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HOLY CROSS HOSPITAL SCHOOL OF RADIOLOGIC TECHNOLOGY HOLY CROSS HOSPITAL The place where it all began. WHERE HOLY CROSS HOSPITAL IS TODAY A state-of-the-art facility History of Radiology • Wilhelm Roentgen discovered X-rays in 1895. • First X-ray was of his wife’s hand which was on a piece of glass. • X-rays were used for entertainment: checked for foot sizes, used at circuses, bone portraits, home models were even sold for parties. • In the beginning, there were a lot of safety issues due to the unknown hazards of radiation exposure. WHAT DOES AN X-RAY TECHNOLOGIST DO? • Patient care: dealing with patients in various states of health • Position patient correctly so desired anatomy is visualized • Radiation protection: time, distance, shielding • Live X-ray exams: Fluoroscopy (X-ray video) • Responsible for cleaning and stocking all X-ray exam rooms • Obtaining and documenting patient history MODALITIES • • • • • • • Diagnostic (basic, regular X-ray exams) CAT Scan MRI Mammography Nuclear Medicine Angiography Cath Lab PURPOSE OF MEDICAL X-RAYS • Diagnose fractures and pathology • Fluoroscopy diagnoses pathology TYPES OF PATIENTS • Outpatients: mostly ambulatory sometimes immobile, various ages • Inpatients: various ages and conditions, some ambulatory, most bedridden, some unconscious, pre/post surgical WHERE CAN YOU WORK? • • • • • Hospitals Outpatient facilities Doctors offices Mobile radiography Travel tech agency HOW MUCH MONEY WILL YOU MAKE? • Varies on location, experience and facility • Average starting salary is $40,000 to $50,000 • Continued education/cross-trained tech can lead to making a higher salary WHY CHOOSE HCHSRT? • Tuition and books are inexpensive • More hands-on experience • A lot more clinic time than a four-year/two-year college program • Only 22 months • Opportunity to possibly work at hospital when finished school PROGRAM MISSION AND GOAL • Mission statement - In accordance with Holy Cross Hospital, the School of Radiologic Technology will firmly dedicate itself to the education of professionals skilled in the art and science of radiography. To ensure service excellence is delivered to our communities of interest we will emphasize the need for high standards of patient care, and always strive to meet our goals through utilization of continuous improvement methods. • Goal - The purpose of the School of Radiologic Technology is to provide a social and professional atmosphere in which the student can obtain the skills and attitudes necessary for an eventual position in the field of radiologic technology. • History – Founded in 1988 – Originally started because of staff shortage • First Graduating class was in 1990 with five students • 11 more to graduate in June 2008 • 95 percent pass rate on National Registry over the last five years • Length of program – 22 months, full time (40 hours per week) – 31 hours in clinic and 9 hours in the classroom • Time of operation – 7 a.m. to 3:30 p.m. (subject to change depending on clinical rotation) • Personal Time Off – 180 hours per year (If student exceeds the allotted time he/she will be dismissed from program.) – 7 Holidays (New Year’s Day, Presidents Day, Memorial Day, 4th of July, Labor Day, Thanksgiving and Christmas) • Tuition is $2,000 and is payable in four installments of $500. • Registration fee for all accepted applicants is $150. • Books are approximately $1,000. • Uniforms are approximately $200. ADA CRITERIA FOR ESSENTIAL JOB FUNCTIONS • Must have visual acuity and manual dexterity to work with a computer keyboard and monitor, to perform essential job functions. • Must be able to hear and verbally communicate with the telephone, for essential duties involving receiving and giving information. • Must be able to lift, carry for short distances, push or pull a cart, weights in excess of 75 pounds, to perform essential job functions. APPLICATION PROCESS • High School Diploma or GED • Completed Prerequisite courses • Application submitted by February 1 of each year • Academic Aptitude test • Score in the upper 25 percentile of applicants (75 percent or better) • Interview • Three Character references • Essay • Observation day PREREQUISITE REQUIREMENTS • English Composition • English Communication • Finite Math/ College Math • Anatomy & Physiology with Lab (may include Part 1 and 2) • Biology with Lab • Basic Microsoft Word/PowerPoint/Excel or PC equivalent ONCE ACCEPTED, THE STUDENT MUST: • Pass a physical examination provided by your physician. • Pass the drug screening test provided by Holy Cross Hospital. • Clear the background check. ACCREDITATION • Maryland High Education Commission • Private Career Schools of Montgomery County • JRCERT (Joint Review Committee on Education in Radiologic Technology) • Protect Students welfare • Make sure we are following the main governing bodies. • Adhere to Holy Cross Policies and Procedures COURSES OFFERED AND REQUIRED • • • • • • • • • • Intro. to Radiography Medical Ethics & Law Medical Terminology Radiographic Anatomy Radiographic Procedures Radiographic Film Processing Basic Principals of CT Radiation Protection Introduction to PACS CR/DR Processing • • • • • • • • • Evaluation of Radiographs Radiographic Pathology Radiation Physics Radiation Biology/Protection Special Radiographic Procedures Imaging Equipment Quality Assurance Developmental Testing Registry Review PREREQUISITE COLLEGE COURSE REQUIREMENTS • • • • • • English – 3 credits (minimum) General Biology – 3 credits (minimum) College-level Math – 3 credits (minimum) A & P part 1 & 2 with Lab – 3 credits (minimum) Speech – 3 credits (minimum) Computer Class (MS Word, PowerPoint, Excel credit) Degree agreements available with MCC. See program director if interested. The following radiographs show normal lumbar spine anatomy. • Progressing caudally, the vertebral bodies increase in stature. The disc spaces also increase in size until L5S1, which is often smaller than L4-L5. • Like the thoracic spine, the vertebral bodies should have smooth alignment and continuous sclerotic margins AP VIEW LATERAL VIEW MARKERS AND LEGAL CONSIDERATIONS What is a marker and where should it be placed? REQUIREMENTS FOR GRADUATION • • • • • Completion of clinical comps exams Completion of clinical objectives “B” average clinically “C” average Academic (per class per quarter) Financial obligations CLINICAL ROTATIONS AT HOLY CROSS HOSPITAL • Junior Year One Month Rotations • Senior Year One Month Rotations • Special Rotations JUNIOR ROTATIONS • Routines • Emergency Room and Express Care • Pain Management or Epidurals (EPIs) • Fluoroscopy • IVP/Room 2/ERCP • Modalities (Ultrasound, MRI, Nuclear Medicine, Mammography) • Surgery or Operating Room • Community Radiology (Off-site) • Portables ROUTINES ROTATION During your first year as a student at Holy Cross Hospital, you will rotate through a month of routine diagnositic X-ray. Each day you will be assigned to assist a technologist in performing various exams. EMERGENCY CENTER AND EXPRESS CARE ROTATION Both juniors and seniors will spend one month each year in the Emergency Center. There, the student will be exposed to a fast-paced and demanding facet of radiology. PAIN MANAGEMENT ROTATION Separate from Medical Imaging, Pain Management is a department of its own. Here students learn to operate a C-arm during epidural steriod injections. FLUOROSCOPY ROTATION Fluoro is a branch of diagnostic radiology. Fluoro exams include barium enemas, small bowel follow throughs, upper GIs, esphograms and other like studies requiring contrasting agents. IVP/ROOM 2/ERCP ROTATION IVP or intraveinous pyelogram are studies of the kidneys often using a tomography unit. ERCPs are studies using small cameras inserted into the body and are most often done in room 2. MODALITIES ROTATION Students will learn the protocol for performing exams in the following areas: • Ultrasound • Nuclear Medicine • MRI • Mammography SURGERY OR OPERATING ROOM ROTATION During this rotation, the student will be exposed to exams done in the operating room either during, after or prior to a surgery. Exams performed in this rotation are done using a portable C-arm. PORTABLES ROTATION Portable or bedside radiography is a form of mobile imaging done by our department. These portable Xray machines are equipped to image unstable patients not capable of traveling to the department. SPECIALIZED SENIOR-YEAR ROTATIONS • • • • • • Computer Aided Tomography (CAT) Angiography Cardiac Catheterization Lab Radiologist Evenings Weekends COMPUTER-ASSISTED TOMOGRAPHY CAT scan is another modality in which the machine cuts the body into image slices to better view the internal organs of the body. Here the student will learn the equipment and protocol for performing CAT scans. CT Image - Abdomen/Chest ANGIOGRAPHY Angiography is a modality that specializes in the imaging of the vessels in the body. Images are produced through the use of a C-arm much like the one used in the OR and EPIs. CARDIAC CATHETERIZATION LAB In this modality, the student learns the importance of the studies done in the Cath Lab. Specialized images of the heart, great vessels and placement of cardiac aids are produced here. RADIOLOGIST ROTATION This rotation takes place in the radiology reading room. Each day, the student is assigned to a Radiologist to observe the reading of films. The student learns what the doctor is looking for in each particular study. EVENING ROTATION This rotation is done during your senior year. It gives the student another perspective on diagnostic radiology outside of the normal daytime shift. WEEKEND ROTATION This rotation also is done only during your senior year. It allows the student to see how weekends differ from weekday shifts. FACIAL BONES WITH GLASSES CHEST X-RAY ABDOMEN Fracture • HIP FRACTURE Tib/Fib with screws and plate BOXER’S FRACTURE • Occurs during a punch with a closed first • Usually involves the fifth metacarpal but the fourth metacarpal also may be involved Boxer’s fracture of fifth metacarpal • AP view of normal pelvis FOOT FRACTURE HOLY CROSS HOSPITAL SCHOOL OF RADIOLOGIC TECHNOLOGY STEPPING STONE TO YOUR CAREER THANK YOU. Brochures and applications available today! APPLICATIONS DUE BY FEBRUARY 1, 2011