat exposure without a Technologist present.   

Altering or changing a time record in any way, writing on the time record of another student, giving false time records.                                  

Falsifying medical history forms or willfully omitting pertinent information from these forms.                                 

Fighting, threatening bodily injury, engaging in immoral conduct on hospital property.

Willful violation of basic safety or health rules or making inoperative any safety device.  Smoking in restricted safety areas. 

Possessing firearms, illegal knives or other types of weapons on hospital property.

Conviction or sentencing by civil authorities for a criminal act which is patient care related                                   

Failure to notify the Program Director or Clinical Coordinator/Instructor when absent for 3 consecutive scheduled days, without authorization.

Disclosing medical, financial or other confidential information about patients or the hospital without authorization.                          

Refusing to promote and practice hospital-wide "Guest Relations."

Negligence or deliberate abuse of equipment, wasting of materials or supplies.         

Failure to follow safety practices, including the wearing of personal protective equipment (gloves, gowns, lab coats, face shields, masks, eye protection, mouth pieces, etc.)     

Using abusive, obscene or threatening language but not directed toward any person.        

Giving false or misleading information, circulating false or malicious rumors.

Student exhibiting a pattern of being absent on Thursdays, Mondays, following scheduled days off, etc., over-staying a leave of absence or vacation without notification or stopping clinical assignment  before lunch period/quitting time.    

Failure to carry out supervisor’s specific instruction.

Failure to call in daily absence as cited in Student Handbook.         

Soliciting of memberships, contributions, pledges or subscriptions and conducting anything other than hospital business on hospital time or property.           

Posting unapproved literature on bulletin boards or elsewhere.        

Inattention to duties.  Idling or sleeping during school elsewhere during clinically assigned hours.  

Failure to remain in one’s assigned area during clinically assigned hours.   

Any action considered detrimental to the welfare of the patient or which results in disruption of Hospital routine. 

Outside employment or activities which adversely affect school performance or reputation of the hospital.         

Loitering in the hospital or on hospital grounds when you are not clinically assigned hours.

Affective Domain

Purpose

The Affective domain may be thought of as comprising behaviors related to attitudes, emotions and values. Affective behaviors usually must be inferred from specific, but indirect behaviors rather than measured directly. Inferences are drawn from choices that a person makes and from approach and avoidance behaviors exhibited.

Policy

Five areas will be observed with documentation made to help evaluate the affective domain.

  1. Uniform/Appearance: Name tag, film badge, radiographic markers, clean, neat uniform and appearance in accordance with the dress code will be evaluated. This includes misuse of cell phones and other electronic devices. Compliance with uniform/appearance standards demonstrates an ability to care for one’s self and shows attention to detail. This translates to those who you are in contact with the manner in which you may care for them and how you may attend to the details of their examination.
  2. Punctuality: Being on time and ready to begin assignments. Punctuality demonstrates an interest in duties and shows responsibility. Being punctual translates to dependability and respect for those who rely in your presence in the clinical environment. Punctuality also reinforces your efforts to provide timely care for those who you serve. (It is considered a tardy up to 30 minutes after scheduled start time, anything beyond 30 minutes is considered Release Time.)
  3. Evaluation: One weekly evaluation must be handed in for each week of clinical rotation. Evaluation provides the students with information as to how Radiographers view their clinical performance. The ability to accept evaluation – both positive and negative – as well as the act of requesting, obtaining and handing in evaluations demonstrates maturity and an ability to take assignments independently.
  4. Professional Development/Continuing Education: Evidence of participation in three activities must be submitted each Fall and Spring semesters in a form of certificate of attendance or completed post quiz from directed readings. Attendance at professional society meetings and/or participation in continuing education activities beyond school requirements demonstrates a responsibility to obtain and maintain competence and prevent future obsolescence. Participation in professional societies and continuing education further demonstrates accountability to peers, physicians, health care facilities and the public.
  5. Stewardship: A one page paper submitted yearly describing a fulfilled stewardship opportunity and the impact it had on the student. We value our responsibility to use human, financial, and natural resources entrusted to us for the common good, with special concern for those who are poor. Seek out opportunities to contribute resources of time, services or money to help those in need.

Procedure

  • Each student begins each semester with a point for each week in that semester in each of the following areas: Uniform/Appearance, Punctuality, and Evaluation. 
  • Three points are given in the area of Professional Development/Continuing Education. One point is deducted for each instance of deviation.
  • Five points are given in the area of Stewardship. This area will only appear on the 3rd and 6th semester Affective Domain Worksheet, documenting completion for each year. Five points will be deducted for failure to turn in paper.
  • Students will receive a semester score for these behaviors. 
  • Evaluation of the Affective Domain will be averaged with simulations/competencies for the clinical grade. 
  • Failure to achieve an 85% average will necessitate Clinical Probation. 
  • Probation and policies relating to termination will be in effect.

Policies & Procedures

Complete file available upon request.

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