Radiographic Procedures 2
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1 Western Technical College Radiographic Procedures 2 Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 5.00 Total Hours Prepares radiography students to perform routine radiologic procedures on various parts of the body including the skull and spine. Students apply knowledge of human anatomy to position the patient correctly to achieve the desired result. Health Science Associate Degree Courses Types of Instruction Instruction Type Lecture Lab Credits/Hours 3 CR / 54 HR 2 CR / 72 HR Course History Last Approval Date 6/19/2015 Target Population Individuals who are preparing for careers as radiographers. Pre/Corequisites Prerequisite Radiographic Procedures 1 Textbooks Bundle: Textbook of Radiographic Positioning and Related Anatomy - with Access, Related Anatomy Workbook and Lab Manual, and Handbook. 8th Edition. Copyright Bontrager, Kenneth L, and John Lampignano. Publisher: Elsevier Science. ISBN-13: Required. Core Abilities Course Outcome Summary - Page 1 of 11
2 1. Status Active 2. Demonstrate ability to value self and work ethically with others in a diverse population. Status Active 3. Status Active 4. Status Active Program Outcomes 1. Students will demonstrate effective communication skills with faculty and fellow classmates. Type TSA Status WIP Summative 1.1. Clinical Evaluation 1.1. Use proper collimation 1.2. Shield patient and others 1.3. Wear personnel dosimeter 1.4. Practice the cardinal principles of radiation protection: time, distance, and shielding 2. Students will apply critical thinking and problem-solving skills in the practice of diagnostic radiography. Type TSA Status WIP Summative 2.1. Clinical Evaluation 2.1. Adapt procedure to patient condition 2.2. Adapt exposure techniques to patient's physical and pathological conditions 2.3. Evaluate image for diagnostic quality and implement corrective action if necessary 2.4. Use logic and judgment in performing procedure efficiently 3. Students will produce and evaluate radiographic images for acceptable quality. Type TSA Status WIP Summative 3.1. Clinical Evaluation 3.1. Position patient for specified examination 3.2. Select appropriate image production exposure factors and make exposure 3.3. Evaluate final images for acceptable exposure quality, anatomical presentation, and patient identifying information 4. Students will practice radiation safety principles. Type TSA Status WIP Summative 4.1. Clinical Evaluation 4.1. Maintain confidentiality 4.2. Interact professionally with healthcare professionals, patients and family Course Outcome Summary - Page 2 of 11
3 4.3. Respect diversity 5. Students will model behavior consistent with the A.R.R.T. Code of Ethics. Status WIP Course Competencies 1. Perform radiologic procedures on the skull, facial bones, and sinus Demonstrate ability to value self and work ethically with others in a diverse population in a skill demonstration in the laboratory 1.2. with a phantom and/or model 1.1. you select the correct image receptor 1.2. you perform all critical steps in the right order 1.3. you position the patient correctly utilizing positioning aids if necessary 1.4. you employ appropriate exposure parameters 1.5. you wear personal protective equipment 1.6. you follow safety procedures 1.7. you verbalize an explanation of the process as you perform it 1.8. you adapt to non-routine situations 1.9. you adapt procedure for age and condition of patient you explain pre and post procedure requirements 1.a. Perform non-routine ER procedures 1.b. Select appropriate equipment and supplies for procedure 1.c. Demonstrate positioning for assigned procedure 1.d. Evaluate image for appropriate anatomical demonstration 1.e. Evaluate positioning of phantom and/or model 1.f. Evaluate proper radiographic demonstration of anatomy 1.g. Identify anatomical structures on radiographs 1.h. Demonstrate proper use of positioning aids 1.i. Explain pre and post procedure requirements 1.j. Apply anatomical nomenclature 2. Identify radiographically significant skull, facial bones, and sinus anatomy 2.1. by locating anatomy on a image or diagram 2.2. on a written test 2.1. you locate anatomical parts 2.2. you name parts correctly 2.3. you explain relationship and orientation to other anatomical structures Course Outcome Summary - Page 3 of 11
4 2.4. you locate evidence of abnormal presentation 2.a. Identify all related bony structures of the skull, facial bones, and sinus on basic and special projections of the skull, facial bones, and sinus 2.b. Explain the type/category of joints in the skull and facial bones 2.c. Locate related bony landmarks of the skull 3. Evaluate radiographic skull, facial bones, and sinus image quality Domain Cognitive Level Evaluation Status Active 3.1. in an oral, written, or graphic evaluation 3.1. you determine if image shows correct positioning 3.2. you determine if image reflects overall diagnostic quality 3.3. you determine if image is centered correctly 3.4. you determine if image shows correct anatomy 3.a. Describe factors that will indicate proper positioning for all basic and special projections of the skull, facial bones, and sinus 3.b. Recognize petrous ridge position on all basic and special projections of the skull, facial bones, and sinus 3.c. Describe the corrective measures required for all suboptimal radiographic images of the skull, facial bones, and sinus 4. Perform radiologic procedures on the spine Demonstrate ability to value self and work ethically with others in a diverse population in a skill demonstration in the laboratory 4.2. with a phantom and/or model 4.1. you select the correct cassette 4.2. you perform all critical steps in the right order 4.3. you position the patient correctly 4.4. you employ appropriate exposure parameters 4.5. you wear personal protective equipment 4.6. you follow safety procedures 4.7. you verbalize an explanation of the process as you perform it 4.8. your explanation presents sound reasoning as you describe the decisions you make throughout the process 4.9. you adapt to non-routine situations you adapt procedure for age and condition of patient you explain pre and post procedure requirements 4.a. Perform non-routine ER procedures Course Outcome Summary - Page 4 of 11
5 4.b. 4.c. 4.d. 4.e. 4.f. 4.g. 4.h. 4.i. 4.j. Select appropriate equipment and supplies for procedure Demonstrate positioning for assigned procedure Evaluate image for appropriate anatomical demonstration Evaluate positioning of phantom and/or model Evaluate proper radiographic demonstration of anatomy Identify anatomical structures on radiographs Demonstrate proper use of positioning aids Explain pre and post procedure requirements Apply anatomical nomenclature 5. Identify radiographically significant spinal anatomy 5.1. by locating anatomy on a image or diagram 5.2. on a written test 5.1. you locate anatomical parts 5.2. you name parts correctly 5.3. you explain relationship and orientation to other anatomical structures 5.4. you locate evidence of abnormal presentation 5.a. Identify all related bony structures of the spine 5.b. Identify all joints located in the spine 5.c. Explain the type/category of spine curvatures 5.d. Explain the positions that best demonstrate each joint type 5.e. Locate related bony landmarks of the body 5.f. Explain specific movements of the spine used in spinal imaging 6. Evaluate radiographic spinal image quality Domain Cognitive Level Evaluation Status Active 6.1. in an oral, written, or graphic evaluation 6.1. you determine if image shows correct positioning 6.2. you determine if image reflects overall diagnostic quality 6.3. you determine if image is centered correctly 6.4. you determine if image shows correct anatomy 6.a. Describe factors that will indicate proper positioning for all basic and special projections of the spine 6.b. Recognize rotation on all basic and special spinal projections 6.c. Explain adaptations that will need to be utilized, as extenuating circumstances such as trauma or surgery occur 6.d. Describe the corrective measures required for all suboptimal radiographic images of the spine 7. Perform radiologic procedures on the gastrointestinal system Course Outcome Summary - Page 5 of 11
6 Demonstrate ability to value self and work ethically with others in a diverse population in a skill demonstration in the laboratory 7.2. with a phantom and/or model 7.1. you select the correct image receptor 7.2. you perform all critical steps in the right order 7.3. you position the patient correctly 7.4. you employ appropriate exposure parameters 7.5. you wear personal protective equipment 7.6. you follow safety procedures 7.7. you verbalize an explanation of the process as you perform it 7.8. your explanation presents sound reasoning as you describe the decisions you make throughout the process 7.9. you adapt to non-routine situations you adapt procedure for age and condition of patient you explain pre and post procedure requirements 7.a. Perform non-routine ER procedures 7.b. Select appropriate equipment and supplies for procedure 7.c. Demonstrate positioning for assigned procedure 7.d. Evaluate image for appropriate anatomical demonstration 7.e. Evaluate positioning of phantom and/or model 7.f. Evaluate proper radiographic demonstration of anatomy 7.g. Identify anatomical structures on radiographs 7.h. Demonstrate proper use of positioning aids 7.i. Explain pre and post procedure requirements 7.j. Apply anatomical nomenclature 8. Identify radiographically significant gastrointestinal anatomy 8.1. by locating anatomy on a image or diagram 8.2. on a written test 8.1. you locate anatomical parts 8.2. you name parts correctly 8.3. you explain relationship and orientation to other anatomical structures 8.4. you locate evidence of abnormal presentation 8.a. Identify related structures on basic and special projections of the gastrointestinal system 8.b. Identify radiographically the four types of body habitus and adaptations that need to be considered for these patient types 8.c. Locate related bony landmarks of the abdomen 8.d. Describe the placement of barium and air for patients in the supine, prone, decubitus, oblique and lateral positions Course Outcome Summary - Page 6 of 11
7 8.e. Explain the purpose of delayed imaging with this exam 9. Evaluate radiographic gastrointestinal image quality Domain Cognitive Level Evaluation Status Active 9.1. in an oral, written, or graphic evaluation 9.1. you determine if image shows correct positioning 9.2. you determine if image reflects overall diagnostic quality 9.3. you determine if image is centered correctly 9.4. you determine if image shows correct anatomy 9.a. Describe factors that will indicate proper positioning for all basic and special projections of the gastrointestinal system 9.b. Recognize the importance patient habitus in evaluating patient anatomy and positioning 9.c. Describe the corrective measures required for all suboptimal radiographic images of the gastrointestinal system 9.d. Identify the appropriate kvp level needed for this examination 10. Perform radiologic procedures on the urological system Demonstrate ability to value self and work ethically with others in a diverse population in a skill demonstration in the laboratory with a phantom and/or model you select the correct image receptor you perform all critical steps in the right order you position the patient correctly you employ appropriate exposure parameters you wear personal protective equipment you follow safety procedures you verbalize an explanation of the process as you perform it your explanation presents sound reasoning as you describe the decisions you make throughout the process you adapt to non-routine situations you adapt procedure for age and condition of patient you explain pre and post procedure requirements you explain the use of conventional tomography 10.a. Perform non-routine ER procedures 10.b. Select appropriate equipment and supplies for procedure 10.c. Demonstrate positioning for assigned procedure 10.d. Evaluate image for appropriate anatomical demonstration Course Outcome Summary - Page 7 of 11
8 10.e. 10.f. 10.g. 10.h. 10.i. 10.j. Evaluate positioning of phantom and/or model Evaluate proper radiographic demonstration of anatomy Identify anatomical structures on radiographs Demonstrate proper use of positioning aids Explain pre and post procedure requirements Apply anatomical nomenclature 11. Identify radiographically significant urological anatomy by locating anatomy on a image or diagram in a written test you locate anatomical parts you name parts correctly you explain relationship and orientation to other anatomical structures you locate evidence of abnormal presentation 11.a. Locate related structures of the urological system on basic and special projections 11.b. Explain the need for contrast media when imaging the urological system 11.c. Explain the purpose of delayed imaging with this exam 11.d. Describe what affects patient position has on contrast media and system function 12. Evaluate radiographic urological image quality Domain Cognitive Level Evaluation Status Active in an oral, written, or graphic evaluation you determine if image shows correct positioning you determine if image reflects overall diagnostic quality you determine if image is centered correctly you determine if image shows correct anatomy 12.a. Describe factors that will indicate proper positioning for all basic and special projections of the urological system 12.b. Identify the appropriate kvp level needed for this examination 12.c. Describe the corrective measures required for all suboptimal radiographic images of the urological system 13. Explain various contrast procedures including venography, arthrography, myelography, hysterosalpingography Course Outcome Summary - Page 8 of 11
9 13.1. in a written, oral, or graphic explanation you select the correct image receptor you identify supplies needed you explain how to position the patient correctly you identify appropriate exposure parameters you identify safety procedures you explain the process your explanation presents sound reasoning as you describe the decisions you make throughout the process you adapt to non-routine situations you adapt procedure for age and condition of patient you explain pre and post procedure requirements 13.a. Evaluate proper radiographic demonstration of anatomy 13.b. Identify anatomical structures on radiographs 13.c. Demonstrate proper use of positioning aids 13.d. Explain pre and post procedure requirements 13.e. Apply anatomical nomenclature 13.f. Evaluate proper radiographic demonstration of anatomy 13.g. Identify anatomical structures on radiographic images 13.h. Demonstrate proper use of positioning aids 13.i. Explain pre and post procedure requirements 13.j. Apply anatomical nomenclature 14. Classify contrast agents by classifying contrast agents in an oral, written, or graphic classification classification includes type classification includes use classification includes administration you document complications associated with IV drug therapy and appropriate actions to resolve these complications 14.a. Identify ionic contrast media and its uses 14.b. Identify non-ionic contrast media and its uses 14.c. List all contrast studies with the appropriate contrast media choice 14.d. List specific contrast contraindiations for each contrast study 14.e. Explain each level of contrast media reactions 14.f. Define radiolucent 14.g. Define radioopaque 15. Perform radiologic procedures on the bony thorax Course Outcome Summary - Page 9 of 11
10 Demonstrate ability to value self and work ethically with others in a diverse population in a skill demonstration in the laboratory with a phantom and/or model you select the correct image receptor you perform all critical steps in the right order you position the patient correctly you employ appropriate exposure parameters you wear personal protective equipment you follow safety procedures you verbalize an explanation of the process as you perform it your explanation presents sound reasoning as you describe the decisions you make throughout the process you adapt to non-routine situations you adapt procedure to age and condition of patient you explain pre and post procedure requirements 15.a. Perform non-routine ER procedures 15.b. Select appropriate equipment and supplies for procedure 15.c. Demonstrate positioning for assigned procedure 15.d. Evaluate image for appropriate anatomical demonstration 15.e. Evaluate positioning of phantom and/or model 15.f. Evaluate proper radiographic demonstration of anatomy 15.g. Identify anatomical structures on radiographs 15.h. Demonstrate proper use of positioning aids 15.i. Explain pre and post procedure requirements 15.j. Apply anatomical nomenclature 16. Identify radiographically significant bony thorax anatomy by locating anatomy on a image or diagram in a written test you locate anatomical parts you name parts correctly you explain relationship and orientation to other anatomical structures you locate evidence of abnormal presentation 16.a. Locate related structures of the bony thorax on basic and special projections 16.b. Explain movements of the chest and diaphrapm during respirations 16.c. Describe the importance of appropriate breathing instructions during bony thorax imaging 17. Evaluate radiographic bony thorax image quality Domain Cognitive Level Evaluation Status Active Course Outcome Summary - Page 10 of 11
11 17.1. in an oral, written, or graphic evaluation you determine if image shows correct positioning you determine if image reflects overall diagnostic quality you determine if image is centered correctly you determine if image shows correct anatomy 17.a. Describe factors that will indicate proper positioning for all basic and special projections of the bony thorax 17.b. Recognize the importance of high contrast when imaging the bony thorax 17.c. Describe the corrective measures required for all suboptimal radiographic images of the bony thorax Course Learning Plans and Performance Assessment Tasks Type Title Source Status LP Critique Course Active LP Critique Course Active LP Role-Play Course Active LP Outline Course Active Course Outcome Summary - Page 11 of 11
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