Radiologic Technology Program/MRI Certification
BARIUM ENEMA COMPETENCY
T e c h n o l o g i s t 's O b s e r va t i o n
The student must achieve a minimum score of 75% on the technologist observation, image critique and image evaluation
to pass the competency. Achieving less than 75% on any portion: the student must repeat the total competency (perform
3 additional exams, repeat the image critique and 10.5).
Student Name
Date
Complete 3 exams, single or double contrast. Must achieve 75% or higher to pass.
Exam #
1
2
3
4+
Do you feel that this student would be able to do a Barium Enema in the future without any assistance, based upon what you have observed
during this procedure?
Yes
Place comments below or on the back of this form
No
G R AD IN G SC AL E
Grading Scale:
5
Mastery (no assistance needed)
4
Capable, comfortable with procedure (very little assistance needed)
3
Capable, nut needs more experience with procedure (needs some assistance)
2
Unable to perform as required (a lot of assistance required)
0
Unacceptable performance
NO
Not Observed
NA
Not Applicable
COMPETENCIES
Facility Preparation
Room ready for examination (i.e.: room clean, footboard attached , bucky in appropriate position (if applicable), contrast media prepared, lead
gloves, lead drape attached and other equipment necessary to perform the exam is ready.)
Prepares contrast appropriate for examination
Is able to manipulate all equipment (tower, programming f equipment, etc.)
Sets up fluoroscopy technique, tube, monitor, etc.
Patient Preparation
Identifies correct patient
Obtains and documents history
Explains examination to patient
Asks LMP (if applicable)
Provides proper instructions for gowning and removal of objects that would cause artifacts
Performs scout radiograph appropriate for department
Places patient in SIM's position, inserts enema tip and secures appropriately
Places patient in proper position to begin examination
Respects patient modesty
Page 1 of 2; Enema Competency Technologist's Observation
TMCC is an EEO/AA institution. See http://eeo.tmcc.edu for more information.
Created: 12/1/2015; Rev: 12/3/2015
Enema Competency Technologist's Observation
Fluoroscopy Procedural Tasks
Relays patient history to radiologist.
Provides radiation protection for radiologist, self, others, and closes door
Introduces radiologist to patient
Assists radiologist appropriately during examination
Monitors and communicates with patient during the fluoroscopic examination
Takes charge of the examination after the radiologist leaves
Post Procedure
Performs overhead images as directed
Removal and proper disposal of enema tip and barium bag
Provides appropriate patient care while assisting the patient to the restroom
Properly organizes radiographic images and records for radiologist reading
Completes necessary paperwork
Gives patient appropriate post examination instructions.
Completes exam in a reasonable amount of time. (approx. 30-45 minutes)
Cleans and organizes radiographic room for next examination
PO ST FL UO RO SCOPY IM AG E DO CUM ENT AT IO N
Please provide requested information for the following items (do not use grading scale for the items below)
# of images (overheads after fluoroscopy)
# of repeats
Projections
Projections
for
for
Projections
Projections
for
for
# of images where marker was not visible and annotated marker needed
kVp used for scout (if applicable)
kVp used for post fluoroscopy images with barium (if applicable)
kVp used for post fluoroscopy images with barium (if applicable)
P AT IENT INF ORM AT IO N
First Patient
Patient Name/Medical Record No:
Clinical Facility
Date
Comments
SIG NAT URES
Technologist’s Name
Technologist’s Signature
Page 2 of 2; Enema Competency Technologist's Observation
TMCC is an EEO/AA institution. See http://eeo.tmcc.edu for more information.
Rev.: 12/3/2015