TASK STATEMENT: Surgical Examinations
Steps in Task Performance:
Prerequisite Tasks:
Enabling Objective:
A.
1. Clean mobile C-Arm units. (P)
Prepare the facilities.
2. Select proper equipment necessary: (Ce)
a. shields, aprons, gloves, markers
b. contrast necessary
c. proper mobile unit
3. Know the location of electrical outlets for
each unit used. (Ck)
B. Perform procedure accurately and
efficiently.
1. Demonstrate knowledge of routine
positions for surgical procedure. (Ck)
2. Demonstrate observance of sterile technique.
3. Demonstrate accurately: (P)
a.
proper projection of the CR
b.
proper distance
c. evidence of radiation protection
(collimation, shielding for self and others in the
room)
4. Alert anesthetist of proper breathing
instruction. (P)
5. Process images accurately. (P)
Policy Number – 3.23
Revised Summer 2012
page 1 of 5
Prerequisite Tasks:
Enabling Objective:
B. Perform procedure accurately and
6. Demonstrate proper manipulation of
efficiently. (continue)
equipment: (P)
a. show knowledge of locks (tube
and fluoro)
b. show knowledge of mobility of
fluoro unit
c. show knowledge of transmitting image
to PACS
C. Select proper technical factors.
1. Select technical factors as needed (mAs-KV)
dependent on surgical procedure and patient
size. (Ce) C)
2. Demonstrate ability to adjust technical
factors dependent on: (Ce)(P)
a. increase or decrease in distance
b. patient body habitus
c. plaster/fiberglass casts
d. patient age
D.
Critique images..
1. Evaluate images for: (Ce)
a.
proper anatomical part and alignment
b.
proper radiographic quality
c.
proper ID and name plate
d. evidence of radiation protection
(collimation)
2. Identify anatomy.
3. Identify gross pathology.
Policy Number – 3.23
Revised Summer 2012
page 2 of 5
Prerequisite Tasks:
Enabling Objective:
E. Have exam checked by a radiologist
and/or Surgeon.
1. Report Radiologist’s impressions to Surgeon
(P)
F. Perform necessary paperwork.
1. Fill out proper request.
a.
patient name and DOB
b.
date, patient history
c.
procedure performed (charges)
2. Transmit images to PACS.
Policy Number – 3.23
Revised Summer 2012
C?)
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RADIOLOGIC TECHNOLOGY PROGRAM
SURGERY 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. Exhibits knowledge of surgical attire
2. Able to locate equipment needed for exam
being performed
3. Communicates effectively with O.R. staff
during exam
4. Maintains sterile technique during equipment
maneuvering
5. Sets up correctly – connection of cables, plug
in, turn on, etc.
6. Recognizes when sterile draping is needed
7. Displays working knowledge of control panel
and monitor
8. Displays adequate knowledge of
maneuvering and positioning of C-arm and
monitor
9. Displays working knowledge of all locks
10. Shuts down equipment properly
11. Evaluate image accurately
12. Identifies pertinent structures on
radiographic image
13. Accomplish procedure efficiently
14. Complete paperwork
15. Assists in clean up of equipment
PASS
__________
NO PASS_______
_____________
Instructor Initials
Revised Summer 2012
Policy Number – 3.23
Page 4 of 5
_____________
Student Initials
RADIOLOGIC TECHNOLOGY PROGRAM
SURGERY 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. Exhibits knowledge of surgical attire
-16
2. Able to locate equipment needed for exam
being performed
-10
3. Communicates effectively with O.R. staff
during exam
-10
4. Maintains sterile technique during equipment
maneuvering
-16
5. Sets up correctly – connection of cables, plug
in, turn on, etc.
-16
6. Recognizes when sterile draping is needed
-10
7. Displays working knowledge of control panel
and monitor
-10
8. Displays adequate knowledge of
maneuvering and positioning of C-arm and
monitor
-10
9 Displays working knowledge of all locks
-10
10. Shuts down equipment properly
-10
11. Evaluate image accurately
-10
12. Identifies pertinent structures on
radiographic image
-10
13. Accomplish procedure efficiently
-10
14. Complete paperwork
-10
15. Assists in clean up of equipment
-10
PASS
__________
NO PASS_______
_____________
Instructor Initials
Time length of exam: _______
_____________
Student Initials
Policy Number - 3.23
Revised Summer 2012
page 5 of 5