THE OHIO STATE UNIVERSITY

RADIATION THERAPY
CT SIMULATION COMPETENCY EVALUATIONS
Class of 2014-2016
Students are required to complete 13 simulation competencies. Students must complete 3 competencies the 2nd rotation
and 5 on the 3rd and 4th rotations.
(The student will demonstrate their skill on the patients of their choice.) Students must perform the competency with the Clinical
Supervisor, Clinical Instructor (having greater than 2 yrs. experience as a therapist), Clinical Coordinator or the Program Director.
The front of the competency form must be completed prior to performing a clinical competency.

Required Simulation Sites

Breast
Breast
Head and Neck
Head and Neck
Chest
Chest
Pelvis
Pelvis
Abdomen (Pancreas, Para Aortic, Lymphoma etc)
Brain
Brain
Spinal Field (Prone or Supine)
Extremity Field (Long bones, shoulders or hips)
Treatment Accessory Devices
Vac Bag Thorax
Vac Bag Pelvis
Aquaplast mask
Electron Block
R:Admin/Clin Therapist/Word

as of 6/12

Date
Completed

Score

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