Course Title: Radiographic Procedures IV
Clock Hours: 3 hours Lecture / 1 hour Lab per week
Quarter Units: 3 Quarter Units
Instructor:
Phone:
Office Hours:
Quarter: 4
PREREQUISITE
Acceptance into the Kaiser Permanente School of Allied Health Sciences.
COURSE DESCRIPTION:
This course is designed to provide first year students with a working knowledge of routine radiographic positioning for
visualization of the digestive and urinary system. Positioning of the critical patient and the pediatric for various
procedures is addressed. The group process will be used to demonstrate and practice radiographic positioning,
critique radiographs and to learn good departmental principles and practice.
COURSE APPROACH:
1. This course will consist of lecture/demonstration and practice involving class participation and image review
facilitated by the instructor. Reading assignments will precede each lecture.
2. Laboratory practice will be used to develop proficiency in positioning.
3. Handouts, visual aids, schematics, radiographs, and phantoms will be used to facilitate the learning
process.
4. In addition to scheduled evaluations, periodic reviews will be conducted.
COURSE OBJECTIVES:
At the completion of the course the student will be able to:
1. Describe the anatomical structures of the digestive system and urinary system
2. Describe and perform, with a minimum of 80% accuracy, routine positions and projections of the digestive
system, urinary system, pediatric patient and the critical patient.
3. Based on evaluation criteria, critique all radiographic views of the digestive system, urinary system, pediatric
patient and the critical patient with a minimum of 80% accuracy.
LEARNING OUTCOMES:
1. Demonstrate a comprehensive understanding of the anatomy and routine
positioning necessary in producing diagnostic radiographs of the digestive system, urinary system,
pediatric patient and the critical patient.
2. Prepare the student for an understanding of the selected special positioning needed for
producing diagnostic radiographs of the digestive system, urinary system, the pediatric patient and the
critical patient.
3. Further develop the students’ knowledge and understanding of good principles and
practice in radiographer/patient relationships.
4. Prepare one Oral Critical-Care Case Report (criteria to be discussed later).
5. Describe and apply all of the required radiation protection and limiting devices
utilized in routine radiographic procedures of the digestive system, urinary system,
pediatric, and critical patient.
6. Evaluate the role cultural diversity plays in the communication process and communicate effectively
with patients from different cultures.
REQUIRED TEXT:
Textbook Title: Merrill’s Atlas of Radiographic Positions and Radiologic Procedures, Vol. I, II
and III
Author:
Eugene D. Frank MA, RT(R), FASRT
Bruce W. Long, MS, RT (R) (CV), FASRT
Barbara J. Smith, MS, RT (R) (QM), FASRT
Pub/Ed/Date:
Mosby, Inc.; 12th ed.; 2012
Workbook Title: Radiographic Anatomy, Positioning, and Procedures Workbook
Author: Eugene D. Frank MA, RT(R), FASRT
Bruce W. Long, MS, RT (R) (CV), FASRT
Barbara J. Smith, MS, RT (R) (QM), FASRT
Jeannean Hall Rollins, MRC, BSRT (R) (CV)
Pub/Ed/Date: Mosby, Inc.; 12th ed.; 2012
EVALUATION SYSTEM
The student's final quarter grade will be a composite of all theory and evaluations for a total value of 725 points as
follows:
Written Evaluations
200 points (100 points X 2 exams)
Midterm
100 points
Final Evaluation
150 points
Study question
75 points
Oral Critical-Care Case Report/
Demonstration
100 points
Research Paper
100 points
TOTAL 725 point
GRADE POINT SCALE
This course will follow the grading policy defined in the KPSAHS Student Handbook.
GRADE POINT SCALE
Letter Grade
A
AB+
B
BC+
C
Performance in Percentage
94-100
90-93
88-89
84-88
80-83
78-79
70-77
Grade Points
4.00
3.70
3.30
3.00
2.70
2.30
2.00
Any didactic grade less than 70% is considered a failing grade. An exam average less than 70% is also considered a
failing grade.
Department Grading Policy:
The average grade of all written exams must be 70% or greater in order to gain credit for this course. The average
grade of any practical exams must be 70% or greater to gain credit for this course. The final grade is based upon
passing (separately) the written exams and any practical exams. One grade is assigned for the entire course. A final
grade of “F” or lower will be assigned to students averaging less than 70% in either the written or practical exams.
Cheating and Plagiarism:
Any form of cheating or plagiarism is serious and will not be tolerated. Academic achievement and proficiency in a
subject matter cannot be achieved through cheating and/or plagiarism. Any student, who knowingly cheats,
plagiarizes and allows/aids another student in cheating or plagiarism will receive up to and/or including the following:


A failing grade on a single assignment and/or final course grade
Suspension or dismissal from the program
Honesty is a necessary trait in all health professionals. KPSAHS expects all students to practice honest and ethical
behavior. Inability to fulfill this expectation will result in dismissal from the program.
Attendance Policy and Exam Make-Up Policy:
As stated in the Student Handbook, students are expected to attend all classes and labs. Attendance will be taken at
the beginning of each class period. A sign-in sheet is used to record daily attendance. It is the student’s
responsibility to sign in at each class (failure to do so will constitute an absence). The number of absences per
course should not exceed the number of classes held in one week. The student is responsible for upholding this
policy. Additional absences will result in a grade deduction.
* Any more than two (2) tardies OR two (2) absences or any combination of the two reduces the letter grade
by one.
Students who are absent on a test day must notify the instructor by phone, on the date of the exam or earlier, in order
to be allowed to take the exam at a later date. It is at the discretion of each individual instructor as to whether
or not an exam can be made-up, regardless of the reason for the absence. The student will be expected to take
the exam on the day of return. Failure to take any exam may result in an incomplete grade for the course. The
student will be expected to take the exam on the day of return (or an earlier date if arranged with the
instructor after the absence) and will have that test grade reduced by one letter grade.
If an exam is missed due to an unexcused absence, it may not be made up and a zero grade will be given for that
exam. An unannounced quiz missed due to any type of absence may not be made up and a zero grade will be
assigned.
Assignments submitted one day late will receive 50% of the total earned grade. Assignments submitted after
that will receive no grade. Students absent on the day an assignment is due shall be prepared to turn in their
assignment on return.
The final written exam for this class will be given at the time and date specified and must be taken at that time.
Classroom Management
Use of all electronic devices is prohibited during class. Students found to be using such devices will be asked to
leave the class, an absence will be documented for that day, and a warning will be given.
There are no bathroom breaks during tests and quizzes.
Finals Week Attendance and Testing Policy
1. All final exams will be comprehensive in content.
2. Students should not schedule any activities which conflict with finals week activities: e.g. - plan out of town trips,
schedule medical or dental appt., plan family activities, or other events which will prevent attendance during the
entire finals week.
3. The scheduled time for exam(s) will be determined for each quarter. This schedule will be strictly adhered to for all
written exams. Lab practical exams are scheduled during the quarter.
4. Mandatory attendance for all students is required. Failure to attend due to an unexcused absence for the
scheduled exam will result in a zero and a “F” being assigned and averaged into the final grade for the course.
5. Students with an excused absence (documented medical emergency) will not be allowed to take the exam at a
later date, but instead will be assigned a grade based upon all grades earned to date for that course.
DATE
April 2
RADIOGRAPHIC PROCEDURES IV
TOPICS COVERED
PAGES
Course Introduction
Examples of in-class ‘Critical Thinking Case Studies’
Vol. 3
Pgs. 165-231
April 23
Pediatric Radiography: Positioning and considerations
Geriatric Radiography: Positioning and considerations
Case studies: #1 Pediatric – pg. 26, #2 Geriatric – pg. 24
Homework: 15 questions
Mobile / Surgical Radiography
Trauma Radiography: Positioning/Special Considerations
Case studies: #1 Surgical – pg. 20, #2 Trauma – pg. 53,
#3 Pediatric trauma – pg. 46
Homework: 15 questions
Presentations:
Oral Critical-Care Case Reports
April 30
Test
Anatomy of the Upper and Lower Gastrointestinal System
Vol. 2
Pgs.
121-127
Upper GI / Lower GI: Contrast Media/ Application
Upper GI: Positioning
Upper GI: Pathology
Case studies: BE – pg. 42 - 45
Homework: 15 questions
Vol. 2
Pgs.
128-165
Handouts
April 9
April 16
May 7
May 14
MIDTERM (Comprehensive)
May 21
Lower GI: Positioning
Lower GI: Pathology
Case study: BE – pg. 50
Homework: 15 questions
May 28
June 4
June 11
June 18
Vol. 3
Pgs. 233-301
Vol. 2
Pgs. 22-59
Pgs.
166-194
Handouts
HOLIDAY
Test
Gallbladder and Biliary Tract: Anatomy/ Contrast/ Positioning
Urinary System: Anatomy/ Contrast/ Positioning
Homework: 15 questions (due June 13)
Research Papers Due
FINAL EXAMINATION
(Comprehensive)
ORAL CRITICAL-CARE CASE REPORT
Pgs.
111-117
Pgs.
197-251
Students will work in pairs to complete an examination on a critically injured patient. Groups may choose case report
#1 or case report #2.
The project has two (2) parts:
 Oral presentation of the case
 Case demonstration of the procedure used to obtain the necessary radiographs
Oral case reports must include the following:
 Patient history (what, where, when and patient’s level of consciousness)
 Type of exam performed
 Procedure used to obtain radiographs and why
 Technique used and why
 Special views
 Structures demonstrated
Case demonstration must include the following:
 Teams will demonstrate the procedure used to obtain radiographs
 Teams will use props to help observers gain a true understanding of the difficulty involves in
obtaining diagnostic images.
** Each team will have 40 minutes for their presentation.
Team Members:
Team #1- ______________________________
- ______________________________
- ______________________________
Team #2- ______________________________
- ______________________________
- ______________________________
Team #3- ______________________________
- ______________________________
- ______________________________
Team #4- ______________________________
- ______________________________
- ______________________________
Patient: John / Jane Doe #1
J. Doe #1 is a case of pedestrian vs. automobile. This patient has suffered multiple injuries to the head and neck,
right shoulder, and right lower leg. The patient’s head has severe lacerations on the left side. The ER staff has
placed surgical sponges on the cuts to control the bleeding. The neck is protected in a plastic cervical collar, and the
right shoulder has been positioned so that the right arm is flexed, resting on the patient’s abdomen, and immobilized.
The right tibia/fibula has a compound fracture of the lower 1/3 and is stabilized in a radiolucent splint.
The patient’s level of consciousness on the Glasgow Coma Scale is 13. The patient’s clothes have been replaced
with a gown; however, there is still jewelry evident on the patient.
Your trauma team will be required to take 2 projections for each of the procedures ordered.
The doctor has order:
Cervical spine
Skull series
Right shoulder
Right tib/fib
Patient: John/ Jane Doe #2
J. Doe #2 is a case of an auto vs. tree. This patient has suffered multiple injuries to the face, pelvis, right elbow, and
left knee. The patient’s face has several lacerations and marked swelling on the left side, so the ER staff has placed
an icepack on the patient’s face. The pelvis is somewhat stabilized on the body board; however, you notice that the
right leg has an abnormal external rotation. The right elbow has a compound fracture at the distal end of the
humerus. It is immobilized, slightly flexed and resting on the patient’s abdomen in a radiolucent splint. The left knee
has a deep laceration at the mid-patella. The ER staff has placed a rolled towel beneath the affected knee and
covered the laceration with a surgical sponge to control the bleeding.
The patient’s level of consciousness on the Glasgow Coma Scale is 8. The patient’s clothes have been replaced
with a gown, but there is still jewelry evident on the patient.
Your trauma team will be required to take 2 projections for each of the procedures ordered.
The doctor has order:
Facial bones
Pelvis / hip
Right elbow
Left knee / patella
Research Paper:
The student is required to write a research paper describing a disease or disorder related to the gastrointestinal tract.
The paper must demonstrate proper research and organization. APA format should be followed throughout the
paper.
The paper must include the following:
 The body must be a minimum of 4 pages.
Typed (follow APA format)
Minimum 4 references
Proper grammar and spelling
A general description of the disease or disorder
Etiology
Symptoms
Radiographic methods
 Patient preparation
 Room preparation
 Contrast media
 Radiographic appearance
 Include 1 image demonstrating the disease or disorder’s radiographic appearance







The topic of your paper must be selected from the following disease or disorders.
Crohn’s Disease
Hurschsprung’s Disease
Annular Carcinoma
Whipple’s Disease
Sprue
Zenker’s Diverticulum
Bezoar
Ulcerative Colitis