XAVIER UNIVERSITY TASK ANALYSIS TASK STATEMENT: GENERAL RADIOGRAPHY Steps in Task Performance: Prerequisite Tasks: Enabling Objective: Steps in Task Performance: (State as Sub Tasks) A. List routine positions. (Ck) B. Discuss components of request. (Cc,) C. Identify appropriate preparatory procedure. (Ck) D. Discuss importance of proper ID for patient and self. E. Discuss common patient complications and conditions. (Cc) F. Discuss clothing to be removed for this exam, if any. (Cc) G. Discuss methods of eliciting patient cooperation and communication. (Cc) A. B. Assess request. Prepare facilities. 1. Identify procedure to be performed. (Cc) 2. Identify and check orders on chart. (Cc) 3. List any clinical information from patient chart on request. (Ck) 1. Locate emergency equipment as needed. (P) 2. Select appropriate supplies: (Ce) a. markers, aprons, gloves, shields b. sponges, sandbags c. calipers, cassettes 3. Demonstrate proper aseptic technique. (Ca) Policy Number - 3.20 Reviewed Fall 2015 page 1 of 6 TASK STATEMENT: GENERAL RADIOGRAPHY continue: Steps in Task Performance: Prerequisite Tasks: Enabling Objective: C. 1. Assess patient condition. Locate and properly identify patient. (P) a. greet patient warmly b. check arm band c. introduce yourself to patient 2. Evaluate patient’s ability to move. (A) 3. Assist patient to X-ray room. (P) 4. Demonstrate empathy and effective communication skills. (A) Steps in Task Performance: D. 1. Describe to patient the clothing to Prepare patient for exam. be removed (if necessary). (Cc) 2. Briefly explain procedure (exam) to patient and maneuvers necessary. (Cc) 3. Request patient history (present symptoms, conditions, previous diseases and surgeries. (P) 4. Demonstrate medical ethics. (A) 5. Assist patient onto the table. (P) E. Perform procedure accurately and efficiently. 1. Demonstrate knowledge of routine positions, equipment care, manipulations. (Ck) 2. Position patient accurately. (P) 3. Select proper tube angulation and patient obliquity as required. (P) 4. Utilize appropriate SID, cassette size, and ID markers (R&L, time). (P) Policy Number - 3.20 Reviewed Fall 2015 page 2 of 6 E. Perform procedure accurately and efficiently. (Continue) 5. Demonstrate proper alignment of part, table, tube and cassette. (P) 6. Project the CR accurately. (P) 7. Measure the patient accurately. (P) 8. Show evidence of radiation protection (collimation, shields). (P) 9. Select appropriate technical factors MA—FSS, KV, time) dependent on patient habitus and pathology factors. (Ce) 10. Demonstrate ability to set technical factors on panel correctly. (Ce) 11. Show ability to adjust technical factors for: (Ce) a. increase or decrease in SID b. pathology c. grid ratio d. plaster casts e. decrease in time necessary f. patient age g. from single to three phase 12. Give proper breaching instructions. (p) 13. Make exposure. (P) 14. Transmit image to PACS. F. Dismiss patient from room. 1. Assist patient from table to and from: chair, stretcher, or dressing room. (P) 2. Give patient follow—up instructions. (P) 3. Assure patient of adequate cooperation. Policy Number - 3.20 Reviewed Fall 2015 page 3 of 6 TASK STATEMENT: GENERAL RADIOGRAPHY continue: Steps in Task Performance: Prerequisite Tasks: Enabling Objective: G. 1. Properly evaluate image for: (Ce) Critique Image. a. proper positioning (anatomical part alignment) b. proper technical quality (density, contrast, detail) c. proper image ID (R&L, time, name markers) d. if need for repeat exam and reason e. evidence of radiation protection f. evaluate the S number or Lgm number. 2. Demonstrate ability to ID anatomy. (Ck) 3. Demonstrate ability to ID gross pathologies. (Ck) 4. Demonstrate ability to differentiate between position, projection, and view.(Ck 1. Complete request with data, history, initials, etc. (P) 2. Demonstrate ability to obtain “stat” readings (ER,OP), check with Radiologist. (P) I. Dismiss patient from department. 1. Show alertness of patient status (if ER, OP or house). (A) 2. Direct patient to proper waiting area. Ck) 3. Call report to attending physician if necessary. (P) J. This exam was completed within the time frame of __________________. Policy Number - 3.20 Reviewed Fall 2015 page 4 of 6 XAVIER UNIVERSITYRADIOLOGIC - TECHNOLOGY PROGRAM GENERAL RADIOGRAPHY CHECKLIST Title of Procedure____________________________________________ To the Evaluator: Observe the student preparing for and taking a radiograph of the type specified above. Evaluate the student using the following checklist. If you check other than “Satisfactory”, please comment. If the standards specified in the checklist are accomplished, check “PASS”, if the standards are not met, check “NO PASS”. Procedure: SAT UNSAT N/A Comments: 1. Evaluate request (check orders) 2. Prepare facilities & equipment 3. I.D. patient - assess condition 4. Prepare patient - explain exam 5. Request history 6. Position accurately 7. Select appropriate cassette size 8. Direct C.R. correct (part, angle) 9. Select Appropriate Technical Factors Technical Factors used : _____________________ S or DI : _______________________________ 10. Demonstrate radiation protection 11. Correctly labels images 12. Proper patient instructions 13. Make exposure 14. Repeat exam (if necessary) 15. Discharge patient as necessary 16. Student efficiency Time length of exam: _______ ADDITIONAL COMMENTS: (use the back of this sheet) Radiographer Initials: _________________________ Student Initials: _____________ Date___________ The following is to be completed with the Clinical Instructor: 1. Position accurately 2. Select appropriate technique 3. Critique images for quality, anatomy demonstrated and exposure factors. PASS __________ NO PASS _______ Instructor: __________________________ Policy Number - 3.20 Revised Fall 2015 page 5 of 6 XAVIER UNIVERSITY - RADIOLOGIC TECHNOLOGY PROGRAM GENERAL RADIOGRAPHY CHECKLIST Title of Procedure____________________________________________ To the Evaluator: Observe the student preparing for and taking a radiograph of the type specified above. Evaluate the student using the following checklist. If you check other than “Satisfactory”, please comment. If the standards specified in the checklist are accomplished, check “PASS”, if the standards are not met, check “NO PASS”. Procedure: SAT UNSAT N/A Comments: 1. Evaluate request (check orders) -16 2. Prepare facilities & equipment -5 3. I.D. patient - assess condition -16 4. Prepare patient - explain exam -15 5. Request history -10 6. Position accurately -16 7. Select appropriate cassette size -2 8. Direct C.R. correct (part, angle) -16 9. Select Appropriate Technical Factors -5 Technical Factors used : _____________________ S or DI : _______________________________ 10. Demonstrate radiation protection -10 11. Correctly labels images -16 12. Proper patient instructions -10 13. Make exposure -5 14. Repeat exam (if necessary) -5 15. Discharge patient as necessary -5 16. Student efficiency -5 Time length of exam: _______ ADDITIONAL COMMENTS: (use the back of this sheet) Radiographer Initials: _________________________ Student Initials: _____________ Date___________ The following is to be completed with the Clinical Instructor: 1. Position accurately -16 2. Select appropriate technique -16 3. Critique images for quality, anatomy demonstrated and exposure factors. -16 PASS __________ NO PASS _______ Instructor: __________________________ Policy Number - 3.20 Revised Fall 2015 page 6 of 6