Alabama Department of Postsecondary Education Representing Alabama’s Public Two-Year College System (School Heading) I. RAD 122 – RADIOGRAPHIC PROCEDURES II II. COURSE HOURS Theory 3 credit hours Lab 1 credit hour Clinical 0 credit hour Total 4 credit hours Total Contact - 6 hours III. CLASS MEETING DATES/TIMES/LOCATION IV. CLINICAL DATES/TIMES/LOCATION (None) V. INSTRUCTOR, CONTACT INFORMATION, CONTACT POLICY, OFFICE HOURS/LOCATION The Alabama College System Copyright 2006 All Rights Reserved Radiographic Procedures II RAD 122 VI. COURSE DESCRIPTION: This course provides the student with instruction in anatomy and positioning of spine, cranium, body systems and special procedures. Theory and laboratory exercises will cover radiographic positions and procedures with applicable contrast media administration. Upon completion of the course the student will demonstrate knowledge of anatomy and positioning skills, oral communication and critical thinking in both the didactic and laboratory settings. VII. PREREQUISITE(S)/CO-REQUISITE(S) CO-REQUISITE COURSES PROFESSIONAL COMPETENCIES VIII. TEXTBOOK(S) AND OTHER LEARNING RESOURCES ACS Copyright 2006 All Rights Reserved 2 Radiographic Procedures II RAD 122 IX. PROFESSIONAL COMPETENCIES/OBJECTIVES MODULE A – ANATOMY AND POSITIONING OF VERTEBRAL COLUMN, SACRUM AND COCCYX A1.0 Position patients and produce images of the specified system. A1.1 Position patients for examinations of the vertebral column, sacrum, and coccyx. A1.1.1 Explain general procedural considerations for radiographic examinations. A1.1.2 Identify equipment and supplies necessary to complete radiographic procedures. A1.1.3 Identify patient preparation processes for specific radiographic procedures. A1.1.4 Explain the routine and special views for specific radiographic procedures. A1.1.5 Explain specific radiographic procedures to patients. A1.2 Use radiographic equipment to produce images of the vertebral column, sacrum, and coccyx. A1.2.1 Explain general radiation safety and protection practices associated with specific radiologic examinations. A1.2.2 Describe pertinent anatomical structures related to specific radiographic procedures. A1.2.3 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. MODULE B – ANATOMY AND POSITIONING OF CRANIUM AND FACIAL BONES B1.0 Position patients and produce images of the specified system. B1.1 Position patients for examinations of the cranium and facial bones. B1.1.1 Explain general procedural considerations for radiographic examinations. B1.1.2 Identify equipment and supplies necessary to complete radiographic procedures. B1.1.3 Identify patient preparation processes for specific radiographic procedures. B1.1.4 Explain the routine and special views for specific radiographic procedures. B1.1.5 Explain specific radiographic procedures to patients. B1.2 Use radiographic equipment to produce images of the cranium and facial bones. B1.2.1 Explain general radiation safety and protection practices associated with specific radiologic examinations. B1.2.2 Describe pertinent anatomical structures related to specific radiographic procedures. B1.2.3 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. ACS Copyright 2006 All Rights Reserved 3 Radiographic Procedures II RAD 122 MODULE C – ANATOMY AND POSITIONING OF THE ALIMENTARY CANAL C1.0 Position patients to produce images of the specified system. C1.1 Position patients for examinations of the alimentary canal. C1.1.1 Explain general procedural considerations for radiographic examinations. C1.1.2 Identify equipment and supplies necessary to complete radiographic procedures. C1.1.3 Identify patient preparation processes for specific radiographic procedures. C1.1.4 Explain the routine and special views for specific radiographic procedures. C1.1.5 Explain specific radiographic procedures to patients. C1.1.6 Explain general radiation safety and protection practices associated with specific radiologic examinations. C1.1.7 Describe pertinent anatomical structures related to specific radiographic procedures. C1.1.8 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. MODULE D – ANATOMY AND POSITIONING OF THE URINARY SYSTEM D1.0 Position patients to produce images of the specified system. D1.1.1 Explain general procedural considerations for radiographic examinations. D1.1.2 Identify equipment and supplies necessary to complete radiographic procedures. D1.1.3 Identify patient preparation processes for specific radiographic procedures. D1.1.4 Explain the routine and special views for specific radiographic procedures. D1.1.5 Explain specific radiographic procedures to patients. D1.1.6 Explain general radiation safety and protection practices associated with specific radiologic examinations. D1.1.7 Describe pertinent anatomical structures related to specific radiographic procedures. D1.1.8 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. ACS Copyright 2006 All Rights Reserved 4 Radiographic Procedures II RAD 122 MODULE E – ANATOMY AND POSITIONING OF THE CIRCULATORY SYSTEM, NERVOUS SYSTEM, AND JOINTS E1.0 Explain considerations for positioning patients for examination of the circulatory system, nervous system, and joint components. E1.1 This competency is measured cognitively. E1.1.1 Explain general procedural considerations for radiographic examinations. E1.1.2 Identify equipment and supplies necessary to complete radiographic procedures. E1.1.3 Identify patient preparation processes for specific radiographic procedures. E1.1.4 Explain the routine and special views for specific radiographic procedures. E1.1.5 Explain specific radiographic procedures to patients. E1.1.6 Explain general radiation safety and protection practices associated with specific radiologic examinations. E1.1.7 Describe pertinent anatomical structures related to specific radiographic procedures. E1.1.8 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. ACS Copyright 2006 All Rights Reserved 5 Radiographic Procedures II RAD 122 X. OUTLINE OF MODULES MODULE A – ANATOMY AND POSITIONING OF VERTEBRAL COLUMN, SACRUM AND COCCYX Radiographic anatomy and articulations Vertebral Column Vertebral (spinal) curvatures Sacrum Coccyx Radiographic positioning considerations Topographical Landmarks Technical Considerations Mobile / surgical Basic and Special Projections Cervical Spine AP Open Mouth AP Axial Obliques Lateral Trauma Lateral Cervicothoracic Lateral (Swimmer’s) Hyperflexion Hyperextension AP (Fuchs’ method) PA (Judd method) Thoracic Spine o AP o Lateral (breathing and expiration) Lumbar Spine: o AP o PA o Obliques o Lateral o Lateral L5-S1 o AP Axial, L5-S1 o AP right and left bending o Lateral flexion and extension Scoliosis Series: o AP / PA (Ferguson Method) Sacrum: o AP Axial o Lateral Coccyx: o AP o Lateral ACS Copyright 2006 All Rights Reserved 6 Radiographic Procedures II RAD 122 MODULE B – ANATOMY AND POSITIONING OF CRANIUM AND FACIAL BONES Radiographic anatomy and articulations Cranium Facial Bones Radiographic positioning considerations Mobile / surgical Basic and special projections Skull o AP Axial (Towne Method) o PA Axial (Haas Method) o Lateral o PA Axial 15º (Caldwell Method) o PA o Submentovertex (SMV), (Basilar Position) o Trauma lateral o Trauma AP (15º cephalad) o Trauma AP (no angle) o Trauma AP, axial (Towne) Facial Bones o Lateral o parietoacanthial (Waters) o PA (Caldwell) o PA (modified Waters) Mandible o Axiolateral o PA no angle o AP axial (Towne) o PA semi-axial o PA (modified Waters) o Submentovertex Zygomatic Arches o Submentovertex o parietoacanthial (Waters) o AP axial (Towne) o Axial oblique o Lateral Temporomandibular Joints o Lateral (Law) o Lateral (Schuller) o AP axial (Towne) Nasal Bones o parietoacanthial (Waters) o lateral o PA (Caldwell) Orbits o parietoacanthial (Waters) o Lateral o PA (Caldwell) ACS Copyright 2006 All Rights Reserved 7 Radiographic Procedures II RAD 122 Paranasal Sinuses o Lateral o PA (Caldwell) o Parietoacanthial (Waters) o Submentovertex o Open mouth parietoacanthial (Waters) MODULE C – ANATOMY AND POSITIONING OF THE ALIMENTARY CANAL Radiographic Anatomy Upper gastrointestinal tract Lower gastrointestinal tract Accessory organs Body Habitus Radiographic positioning considerations Mobile / surgical Patient education o Technologist’s responsibility o Standard procedure o Preparation for exam Diet Laxatives Enemas Procedure and follow-up care Contrast Media Basic and special projections Esophagus o RAO o Lateral o AP / PA o LAO o Swallowing dysfunction study Upper GI Series o AP scout o RAO o PA o Right Lateral o LPO o AP Small Bowel Series: o PA scout o PA (follow through) o Ileocecal spots o Enteroclysis procedure Barium Enema o PA and/or AP o RAO and LAO o LPO and RPO o Lateral Rectum o Right Lateral Decubitis o Left Lateral Decubitis ACS Copyright 2006 All Rights Reserved 8 Radiographic Procedures II RAD 122 o PA (AP) Postevacuation o AP or PA Axial Surgical Cholangiography o AP ERCP o AP MODULE D – ANATOMY AND POSITIONING OF THE URINARY SYSTEM Radiographic anatomy Urinary System Radiographic positioning considerations Mobile / surgical Iodinated Contrast Agents Patient education Basic and Special Projections Intravenous Urography: o AP (scout and series) o Nephrotomography o RPO and LPO o AP post void (upright) o PA post void o AP ureteric compression Retrograde Pyelography o AP (scout, pyelogram, and ureterogram) Cystography o AP (10º to 15º caudad) o Oblique o Lateral o AP Cystourethrography o Male – RPO (30º) voiding o Female – AP voiding MODULE E – ANATOMY AND POSITIONING OF THE CIRCULATORY SYSTEM, NERVOUS SYSTEM, AND JOINTS Radiographic anatomy and articulations Components of the circulatory system Pulmonary and General systemic circulation Central nervous system Joint components Positioning considerations Mobile / surgical Arthrography Myelography Venography ACS Copyright 2006 All Rights Reserved 9 Radiographic Procedures II RAD 122 XI. EVALUATION AND ASSESSMENT ACS Copyright 2006 All Rights Reserved 10 Radiographic Procedures II XII. RAD 122 ATTENDANCE a. Students are expected to attend all classes for which they are registered. Students who are unable to attend class regularly, regardless of the reason or circumstance, should withdraw from that class before poor attendance interferes with the student’s ability to achieve the objectives required in the course. Withdrawal from class can affect eligibility for federal financial aid. Withdrawal from class can prohibit progression in nursing and allied health programs. b. Students are expected to attend all clinical rotations required for each course. Only excused absences will be considered for make up. However, due to limited clinical space and time, clinical make up days cannot be guaranteed. Failure to complete clinical rotations will prohibit progression in nursing and allied health programs. XIII. STATEMENT ON DISCRIMINATION/HARASSMENT The College and the Alabama Board of Education are committed to providing both employment and educational environments free of harassment or discrimination related to an individual’s race, color, gender, religion, national origin, age, or disability. Such harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment is a violation of State Board of Education policy. Any practice or behavior that constitutes harassment or discrimination will not be tolerated. XIV. AMERICANS WITH DISABILITIES The Rehabilitation Act of 1973 (Section 504) and the American with Disabilities Act of 1990 state that qualified students with disabilities who meet the essential functions and academic requirements are entitled to reasonable accommodations. It is the student’s responsibility to provide appropriate disability documentation to the College. Please contact the ADA representative. ACS Copyright 2006 All Rights Reserved 11 Radiographic Procedures II XV. RAD 122 COURSE CALENDAR ACS Copyright 2006 All Rights Reserved 12 Radiographic Procedures II XVI. RAD 122 STUDENT ACKNOWLEDGEMENT FORM ACS Copyright 2006 All Rights Reserved 13