The level of clinical success will depend upon experience in the evaluation of: 1. cognitive skills
2. psychomotor skills 3. behavioral skills
Upon completion his/her clinical assignment, the student will exhibit knowledge,
understanding and skill in each of the following areas with a competence appropriate to the number of months he or she has been in training.
I. OFFICE PROCEDURES AND RADIOGRAPHIC RECORDS
A. Perform the following tasks relating to the Front Office: 1. Log in patients.
2. Assign x-ray and day numbers. 3. Type flash cards, if applicable. 4. File patients card, if applicable.
B. Perform the following tasks related to the file room: (if applicable) 1. Construct a film jacket including patient’s name and number, if
applicable.
2. Prepare the jacket and films for reading, if applicable. 3. File reports, if applicable.
4. File films, if applicable.
II. RADIOGRAPHIC IMAGE PROCESSING
A. Place patient identification on film or plate.
B. Develop medical x-ray film by automatic processing methods or process CR plate in reader.
C. Prepare processing solutions for automatic processor, if applicable.
III. PATIENT HANDLING TASKS
A. Drape or gown patient for examination.
B. Transfer patients safely to and from stretchers and chairs.
C. Check patient’s chart for contraindications in reference to procedure. D. Ascertain if the patient is prepared for the procedure.
E. Use immobilizing devices to restrain patients during exposure if needed. F. Explain the x-ray procedure to the patient or answer questions about the
doctor’s instructions.
G. Reassure apprehensive parents of pediatric patients. H. Reassure and calm children.
III. PATIENT HANDLING TASKS: continued
K. Observe care to maintain the IV flow and integrity of the unit.
L. Make notations of significant patient physical or emotional response to procedures if needed.
M. Label specimens.
N. Provide radiation protection for personnel and patient.
O. Inspect for electrical and mechanical hazards and observe rules of safety. P. Respect rights and expectations of the patients.
Q. Respect rights and expectations of all personnel.
R. Proper transportation to and from patient rooms or other patient areas outside the radiology.
S. Prepare tickets for patients leaving the department, if applicable.
IV. GENERAL RADIOGRAPHY
A. Equipment and accessories
1. Identify all units of radiographic equipment including:
a. generators.
b. transformers.
c. current phase.
d. focal spot sizes.
e. tube rating charts, anode cooling charts, if applicable. 2. Select the appropriate:
a. imaging plate, grid, bucky or table top.
b. sponges, compression bands, sand bags, clamp. c. collimation to field size.
B. Radiographic Procedures
1. Perform general radiographic studies and evaluate from the standpoint of:
a. radiographic and diagnostic quality. b. accuracy of interpretation of the request. c. positioning of the anatomic part.
d. appropriate film size or CR plate size. e. adequate x-ray beam limitation.
IV. GENERAL RADIOGRAPHY: continued
C. Radiographic Technique
1. Select the proper technical factors for routine situations and make
appropriate adjustments for the unusual case by manipulating the imaging arrangement. The factors to be altered or arranged include:
a. kVp, MA, time and distance.
b. screens, grids.
D. Radiation Protection and Safety Practices
1. Perform patient handling tasks safely to include: a. transporting and transferring patients. b. checking for patient identification.
c. handling patients with infectious diseases.
d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices.
e. providing safety from electrical hazards by routinely inspecting equipment.
E. Phototiming
1. For those areas where phototiming is used for routine radiography the student will:
a. select proper photocell.
b. determine the patient’s size.
c. select the proper kVp for the examination.
V. FLUOROSCOPY
A. Equipment and accessories
1. Identify the following:
a. image intensification.
b. spot devices.
c. phototiming.
d. fluoro MA setting.
2. Select the appropriate:
a. table angulation.
b. restraining and supporting devices.
c. barium or other contrast medias and administration devices. B. Radiographic and Fluoroscopic Procedures
1. Perform tasks specific to fluoroscopic procedures a. Assist in the operation and adjustment of:
1) spot filming, if applicable.
2) image intensifier.
b. Assist the physician with the non-exposure procedures such as: 1) upper and lower gastrointestinal studies.
2) spine and spinal cord studies.
V. FLUOROSCOPY: continued
C. Contrast Medias
1. Prepare barium mixtures using formulas appropriate to the examination.
2. Select the contrast dispenser appropriate to the examination and specific media.
3. Use sanitation techniques to prepare contrast media dispensers and other contrast utensils and containers.
D. Technique
1. Select the proper technical factors for routine and fluoroscopic studies and make appropriate adjustments for the unusual patient. E. Radiation Protection and Safety Practices
1. Perform patient handling tasks safely to include: a. transporting and transferring patients. b. checking for patient identification
c. handling patients with infectious diseases
d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices.
e. providing safety from electrical hazards by routinely inspecting equipment.
VI. IMAGE EVALUATION
A. Sort and match images and merge in the proper sequence with patient’s file B. Critique the images to determine adequate visibility of the structures of
interest.
C. Identify the photographic and geometric deficiencies in images and recommend the necessary corrections.
VII. BODY SECTION RADIOGRAPHY – GENERAL TOMOGRAPHY
A. Equipment and Accessories 1. Identify the following:
a. generator.
b. transformer
c. current phase
d. all tube rating charts 2. Select the following:
a. screen and grid.
b. accessory equipment, head clamps, sandbags
c. diaphragm
d. angulation of the table e. proper pin for movement
f. fulcrum sittings
B. Radiographic Procedures
1. Perform body section radiographic studies and evaluate from the standpoint of:
a. radiographic and diagnostic quality. b. accuracy of interpretation of the request. c. positioning the anatomic part.
d. appropriate film size or CR plate size. e. adequate x-ray beam limitations.
f. correct markers or identifying information. C. Radiographic Technique
1. Select the proper technical factors for routine situations and make appropriate adjustments for the usual case by manipulating the imaging arrangement. The factors to be altered or arranged include: a. kVp, MA, time and distance
b. screens, grids.
D. Radiation Protection and Safety Practices
1. Perform patient handling tasks safely to include: a. transporting and transferring patients. b. checking for patient identification
c. handling patients with infectious diseases
d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices.
e. providing safety from electrical hazards by routinely inspecting equipment.
VIII. MOBILE RADIOGRAPHY
A. Equipment and Accessories 1. Identify the following:
a. type of radiographic equipment.
b. incoming power source.
c. line voltage and compensator. d. connections for wall sockets.
e. battery recharger.
2. Select the appropriate:
a. imaging plate, grid.
b. supportive items such as sponges, etc. c. radiation protection devices.
d. safety factors guarding against electrical hazards. B. Radiographic Procedures
1. Perform all routine portable radiographic studies and evaluate:
a. image quality.
b. positioning.
c. anatomical parts identified.
d. correct markers.
e. collimation.
f. film size.
C. Radiographic Technique
1. Make adjustments in exposure factors specific to portable radiography.
2. Identify those common problem areas such as patient’s ability, traction, casts, etc., which may affect technique.
D. Radiation Protection and Safety Practices
1. Adjust these practices routinely performed in general radiography to mobile units:
a. transporting and transferring patients. b. checking for patient identification.
c. handling patients with infectious diseases.
d. providing radiation protection for patients, personnel, and guests by utilizing shields, collimation and other protective devices.
e. providing safety from electrical hazards by routinely inspecting equipment.
IX. SURGERY
A. Equipment and Accessories B. Radiographic Procedures
1. The student will be able to demonstrate knowledge and understanding as well as dexterity in the examination and care of the confined patient and the patient undergoing surgery.
2. The student will perform routine surgical radiographic studies and evaluate for:
a. quality. b. positioning. c. anatomical parts. d. correct markers. e. collimation. f. field size. C. Radiographic Technique
1. Make adjustments in exposure factors specific to portable radiography or cysto. 2. Identify those problem areas which may affect technique such as surgical clamps,
casts, splints. D. Sterile Areas
1. Identify the following:
a. areas that are “off limits” in the surgical suite due to sterile technique. b. sterile drapes, trays, clothing.
c. areas in the surgery suite assigned to x-ray equipment and personnel. d. proper attire for x-ray personnel in surgery.
X. SPECIAL PROCEDURE RADIOGRAPHY
A. Assist in setting the x-ray machine controls for exams performed in the special’s room. B. Assist in setting up trays for special procedures.
C. Assist in selecting appropriate catheters, guide wires, needles, and syringes for special studies.
D. Assist in the preparation of contrast media for pressure injection. E. Assist in positioning the patient for radiographs.
F. Assist in performing patient handling tasks specific to special procedures. G. Practice radiation safety during special procedures.
H. Practice aseptic techniques in handling materials and supplies necessary to the procedure. I. Clean pressure injector equipment.
J. Load film changers, if applicable.