RAD 130 PATIENT CARE IN RADIOLOGIC SCIENCES

RAD 130 PATIENT CARE IN RADIOLOGIC SCIENCES APPROVED 11/04/2011 EFFECTIVE FALL 2012-13

Prefix & Number RAD 130 Course Title: Patient Care in Radiologic Sciences Purpose of this submission: New Change/Updated Retire If this is a change, what is being changed? Update Prefix Course Description (Check all that apply) Title Course Number Format Change Credits Prerequisite Competencies Textbook/Reviewed Competencies-no changes needed Does this course require additional fees? No Yes If so, please explain. Is there a similar course in the course bank? No Yes (Please identify) Articulation: Is this course or an equivalent offered at other two and four-year universities in Arizona? No Yes (Identify the college, subject, prefix, number and title: This course is offered in radiography programs in the state. Is this course identified as a Writing Across the Curriculum course? No Yes Course Textbook, Materials and Equipment Textbook(s) Title Patient Care in Radiography Author(s) Ehrlich, Ruth Ann; Daly, Joan A. Publisher Mosby Elsevier Barnes & Noble Price New 64.95 Used 48.70 Software/ Equipment Title Author(s) Publisher ISBN Barnes & Noble Price Course Assessments Description of Possible Course Assessments (Essays, multiple choice, etc.) Exams standardized for this course? Midterm Final Other (Please specify): Where can faculty members locate or access the required standardized exams for this course? Journaling Are exams required by the department? No Yes If Yes, please specify: Final exam with multiple choice and fill in the blanks; Pilot Registry exams Director of Radiologic Technology Office The ability to offer compassionate, clinically

Student Outcomes: Identify the general education goals for student learning that is a component of this course. Check all that apply: 1. Communicate effectively. a. Read and comprehend at a college level. b. Write effectively in a college setting. competent and professional care, applying the skills of positioning and technique. Method of Assessment Mid-term and Final exam; and journaling 2. Demonstrate effective quantitative reasoning and problem solving skills. Discussion forums, demonstrations, simulations, sharing content, case studies, quizzes, exams; Pilot exams from the Registry 3. Demonstrate effective qualitative reasoning skills. Discussion forums, demonstrations, simulations, sharing content, case studies, quizzes, exams; Pilot exams from the Registry 4. Apply effective methods of inquiry. a. Generate research paper by gathering information from varied sources, analyzing data and organizing information into a coherent structure. b. Employ the scientific method. 5. Demonstrate sensitivity to diversity a. Experience the creative products of humanity. b. Describe alternate historical, cultural, global perspectives. The student listens attentively to the patient s concerns; and, professionally explains and helps the patient through the procedure with an understanding of cultural diversity, age-specific care, and a compassionate approach to patients with disabilities.

COURSE INFORMATION Initiator: Maryann Shepherd Date of proposal to Curriculum Sub-Committee: November 4, 2011 Effective Semester/Year Prefix & Number: RAD 130 Fall 2012 1 st Program Semester Full Title: Patient Care in Radiologic Sciences Short Title: Patient Care Catalog Course Description: The student will develop clinical and ethical skills to provide high-quality care to patients through safety, positioning, infection control and assessment procedures. Credit Hours: 2 Lecture Hours: 2 Lab Hours: 0 Prerequisite: Admission to the Radiologic Technology Program RAD 100-130 are in the same cohort and must be taken during the same semester. Intended Course Goals By the end of the semester, students will be able to: 1. Describe the scope of practice for radiography, the elements that comprise it and the responsibilities of the radiographer. 2. Identify methods for determining the correct patient for a given procedure. 3. Explain specific aspects of a radiographic procedure to the patient and adverse reactions 4. Identify symptoms related to specific emergency situations. 5. Describe specific patient safety measures and concerns.

Course Competencies and Objectives By the end of the semester, students will be able to: Competency 1 Perform basic technique skills and operation of the x-ray tube. Objective 1.1 Name four pioneers in the development of radiography and describe their contributions Objective 1.2 List six characteristics of x-radiation Objective 1.3 Draw a diagram of a simple x-ray tube and label the parts Objective 1.4 Explain the significance of mas with respect to image quality and patient exposure Objective 1.5 Describe the effects of an increase in kvp with respect to both the x-ray beam and the radiographic image Objective 1.6 Explain the effect of an increase in source-image distance on both optical density and image detail Objective 1.7 Demonstrate the vertical, horizontal, and angulation motions of an x-ray tube Objective 1.8 Use appropriate units when discussing the measurement of x-radiation Objective 1.9 Describe how changes in time, distance and shielding affect radiation exposure Objective 1.10 Demonstrate practices that minimize occupational x-ray exposure Competency 2 Understand the radiographer s position in the radiology department; and, understand the actions of negligence and malpractice. Objective 2.1 State three reasons why a study of professional behavior is important to the radiographer Objective 2.2 Describe the radiographer s role in relation to the radiologist, referring physician, hospital administration, nursing personnel and other hospital staff Objective 2.3 List three aspects of self-care that demonstrate responsible behavior by the radiographer Objective 2.4 List three ways that a radiographer can contribute to the advancement of radiologic technology Objective 2.5 Define ethics Objective 2.6 Explain the rationale for confidentiality of professional communications Objective 2.7 List four patient rights that the radiographer is responsible for protecting Objective 2.8 Define the terms negligence and malpractice Objective 2.9 List three specific acts of intentional misconduct that may occur in radiology departments Objective 2.10 Discuss the most frequent circumstances causing patients to initiate litigation Competency 3 Understand cultural diversity, age-specific care, and approaches to patients with disabilities Objective 3.1 List examples of how members of diverse groups may approach health care Objective 3.2 List examples of how cultural diversity may influence or affect the communication process Objective 3.3 Demonstrate five examples of nonverbal communication Objective 3.4 Compare assertive and aggressive behavior Objective 3.5 Discriminate between assumed and validated statements Objective 3.6 Define the term valid choice and give an example that might be typical of a patient care situation in radiology Objective 3.7 Describe age-specific care for infants, children, adults and the elderly in the radiology department Objective 3.8 Compare approaches for dealing with deaf patients to those that apply to patients with moderate hearing loss Objective 3.9 List the two most important points to be remembered when dealing with patients in an altered state of consciousness Objective 3.10 Locate the portions of a chart containing information relevant to diagnosis, history, current status, laboratory reports, radiology reports, allergies and medications Objective 3.11 List five reasons for keeping accurate medical records Competency 4 Explain patient protection in responding to electrical and fire emergencies; confidentiality and, transfer techniques Objective 4.1 List four important electrical safety precautions Objective 4.2 List in sequence the steps to be taken if you discover a fire in or near the imaging department Objective 4.3 List three common infractions of fire safety rules in hospitals Objective 4.4 Discuss hazards caused by obstructions and spills Objective 4.5 List two steps to be taken to ensure accuracy of patient identification Objective 4.6 Demonstrate safe techniques for patient moving and transferring, using the principles of good body mechanics

Assist patient with sitting from a recumbent position Assist patient in to and out of wheelchair Perform two-person transfer of patient from bed to stretcher and stretcher to bed Objective 4.7 List four complications that may arise from improper patient positioning Objective 4.8 Demonstrate the correct use of pillows and positioning blocks to ensure patient comfort on the x-ray table Objective 4.9 List three situations when the patient s head should be elevated Objective 4.10 Demonstrate proper use of safety straps, side rails, restraints, and compression bands Competency 5 Understand the handling of hazardous waste, infection control and disease prevention Objective 5.1 Define medical asepsis, disinfection, and sterilization Objective 5.2 List six factors involved in the cycle of infection Objective 5.3 State five examples of personal hygiene that help to prevent the spread of infection Objective 5.4 Demonstrate techniques for effective hand hygiene Objective 5.5 Describe the correct method of linen disposal using medical asepsis principles Objective 5.6 Name the agent and state the dilution used for disinfecting radiographic equipment, as recommended by the Centers for Disease Control and Prevention (CDC) Objective 5.7 Demonstrate proper disposal of contaminated equipment in the clinical area Objective 5.8 Contrast isolation techniques for infectious and immunodeficient patients Objective 5.9 Demonstrate removal and disposal of gowns, gloves and masks without breaking isolation principles Objective 5.10 List and describe six main routes of infection transmission Competency 6 Explain vitals, and their purpose; and, recognize a change in the patients physical status Objective 6.1 State four reasons for learning good assessment skills Objective 6.2 Demonstrate how to drain and measure the output from a urinary collection bag Objective 6.3 List three personal comfort needs common to most patients Objective 6.4 Demonstrate how to take a history appropriate to a specific procedure Objective 6.5 Find the admitting diagnosis in the patient s chart Objective 6.6 Measure and record temperature, pulse rate, and respiration rate Objective 6.7 State the normal values for temperature, pulse, respiration and blood pressure Objective 6.8 Obtain and record blood pressure readings Objective 6.9 Describe the difference between a carotid pulse and an apical pulse Objective 6.10 Use terms such as dyspneic, diaphoretic, and tachycardia in describing patients physical status Objective 6.11 Identify common cardiac arrhythmias on an ECG tracing Competency 7 Understand medication administration, injection sites, and IVs. Objective 7.1 Define the term standing order Objective 7.2 Explain the meaning of adverse effects Objective 7.3 Give an example of a trade name and a generic name of a medication typically seen in the radiology department Objective 7.4 Demonstrate how to look up a medication in a comprehensive drug reference book Objective 7.5 State the six rights of medication administration Objective 7.6 Demonstrate the steps used in the administration of oral medication Objective 7.7 List five routes of medication administration Objective 7.8 Identify the veins suitable for intravenous (IV) injections Objective 7.9 Demonstrate the steps taken to discontinue an IV infusion Objective 7.10 State the average rate of flow for IV fluids expressed in drops per minute Objective 7.11 Identify the sites used for intramuscular injections Competency 8 Recognize emergency situations, and respond appropriately. Objective 8.1 List criteria for trauma centers to be designated as Level I, Level II or Level III Objective 8.2 Define triage Objective 8.3 State the code routine used by a specific clinical site and describe the anticipated events when a code is initiated Objective 8.4 Demonstrate the abdominal thrust (Heimlich Maneuver) Objective 8.5 Discuss the procedures for assisting patients during attacks of asthma, epistaxis, angina, nausea and syncope Objective 8.6 List the four levels of consciousness Objective 8.7 List precautions to be taken in handling patients with possible fractures of the spine, ribs or extremities

Objective 8.8 Recognize the signs of shock and respond appropriately Objective 8.9 Explain the differences between syncope and vertigo Objective 8.10 Contrast diabetic coma or hyperglycemia and insulin shock or hypoglycemia Objective 8.11 Contrast diabetic ketoacidosis with hyperosmolar hyperglycemic nonketotic syndrome Objective 8.12 Discuss seizure disorders, including safety precautions and observations to be recorded Competency 9 Prepare barium contrast media used in upper and lower GI studies. Objective 9.1 Explain the purpose of contrast media use in gastrointestinal(gi) studies Objective 9.2 List three types of patients who should be examined as early in the day as possible Objective 9.3 Discuss the purpose of bowel preparation for various studies and select a method appropriate for the patient s age and condition Objective 9.4 List two steps you could take to make barium more palatable for oral administration Objective 9.5 List the temperature, amount of fluid and height at which the bag should be hung when preparing for administration of cleansing enemas and barium enemas Objective 9.6 Position a patient correctly for enema administration Objective 9.7 Give two reasons for discontinuing the examination or preparation of a patient having lower GI studies Objective 9.8 Discuss complications that could arise during an examination for Hirschsprung s disease Objective 9.9 Compare and contrast procedures for routine upper GI series, double-contrast upper GI series, and hypotonic duodenography Competency 10 Administer iodinated contrast media in urogram and cholecystography procedures Objective 10.1 Name four types of contrast media and give two examples and two applications for each Objective 10.2 List four types of adverse responses to contrast media injections Objective 10.3 Demonstrate how to take an appropriate history prior to injection of an iodinated contrast medium Objective 10.4 Describe the radiographer s role in performing an IV urogram Objective 10.5 Name the blood chemistry tests that may be significant in patients having cholecystography and those scheduled for urography Objective 10.6 Describe three methods used to introduce contrast media into the biliary system Objective 10.7 Describe the procedure for the injection of contrast media for myelography Competency 11 Perform bedside radiographic procedures and recognize the correct locations of the tips of Swan-Ganz, Groshong, and PICC catheters Objective 11.1 Demonstrate the appropriate procedure for gathering information before performing a bedside radiographic examination Objective 11.2 List three situations in which bedside radiography may be preferable to examination in the imaging department Objective 11.3 State the purposes of gastric, nasoenteric, tracheal and thoracic suction Objective 11.4 List precautions to be taken when doing a bedside examination of a critical neonate in the intensive care unit (ICU) Objective 11.5 List four important factors to be noted during an initial survey before radiography in the intensive care or coronary care unit Objective 11.6 List three types of special beds or mattresses that may be seen in special units, and state the precautions to be used when dong mobile radiography with each type Objective 11.7 List three essential precautions to be taken with patients who have a tracheostomy Objective 11.8 Demonstrate the procedure for discontinuing gastric suction Objective 11.9 Define the term sterile corridor, and explain the significance of this concept to the radiographer Objective 11.10 List and describe two types of central venous catheters Objective 11.11 Identify the correct locations for the tips of Swan-Ganz, Groshong, and PICC catheters Objective 11.12 State the consequences of dislodging a thoracic tube, and explain how to avoid this occurrence Competency 12 Identify CT and MRI scanners Objective 12.1 List specific angiographic examinations and name the blood vessels that are demonstrated with each Objective 12.2 Describe Seldinger technique and state its purpose Objective 12.3 List five specific procedures classed as interventional radiology and state the purpose of each Objective 12.4 Identify and state the purpose of each of the principal parts of a computed tomography (CT) scanner Objective 12.5 List advantages of spiral and multislice spiral/helical scanners in comparison to conventional CT scanners Objective 12.7 List common diagnostic applications of magnetic resonance imaging (MRI) Objective 12.8 List safety precautions for personnel working in the area of an MRI scanner

Objective 12.9 Explain the use of contrast agents and medications in MRI and the procedures for monitoring sedated patients during MRI examinations Objective 12.10 Compare and contrast conventional nuclear medicine procedures, positron emission tomography (PET), single photon emission computed tomography (SPECT) scans, and fusion imaging Objective 12.11 Compare and contrast nuclear medicine procedures with other imaging modalities Objective 12.12 Describe in simple terms the process of acquiring ultrasound images and list common diagnostic application for both conventional and Doppler ultrasound Describe the procedure for routine mammography and explain the patient care considerations that are significant with this modality