Download 2) TIME OUT LAB - Montgomery College

Montgomery College
Takoma Park Campus
Radiologic Technology Program
Syllabus RT 102
Spring 2011
Course Title: Radiologic Technology II
Instructor:
Office #
Credit Hours: 4
Ms. Rose Aehle, MS, RT(R,M)
(240) 567-5564
HSC 442
E-mail: [email protected]
E Address: www.montgomerycollege.edu/rt (lecture notes posted)
Class Hours/Place
Lecture – Section 30402
M 12:30-1:45 a.m.
W 8:30- 9:45 a.m.
Lab - Section 31560
Section 31765
HSC 423 (lec)
424/430 (lab)
W 10:00-11:40 p.m.
W 12:05-1:45 p.m.
MANDATORY TIME OUT SIMULATION LABS
Students will be required to sign up for one of the following dates to participate in a
simulation lab that supports the critical thinking assignment for this class.
Fridays 9:30-12:30
February 4
February 25
April 1
April 29
May 6
Office Hours: M 9:00 a.m.-10:00 a.m.
W 2:00 p.m. – 4:00 p.m.
Texts:
RT102/2009
Radiologic Science for Technologists, Physics, Biology and Protection 9th
Edition, Bushong, Mosby,
Radiographic Imaging and Exposure 3rdd edition, Terri Fauber
Digital Radiography and Pacs, Christi Carter
Patient Care in Radiography with An Introduction to Medical Imaging, 7th
Edition, Ehrlich,
1
Course Description: A continuation of RT 101 with the presentation of more complex
theories to further the knowledge of the student. A correlated laboratory will aid the
student in synthesizing the material presented in class. Topics covered will be radiation
safety and protection, X-ray machinery circuitry which includes electronic theory and
design, analysis of common machine malfunctions and simple repairs, digital and
computed radiography, and fluoroscopy. In addition, a concentration of establishing
appropriate technical factors based on anatomy, patient exposure and the relationship
between digital index numbers will be thoroughly discussed. Review of mathematical
concepts for determining compensation for technique changes will be incorporated
throughout the class. Supporting the contrast objectives in RT 112, the required ARRT
competency of venipuncture and drawing up contrast will be presented in a lab
component of this class (T only) (CE) PREREQUISITES: A grade of C or better in
mathematics foundation and RT 101 and Admission to the RT program or permission of
the department. Three hours lecture, two hours laboratory each week
Integration of principles and formulas from Radiographic Physics part I,will be
reconsidered through this course. During lab time students will be given opportunity to
continue to work on adjusting technique, film critique and alternative procedures as well
as basic positioning skills.
To support advancement in patient care, a critical thinking assignment designed to
encourage and challenge the student is incorporated into this class.
Course Methodology: Learning facilitated and interactive lecture format, interactive
media, group activities, lab exercises.
Course Outcomes (by chapter/topic):
Radiographic Technique:
At the conclusion of this topic the student will be able to
1. List the four patient factors and explain their affects on radiographic technique.
2. Discuss the four image quality factors of optical density, contrast, image detail, and
distortion and how they are used to describe the characteristics of a radiograph.
3. Identify the three types of technique charts.
4. Explain the three types of automatic-exposure controls.
5. Calculate missing factors in greater density problems
Film Artifacts:
At the conclusion of this topic the student will be able to
1. Visually identify artifacts on the radiographs, including pi lines, guide-shoe marks,
chemistry fog, wet pressure sensitization, kinking and static.
2. List and discuss the three categories of artifacts.
3. Identify artifacts associated with digital systems
4. Explain the derivation of exposure artifacts.
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5. Describe the types of artifacts caused by processor problems.
6. Discuss how improper handling and storage of film can cause artifacts
Image Quality:
At the conclusion of this topic the student will be able to
1.
2.
3.
4.
5.
6.
7.
8.
Evaluate and contrast film quality based on spatial and contrast resolution
Apply and plot factors that constitute a characteristic curve
Evaluate changes in factors that would affect a characteristic curve
Identify the anatomy of a characteristic curve and explain deviations to the curve
Calculate magnification factors
Differentiate causes of distortion
Compare factors that impact the affect of focal spot blur
Discuss the difference between a characteristic curve for filmless systems vs film
systems
Electricity/Magnetism
At the conclusion of this topic the student will be able to
1. Identify the electric charges of protons and electrons and define electrification.
Explain the laws of electrostatics.
2. Name examples of conductors and insulators and describe electric circuits
3. Discuss the history and discovery of naturally occurring magnetic material.
4. List the three classifications of magnets
5. Identify the interactions between matter and magnetic fields.
6. Discuss the four laws of magnetism.
Electromagnetism:
At the conclusion of this topic the student will be able to
1. Discuss the development of the battery as a reliable source of electric current for
scientific investigation.
2. Evaluate and explain the relationship between magnetism and electric current.
3. Demonstrate understanding of the basic function and design of the electric generator,
the electric motor, transformer and rectifiers
X-ray Unit
1. Diagram and distinguish the components of a simplified x-ray circuit, which include
transformers and rectifiers.
2. Identify and relate the laws of electromagnetic induction as it pertains to x-ray
circuitry
3. Correlate the functions of direct and alternating current as it relates to x-ray
production
Alternative Procedures:
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At the conclusion of this topic the student will be able to
1.
2.
3.
4.
Identify the directional movements of the tomographic unit.
Explain tomographic motion blur theory.
Discuss the relationship between tomographic angle and section thickness.
Describe magnification radiography technique and use.
Fluoroscopy:
At the conclusion of this topic the student will be able to
1.
2.
3.
4.
5.
6.
Discuss the history of fluoroscopy.
Explain visual physiology in relation to fluoroscopic illumination.
Describe the parts of the fluoroscopic image intensifier.
Calculate flux gain and brightness gain.
List the approximate kVp levels for seven common fluoroscopic examinations.
Discuss digital fluoroscopy and compare and contrast it to conventional fluoroscopy
Quality Assurance and Quality Control:
At the conclusion of this topic the student will be able to
1. Define quality assurance and quality control for both conventional and digital
radiography.
2. List a quality assurance model used in hospitals.
3. Name the three steps of quality control and outline the quality control program
schedule for radiographic systems in a diagnostic imaging department.
4. Describe the ten quality control tests for radiographic systems.
5. Discuss the three quality control processes for fluoroscopy.
6. Explain and support (through simulation) the quality control processes for computed
(digital) radiography.
Health Physics:
At the conclusion of this topic the student will be able to
1.
2.
3.
4.
Define health physics.
List the cardinal principles of radiation protection and discuss the ALARA concept.
Explain the meaning of NCRP and the concept of dose limits.
Name the dose limits for occupational and non-occupational worker for whole-body,
skin, and extremities.
5. Discuss the radiosensitivity of the stages of pregnancy.
6. Describe the recommended management procedures for the pregnant radiographer
and for the pregnant patient.
7. Evaluate the radiosensitivity of tissues and organs.
Designing Radiation Protection:
At the conclusion of this topic the student will be able to
RT102/2009
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1.
2.
3.
4.
5.
6.
identify the leakage radiation limit for x-ray tubes.
List the beam-on indicators on the control panel.
Indicate the nine radiation protection aspects of radiographic equipment.
List the nine radiation protection features of fluoroscopic equipment.
Discuss the design of primary and secondary radiation barriers.
Describe the design of the three types of radiation detection dosimeters used in
diagnostic imaging.
Digital Radiography and PACS
1. Define TFT, PACS, CCD, PSP, matrix, FOV
2. Discuss image digital radiographic image acquisition and processing
3. Discuss the fundamentals of PACS and PACS archiving
Venipuncture/drawing up contrast
1. Demonstrate through simulation the appropriate venipuncture technique
2. Demonstrate appropriate sterile and safe techniques in drawing up contrast
3. List the appropriate materials needed for both venipuncture and drawing up
contrast
Patient Care
1)
2)
3)
4)
Review basic patient assessment skills
Discuss the importance of assessing the patient’s appearance and physical abilities
Implement patient care methodologies for specific pathologic conditions
Perform simulated examinations and discuss the results of the performance
Classroom Behavior:
Each and every student is expected to behave in ways, which promote a teaching and
learning atmosphere. Students have the right to learn; however, they do not have the right
to interfere with the freedom of the faculty to teach or the rights of other students to learn.
Students will be treated respectfully in return for respectful behavior.
All in-class discussions should be carried out in a way that keeps the classroom
environment respectful of the rights of others. This means that, for example, students
should not interrupt someone else who is talking regardless of whether that person is the
instructor or another student. Students should not monopolize class time by repeatedly
interrupting and asking questions in a manner in which hinders the learning process of
others. Students are also expected to conduct themselves in ways which created a safe
learning and teaching environment that is free from such things as violence, intimidation,
sexual harassment or any other form of harassment. Should a student be disruptive in
class, then he/she will be asked to leave. The instructor reserves the right to have the
student removed by Security if refusal occurs. Please make sure that you obtain and read
a copy of the current Montgomery College catalog.
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Academic Dishonesty and Misconduct
Students are expected to maintain the integrity of the test-taking environment by doing
their own work and not allowing others to copy one’s work. Taking and referring to texts
are strictly prohibited during an examination. Non-compliance to these standards may
result in a failing grade of the examination.
In addition, strict adherence to the student code of conduct under this heading in the
Montgomery College “Student Code of Conduct” is maintained.
Please make sure that you obtain and read a copy of the current Montgomery College
Student Handbook. Please refer also to the Radiology Technology Student Handbook
and Clinical Education Plan.
Student e-mail
Student e-mail (montgomerycollege.edu) is an official means of communication for the
College. It is expected that you check your student e-mail regularly and frequently, as
you are responsible for information and announcements that will be sent to you from the
College. For this class, student e-mail will be used only for situations where timing is
essential. Most information is discussed in class and all assignments will be turned in as
hard copy during regular class times. If you contact me through e-mail, you must use
your student e-mail account (rather than a yahoo account) so that I can recognize you as a
student. If you e-mail me, please follow-up with a voice mail message using the
following number: 240-567-5564
Tobacco Free Policy at Montgomery College
On August 1, 2008, Montgomery College implemented a Smoke and Tobacco Free Policy which
prohibits smoking or the use of other tobacco products on any of its campuses or other property.
Students who smoke or use tobacco products will be considered in violation of the student
conduct code and their behavior will be reported to the Dean of Student Development’s office for
the appropriate disciplinary action including probation, suspension, or dismissal. If you have any
questions about this new policy, please contact the Vice President and Provost’s Office, the
Office of the Dean of Student Development or the Campus Security Office
Cell phones and pagers
Cell phones and pagers must be turned off or put on vibrate mode. Because use of these
devices are a distraction to both the faculty and students alike using them during class
hours is prohibited.
Calculator Usage
Calculators will be provided and students are to use these only. No personal calculators
are allowed unless they are approved by instructor.
RT102/2009
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GRADING
93 - 100
86 - 92
78 - 85
77 and below
A
B
C
F
Any student receiving a grade
below a “C” in this course must
repeat the course satisfactorily
before proceeding to the next course.
Grades will be determined by:
Attendance
Critical thinking assignment/other assignments
Exams
Final Exam
5%
15%
45%
35%
100%
Venipuncture Competency- Please note that while there is no percentage of the
grade associated with this competency, this competency is an ARRT mandated one
and all students must successfully complete this competency on the lab day they are
registered in and as noted in the course schedule. Those students who miss this
competency risk unsuccessful completion of this class.
Attendance (5%)
Students are expected to attend every class. The attendance policy is the same as stated
in the Montgomery College Catalog. The student is urged to refer to the first paragraph
concerning “Excessive Absences”. If illness occurs, the student should call and inform
the instructor prior to the starting time of class.
EXCESSIVE LATENESS WILL NOT BE TOLERATED. 10 points per late arrival
will be deducted from final grade. Students must contact faculty if they are going to be
late. Students who demonstrate a pattern of lateness will be counseled and excessive
lateness may lead to a letter grade drop or administrative withdrawal from the program
The attendance policy is the same as that stated in the Montgomery College Catalog..
The student is urged to review the last sentence concerning “Administrative Drop “for
unexcused absences. Unexcused absences will also be factored into determining the final
grade. This policy will be strictly enforced. Frequent or habitual lateness, as well as lack
of class participation will be factored into the final grade.
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Critical thinking Assignments (15%)
1)
Guide to Performing a General Patient Assessment
Students will be given a handout that reviews general patient assessment skills and
requires the student to review and complete assignments in specific chapters of their
Patient Care in Radiography Textbook.
Booklet Completion Due Date: March 9, 2011
2) TIME OUT LAB
Participation in a mandatory simulated lab on one of the following Fridays 9:3012:30:
February 4
February 25
April 1
April 29
May 6
Please refer to the Patient Care Booklet. Time Out lab assignment is due for on the day
of the Time Out lab. Attendance in this lab is mandatory to receive full credit.
3) Film Critique Presentation
See last page of the syllabus
The student will be directed to a group of films that have not been separated by
anatomy, technical/positioning factors or potential pathology. The student will be
given 3-4 films to critique. Prep time for this presentation is scheduled for in lab on
April 6, 2011. A rubric to assess the films is attached to this syllabus on the last page.
The student should use this rubric when evaluating the films. ASSIGNMENT DUE
AND PRESENTED IN LAB ON April 13, 2011
4) Other assignments
The instructor reserves the right to, upon occasion, give homework assignments to
support learning objectives in class. Due dates will be given with these assignments
Exams (45%)
A minimum of three examinations will be given to assess student comprehension of
presented materials. The dates and objectives covered in examination form are noted in
the class schedule in this syllabus. Examinations will include multiple choice questions
and may include matching, sequencing, true or false, fill in the blank and/or short essay
questions. The point value is indicated on the examination. Multiple choice, true or false,
RT102/2009
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matching questions are worth one point. Grades are calculated based on the number of
points earned divided by greatest possible points. For example if the test has a total of 89
points and a student earns 79 possible points (79/89) the student’s score would be 88.7%
which will be rounded up to an 89%. All examinations are reviewed in class after graded
and open for discussion of content only. Concerns about calculation of grade or possible
misgrading may be addressed individually with the instructor after class. Tests are kept
in the student file.
NO EXAM MAKEUPS will be given without prior permission from instructor
Comprehensive Final Examination (35%)
The final examination is given on the date as dictated by the collegewide final schedule
found in each semester’s Montgomery College Credit Course Schedule and noted in the
class schedule. The examination covers all material reviewed in the semester. Questions
are primarily designed in multiple choice fashion although some other forms of questions
may be designed
Voluntary and involuntary withdrawal.
Please refer to the online Montgomery College Catalog.
http://cms.montgomerycollege.edu/edu/department2.aspx?id=22011. It is the student’s
responsibility to complete the necessary steps when withdrawing from a class.
Students With Disabilities
Any student who may need an accommodation due to a disability, please make an
appointment to see me during my office hour. A letter from Disability Support Services
(R-CB122; G-SA175; or TP-ST120) authorizing your accommodations will be needed.
Any student who may need assistance in the event of an emergency evacuation must
identify to the Disability Support Services Office; guidelines for emergency evacuations
for individuals with disabilities are
found at: www.montgomerycollege.edu/dss/evacprocedures.htm. .
.
RT102/2009
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COURSE OUTLINE (TENTATIVE) LAB: Reinforcement of Lecture material
Mon
1/24
Review of syllabus. Review of RT 101 objectives
Wed
1/26
Chapter 5, Electricity/Magnetism and electromagnetism
Chapter 6 The X-ray Imaging System
Lab: 1st semester evaluation/mock registry
Mon.
1/31
Chapter 5, Electricity/Magnetism and electromagnetism
Chapter 6 The X-ray Imaging System
Wed.
2/2
Chapter 16 Radiographic Quality (Bushong) + handouts
Chapter 9 Sensitometry (Fauber)
Chapter 7 (Carter) pgs 115-116
Lab: Designing a characteristic curve/magnification factor problems
Mon.
2/7
Chapter 16 Radiographic Quality (Bushong) + handouts
Chapter 9 Sensitometry (Fauber)
Wed.
2/9
Exam #1 (Chpts 5,6, 16) Bushong, Chapter 9 Fauber, pgs 115-116
Carter
NO Labs
Mon.
2/14
Chapter 21 Bushong Fluoroscopy
Wed.
2/16
Chapter 21,27 Bushong Fluoroscopy. Chapters 12 Fauber. Review of digital
x-ray imaging/fluoroscopy
Lab: Fluoro competency
Please make sure you wear your dosimeters
Mon.
2/21
Chapter 7-10 (Carter) Digital Imaging Processing and Manipulation
PACS/Digital radiography Review
Wed.
2/23
Chapter 7-10 (Carter) Digital Imaging Processing and Manipulation
PACS/Digital radiography Review
Lab: SIMS
Mon
2/28
Review for Exam
Wed
3/2
Exam Chpts 21,27 Bushong
Chapter 12-Fauber
Chapters 7-10 Carter
NO Labs
Mon
3/7
Chapter 23 (Bushong)Overview of conventional tomography/ introduction to
CT
RT102/2009
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Wed.
3/9
Chapter 17 (Bushong) Image Artifacts Chapter 4 (Carter)
NO LAB
BOOKLET DUE
SPRING BREAK (MARCH 14-18)
Mon.
3/21
Chapter 18 Quality Control and Quality Assurance
Handouts Digital cont/ Digital Radiography
Wed
3/23
Chapter 18 Quality Control and Quality Assurance
Handouts Digital cont/ Digital Radiography
VENIPUNCTURE COMPETENCY (MANDATORY)
Dana Aehle, CMT Adjunct faculty-George Washington University
Mon.
3/28
Review
Wed
3/30
TEST Chapters 17,18 and 23 (Bushong), Chapter 4Carter, Handouts
Mon.
4/4
Chapter 37, Health Physics
Wed
4/6
Chapter 38, Designing Radiation Protection
Lab: Lab Critical Thinking Prep time
Mon.
4/11
Chapter 38, Designing Radiation Protection
Wed.
4/13
Chapters 39, Patient Dose Management
LAB : Critical Thinking Presentations
Mon.
4/18
Review
Wed.
4/20
Exam Chapters 37, 38, 39
NO LAB
Mon
4/25
TBA
Wed
4/27
Review for final (Jeopardy Review)
NO LAB
Mon
5/2
Review
Wed
5/4
No class/lab
Wed
5/11
FINAL (TENTATIVE DATE AND TIME) 8:00-10:00
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MONTGOMERY COLLEGE
Takoma Park Campus
Radiologic Technology
RT 102
Critical Thinking Assignment and Rubric
The student will be directed to a group of films that have not been
separated by anatomy, technical/positioning factors or potential pathology. The
student will be given 3-4 films to critique. Prep time for this presentation is scheduled
for in lab on April 6, 2011. The student should use this rubric when evaluating the
films. ASSIGNMENT DUE AND PRESENTED IN LAB ON April 13, 2011
INSTRUCTIONS:
Anatomy
visualized
Positioning
evaluated
Technical
factors
evaluated
kVp
mAs
Evidence of
collimation
Evidence of
shielding
Correct film
placement
(blocker,
lengthwise or
crosswise)
Markers and
location
Possible
pathology noted
Overall
summary of
film
*Please make note in the chart above as to if the film was HIPAA compliant. Please remove the
name from the film so as to make the film HIPAA compliant.
PLEASE PLACE FILMS IN A JACKET IDENTIFYING THE EXAM. IF YOU HAPPEN
TO TAKE FOUR FILMS OF THE SAME SERIES PLEASE PLACE THEM IN A
RT102/2009
JACKET INDICATING THE SERIES13(EX: PA, LAT, OBLIQUE VIEW OF THE HAND
WOULD BE PLACE IN ONE JACKET IDENTIFYING THIS SERIES .