Clinical V

As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry; and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

Purpose:

 During this course, the student will gain practical knowledge and understanding of the role the registered radiologic technologist plays as part of the healthcare team.  Hands-on clinical application of learned patient care and positioning skills will help the student become more proficient in the skills necessary to their profession. Repetition of examinations during this semester will aid the student in becoming more efficient and proficient in their performance.

As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

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

1. Assist and instruct patients in an appropriate and professional manner before, during, and after procedures. (SCANS: F- 1A,B,D,E; 2A,B,C,D,E,F; 3A,B,C,D,E. C – 1A,C; 2A,B,C,D,E,F; 3A,B,C.)

1. Determine patient identity.
2. Record pertinent patient information.
3. Prepare patients for examinations – removing all radiopaque materials from the patient and/or table.
4. Select appropriate image receptor.
5. Explain simple, intermediate, and advanced radiographic procedures, integrating the use of appropriate and effective verbal, non-verbal, and written communication.
6. Question female patients for the possibility of pregnancy prior to exam as per department protocol.
7. Provide for safety, modesty and comfort of the patient – regardless of age, gender, disability, special needs, ethnicity, or culture. 
8. Give proper patient instructions before, during and after exposure.
9. Practice standard (Universal) precautions and infection control measures when dealing with patients.
10. Use sterile or aseptic technique whenever indicated.
11. Evaluate the patient’s ability to understand and comply with requirements for the requested examination.
12. Monitor medical equipment (O2, IV pumps, etc.) attached to the patient during the radiographic procedure.
13. Recognize the need for prompt medical attention and administer emergency care when needed.
14. Practice the theory of ALARA by protecting the patient, themselves and others in the area from unnecessary exposure.
15. Act consistently to maintain patient confidentiality standards as set forth by HIPAA.

2. Perform beginning, intermediate, and advanced radiographic examinations of the chest, abdomen, upper and lower extremities, bony thorax, C-, T-, an L-spine, skull, facial bones and paranasal sinuses, and contrast studies under the appropriate level of supervision.  (SCANS: F – 1C,D,E; 2A,B,C,D,E,F; 3A,D,E. C- 1A,C; 2A,C; 3A,B.C,D; 4A,B; 5A,B,C.)

1. Position patient, x-ray tube, and image receptor to produce diagnostic images.
2. Restrict the x-ray beam to the area of interest.
3. Apply radiopaque markers within the field of view and out of pertinent anatomy.
4. Determine appropriate exposure factors. (Consult technique chart or RT) to produce quality diagnostic images with the lowest radiation exposure possible.
5. Process exposed image receptors where applicable.
6. Store and handle radiographic image receptors in a manner to reduce the possibility of artifact production.
7. Inspect and clean radiographic image receptors (where applicable).
8. Perform proper warm-up procedures on x-ray tubes.
9. Recognize and report malfunctions in the radiographic or fluoroscopic unit and accessories.
10. Observe safe operating practices for radiographic and fluoroscopic equipment.
11. Use calipers to measure the patient and apply that information to determine appropriate exposure factors via a technique chart.
12. Determine necessary corrective measures if an image is not of diagnostic quality and take the appropriate action to improve the image.

3. Employ tasks specific to the administration of contrast agents. (SCANS: F – 1A,B,C,D,E; 2B,C,E,F; 3A,E. C – 1A,C; 2A,C,D,F; 3A,B,C; 5A,B.)

1. Determine/confirm type and amount (dosage) of contrast media to be used and prepare it for administration.
2. Question patient, obtain and document information regarding any increased risk of adverse reaction to contrast media prior to its administration.
3. Observe and monitor patient for signs of adverse reaction after administration of contrast media.
4. Recognize the need for prompt medical attention and administer emergency care when needed.