Alabama Department of Postsecondary Education Representing Alabama’s Public Two-Year College System (School Heading) I. RAD 112 – Radiography Procedures I 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 Introduction to Radiography RAD 111 VI. COURSE DESCRIPTION: This course provides the student with instruction in anatomy and positioning of the Chest and Thorax, Upper and Lower Extremities, and Abdomen. Theory and laboratory exercises will cover radiographic positions and procedures. 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) PREREQUISITE COURSES CO-REQUISITE COURSES VIII. TEXTBOOK(S) AND OTHER LEARNING RESOURCES ACS Copyright 2006 All Rights Reserved 2 Radiography Principles I RAD 112 IX. PROFESSIONAL COMPETENCIES/OBJECTIVES Module A - Introduction To Radiographic Terminology And Principles A1.0 Demonstrate knowledge of basic positioning, planes, movement and direction. A1.1 Demonstrate basic positioning, planes, movement and direction. A1.1.1 Describe standard terms related to radiographic positioning. A1.1.2 Define terms related to the principles of radiographic projections and views. A1.1.3 Differentiate between different body planes, sections, and lines. A1.1.4 Locate various topographical landmarks on the body. A1.1.5 Recognize various positioning aids. A1.1.6 Recognize different accessory items. A1.1.7 Explain digital imaging. A1.1.8 Explain image identification related to image markers and patient identification. A1.1.9 Explain positioning principles related to sequence of procedures and room and patient preparation. A2.0 Demonstrate knowledge of techniques to manipulate radiographic equipment. A1.2 Demonstrate proper radiographic equipment manipulation. Module B - Anatomy And Positioning Of Upper Extremities B1.0 Position the upper extremities for examinations. B1.1 Position patients for examinations of the upper extremities. 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. B2.0 Produce images of the upper extremities. B2.1 Use radiographic equipment to produce images of the upper extremities. 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 Radiography Principles I RAD 112 Module C – Anatomy And Positioning Of Lower Extremities And Pelvic Girdle C1.0 Position the lower extremities and pelvic girdle for examinations. C1.1 Position patients for examinations of the lower extremities and pelvic girdle. 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. C2.0 Produce images of the lower extremities and pelvic girdle. C2.1 Use radiographic equipment to produce images of the lower extremities and pelvic girdle. C1.2.1 Explain general radiation safety and protection practices associated with specific radiologic examinations. C1.2.2 Describe pertinent anatomical structures related to specific radiographic procedures. C1.2.3 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. Module D – Anatomy And Positioning Of The Chest And Bony Thorax D1.0 Position the chest and bony thorax for examinations. D1.1 Position patients for examinations of the chest and bony thorax. 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. D2.0 Produce images of the chest and bony thorax. D2.1 Use radiographic equipment to produce images of the chest and bony thorax. D1.2.1 Explain general radiation safety and protection practices associated with specific radiologic examinations. D1.2.2 Describe pertinent anatomical structures related to specific radiographic procedures. D1.2.3 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. ACS Copyright 2006 All Rights Reserved 4 Radiography Principles I RAD 112 Module E – Anatomy And Positioning Of The Abdomen E1.0 Position the abdomen for examinations. E1.1 Position patients for examinations of the abdomen. 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. E2.0 Produce images of the abdomen. E2.1 Use radiographic equipment to produce images of the abdomen. E1.2.1 Explain general radiation safety and protection practices associated with specific radiologic examinations. E1.2.2 Describe pertinent anatomical structures related to specific radiographic procedures. E1.2.3 Evaluate images for positioning, centering, appropriate anatomy and overall image quality. ACS Copyright 2006 All Rights Reserved 5 Radiography Principles I RAD 112 X. OUTLINE OF MODULES MODULE A – INTRODUCTION TO RADIOGRAPHIC TERMINOLOGY AND PRINCIPLES Radiographic Terminology Standard Terms Positioning Terminology Body planes, sections & lines Topographical landmarks Terminology of movement and direction Image identification Image markers Patient identification Positioning Principles Sequence of Procedures Room preparation Patient preparation Digital Imaging PACS Computed tomography Digital fluoroscopy Computed radiography Direct digital radiography MODULE B – ANATOMY AND POSITIONING OF UPPER EXTREMITIES Radiographic anatomy and articulations Hand Wrist Forearm Elbow Humerus Shoulder Girdle Clavicle Scapula Radiographic positioning considerations Surgical/mobile Basic and special projections Fingers o PA o PA Oblique o Lateral Thumb o AP o PA Oblique o Lateral ACS Copyright 2006 All Rights Reserved 6 Radiography Principles I RAD 112 Hand o PA o PA Oblique o Lateral (fan) o Lateral (extension) Wrist o PA o Oblique 45o o Lateral o PA Scaphoid o Scaphoid (Stecher) o Carpal Canal Forearm o AP o Lateral Elbow o AP o AP Partial flexion o AP Oblique External Internal o Lateral o Trauma Axial Lateral (Coyle Method) Humerus o AP non-trauma o Lateral non-trauma o AP neutral trauma o Scapular Y trauma o Transthoracic lateral trauma o Lateral, mid and distal, trauma Shoulder o AP internal and external rotation o Inferosuperior axial, non-trauma o Posterior oblique (Grashey) o Tangential non-trauma o AP neutral trauma o Transthoracic lateral trauma o Scapular Y trauma Clavicle o AP o AP Angle 15-30O cephalad o PA angle 15-30O caudad Scapula o AP o Lateral, anterior oblique o Lateral, posterior oblique Acromioclavicular joints o AP bilateral with and without weights Bone survey Long bone measurement ACS Copyright 2006 All Rights Reserved 7 Radiography Principles I RAD 112 Bone age Soft tissue/foreign body MODULE C – ANATOMY AND POSITIONING OF THE LOWER EXTREMITIES AND PELVIC GIRDLE Radiographic anatomy and articulations Foot Toe Ankle Lower Leg Knee Femur Hip Pelvic girdle Radiographic positioning considerations Surgical/mobile Basic and special projections Toes o AP, entire foot o Oblique toe o Lateral toe Foot o AP angle toward heel o Medial oblique o Lateral oblique o Mediolateral o Lateromedial o Sesamoids, tangential o AP weight bearing o Lateral weight bearing Calcaneus (Os Calcis) o Lateral o Plantodorsal, axial o Dorsoplantar, axial Ankle o AP o AP mortise o Mediolateral o Oblique, 45O internal o Lateromedial o AP stress views Tibia, Fibula o AP o Lateral o Oblique ACS Copyright 2006 All Rights Reserved 8 Radiography Principles I RAD 112 Knee o AP o Lateral o AP weight bearing o Lateral oblique 45O o Medial oblique 45O o PA o PA axial – intercondylar fossa (tunnel) Patella o Lateral o Supine flexion 45O (Merchant) o PA o Prone flexion 90O (Settegast) o Prone flexion 55O (Hughston) Femur o AP o Mediolateral Pelvis and hip o AP hip only o Cross-table lateral hip o Unilateral frog-leg, non-trauma o Axiolateral inferosuperior, trauma (Clements-Nakayma) o AP pelvis o AP pelvis, bilateral frog-leg o AP pelvis, axial anterior pelvic bones (inlet, outlet) o Anterior oblique pelvis, acetabulum (Judet) MODULE D RADIOGRAPHIC ANATOMY AND POSITIONING OF THE CHEST AND BONY THORAX Radiographic Anatomy Thoracic viscera Bony thorax Radiographic positioning considerations Surgical/mobile Basic and special projections Chest o PA upright o Lateral upright o AP lordotic o AP supine o Lateral decubitus o Posterior oblique o Anterior oblique Soft tissue neck o AP upper airway o Lateral upper airway Ribs o AP and PA, above and below diaphragm o Anterior and posterior oblique ACS Copyright 2006 All Rights Reserved 9 Radiography Principles I RAD 112 Sternum o Lateral o RAO breathing technique o RAO expiration o LAO o PA sternoclavicular joints o Anterior oblique sternoclavicular joints o PA axial sternoclavicular joints MODULE E – ANATOMY AND POSITIONING OF THE ABDOMEN Radiographic Anatomy of the abdomen Radiographic positioning considerations Surgical/mobile Basic and special projections AP supine AP upright Lateral decubitus Dorsal decubitus ACS Copyright 2006 All Rights Reserved 10 Radiography Principles I RAD 112 XI. EVALUATION AND ASSESSMENT ACS Copyright 2006 All Rights Reserved 11 Radiography Principles I RAD 112 XII. 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 12 Radiography Principles I RAD 112 XV. COURSE CALENDAR ACS Copyright 2006 All Rights Reserved 13 Radiography Principles I RAD 112 XVI. STUDENT ACKNOWLEDGEMENT FORM ACS Copyright 2006 All Rights Reserved 14