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Welcome to RAD TECH - A Introduction To Radiologic Technology 1 RAD TECH A Wednesdays 6:00pm – 9:10pm Introduction to Radiologic Technology El Camino College 2 RTEC A INSTRUCTOR • MINA COLUNGA, B.S.,RT., C.R.T. Instructor, [email protected] or [email protected] WEB page: www.elcamino.edu/faculty/mcolunga 3 http://www.elcamino.edu/faculty/mcolunga/ Office: PHYS 117-D 4 How to access the webpages How to download Power points and Notes Free: msn.com PowerPoint download Word Documents ….. 5 TEXTBOOKS FOR Fall 2010 RTEC A (keep for the Program) RAD TECH A BOOK: Introduction to Radiologic Sciences and Patient Care Adler & Carlton New this Fall Published 2007 4th Edition • ISBN: 1416031944 6 On Reserve in Library 7 Classroom – Lab Rules • NO eating or drinking in class – CLOSED water only • Cell phones, etc OFF • When class is FULL – keep book bags on the floor – not on seat next to you • Lab – NO sandals allowed – Must wear closed toed shoes 8 Studying Tips • Review Terms • End of chapter questions • 4th edition – at back of book 9 Where to get Help • Student Services Center • FINANCIAL AID – GRANTS – CAL, PELL • EOPS • Special Resources • Academic strategy courses 10 Academic Strategies 11 Communication is Essential • Theater Arts • Beginning acting • PE 254 – aide for adaptive PE 12 Success skills • Review lectures (power points) & reading assignments BEFORE CLASS! • REWRITE your notes after class • Keep up with assignments & homework • Make a new friend (Get some contact #’s in class) • Find the best time for YOU to study 13 Review of Syllabus and Reading Schedule 14 Class / Lab Conduct • You are expected to come to class fully prepared and able to participate. – Absences and tardies will affect your grade • You are also expected to practice courtesy and respect at all times. • No children can be brought to class and they cannot sit outside of the classroom (ed code) 15 Disruptive Behaviors • Behaviors that disrupt the learning process will not be tolerated. These include: – Talking to others during lectures, demonstrations, quizzes or exams – Sleeping or laying head down during class 16 Disruptive Behaviors – Checking cell phone messages, text messaging, or answering phone calls – Wearing headphones and listening to music – Swearing and rude or disrespectful behavior 17 Disruptive Behaviors • Arriving late & leaving early • Entering & exiting classroom excessively – Breaks are given at reasonable intervals • Working on other assignments not related to the class you are in • Using a laptop for other than class notes – (game playing, checking email,etc) 18 Disruptive or Disrespectful Behavior If not corrected, can result in the instructor asking you to leave the classroom, and it will be counted as an absence 19 Attendance Per school policy • “ A student may be dropped from class when the number of hours absent exceeds the number of units assigned to the course”. (1 class = 3 hours) 20 How will tardies, leaving early and absences affect my grade? • Absences – 2 pt penalty • Tardies & leaving early – 1 pt penalty 21 Drop Policy • It is the student’s responsibility to formally withdraw from a class. • If a formal drop is not submitted – You will receive a “F” 22 Academic Honesty • Plagiarism, cheating or furnishing materials to other student. – Violates Section 1.B.1 of ECC Board policy, Standards of Student Conduct – Will result in a zero for that exam, quiz, or assignment 23 Examples of Cheating or Plagiarism are: • Obtaining copies of: – notes –exams or exam questions • Copying • Photographing • Removing exam from classroom • WITHOUT PERMISSION 24 PICTURES • NO PHOTOS CAN BE TAKEN • Violation of rules of conduct • Violation of colleagues privacy 25 Make up examinations • Must call or email instructor before class time • Exam must be made up before next class • 10% penalty • Labs and quizzes WILL NOT be made up nor can they be done ahead of time 26 Late Work 10% penalty for every day late 27 28 Overview of Types of Radiologic Technology Programs • • • • • University-based College-based Hospital-based Military Commercial Schools 29 RT Program Stats + Awards JRCERT May 2007 TOTAL RADIOGRAPHY PROGRAMS = 612 Type of School • • • • • • • 4 yr = CC = Technical = Hospital = Military = Proprietary = Consortium= AA Cert 59 225 52 182 0 22 1 4 2 22 3 5 3 2 BA 29 1 30 El Camino College 31 37 years assisting Imaging Professionals To reach their goals! 32 ECC’s Program • 2 year Associates Degree Program – Not including prerequisites – Starts last week of August and completes mid October - 26 months later. • 2-3 courses on campus each semester and 24 – 35 hours per week of internship training in the affiliated hospitals per semester 33 Upon Graduation from ECC • Associates Degree in Science • Certificate of Completion from an Accredited Radiologic Technology Program - Accredited by JRCERT • ARRT Approved 34 LICENSURE –Graduation from an accredited Radiologic Technology program –Passing board exam with 75% or better. 35 LICENSE ELIGIBLITY • ARRT – American Registry of Radiologic Technology (RT) • Radiologic Technologist (R.T.) (R) • California – State Dept of Health –RHB • C.R.T (R,F) – RADIOGRAPHY & FLUOROSCOPY CERTS 36 Questions to ask about a Program • • • • • • • What is your pass rate? Average scores on ARRT exam Length of Program Limited XT vs. Fully Accredited R.T Job Outlook/Prospects- Pay Rate Accreditation Status Cost 37 How do I become eligible for acceptance to ECC’s program ? Course Overview • A.S. Requirements • RTEC A – CIS 13 • Anatomy (4 units) – Psychology 5 – English 1A – Recommended – Math 40 (Algebra) with in the last 5 – Humanities – Medical Assist 4 years (Medical Term.) • Physiology (4 units) – Contemporary Health • (Chem prereq) or PE – Minimum of 2.25 GPA MUCH MORE ABOUT THIS IN WEEK 3 38 See course evaluation sheet on program webpage http://www.elcamino.edu/academics/healthsciences/radiologictech/index.asp Or go to www.elcamino.edu Search: radiologic technology 39 RADIOLOGIC TECHNOLOGY A HIGH TECH – HIGH TOUCH PROFESSION 40 WHY CHOOSE RADIOGRAPHY? Isn’t it dangerous? 41 42 43 Is this a safe profession? Why do you want to do this? Why are you taking this class? 44 45 Radiation is all around us 46 Natural or Background Radiation • Occurs spontaneously through nature • Examples: – Sun – Planetary bodies – Earth • Radium • Uranium 47 Human or Man Made Radiation • Nuclear industry – Fallout from weapons testing – Nuclear plant accidents – Disposal of by-products • Radionuclides – Comes from products containing radioactive elements – Radio pharmaceuticals • Medical and Dental exams 48 • Electromagnetic waves – everyday exposure • Radiation comes from all directions • It comes from: – your local and far away radio and TV stations. – local power lines, telephone lines, international satellites orbiting the earth, and the personal computer. 49 50 $$$ HOW MUCH $$$ NEW GRADS = R.T. • $45,000 TO $ 60,000 per year (AS degree) • IS IT WORTH THE EFFORT? YOU BET! 51 – November 8, 1895: Historical Perspectives • Wilhelm Conrad Roentgen discovered xrays – German Physicist – University of Wurtzburg 52 • Wilhelm Roentgen in 1895 - discovered x-rays • Working with Crooke’s vacuum tube – He found invisible rays were produced. – These new rays could go through skin and flesh – Give a picture of a person's bones. 53 First Radiograph • Anna Bertha Roentgen • 30 minute exposure . 54 X-rays – the Basic Radiological Tool Roentgen’s experimental apparatus Crookes tube Taken 22 Dec. 1895 55 Collaborative Events • Crookes tube – Air evacuated glass tube – Cathode side – Anode side – Electrical supply • Screen or board painted with barium platinocyanide • Low light work area 56 “Willie Roentgen” • Honored in 1901 with the first Nobel prize in physics for his efforts. 57 58 59 X-ray production begins at the atomic level Energy (photons) are released when the electron collides with another electron, the change in e of the shells –produces photons 60 • Radiation is energy • Comes from many sources – natural and manmade 61 How Are X-rays Made? • The electrons are boiled off from the filament • Accelerated by a high voltage towards the metal target. • The X-rays are produced when the electrons collide with the atoms and nuclei of the metal target.62 • X rays began to be used in industry and medicine • Years later, they noticed it can be harmful • They could be harmful to: – living tissue – even cause cancer if the exposures were too great or too prolonged 63 Early measurement of Radiation • Skin dryness & erythema • Ulcers formed • Cataracts • Cancers • “Invisible RAYS” 64 65 66 67 Patient Patient 1. 1. X X--ray ray Exposure Exposure 5. Computed Radiograph unexposed unexposed 4. Image Scaling X X--ray ray system system Image Recorder 2. 2. PSP PSP detector detector Image Image Reader Reader exposed exposed re re--usable phosphor phosphor plate 68 Radiologic Technologists Practices RADIATION SAFETY TO SELF AND OTHERS 69 70 71 72 73 74 75 76 77 78 79 80 More imaging technology in Radiology 81 Fluoroscopy 82 83 COMPUTED RADIOGRAPHY Medical Imaging is changing First educational institution in California or across the country to offer this new technology on a college campus 84 Cassette with film CR with PSP plate •CR replaces existing film • PSP plate captures the photons •Changes them into a digital signal • Sent to a monitor for viewing “FILMLESS” 85 Darkroom (only red light) low visibility - smelly 86 87 Radiology 1895 Radiology 2001 88 89 Post processing with CR or DR 90 Questions ? • Diagnostic Imaging Modalities 91 DEFINITIONS • RADIATION • RADIOLOGY • RADIOLOGIST • TECHNOLOGIST VS TECHNICIAN 92 RADIATION • Energy • Ionization • Ionizing Radiation • Non- ionizing radiation 93 FORMS OF MEDICAL IMAGES • Sound waves (Ultrasound) • Electrical energy (EKG) 94 HISTORY REVIEW • WHO • WHAT • SERIES OF EVENTS • WHEN 95 96 97 98 CAREERS IN RADIOLOGIC TECHNOLOGY • Radiologic Technologist – Radiographer – X-ray Technologist • RadiologicTechnician – Limited License tech • Radiologist – Doctor 99 RADIOGRAPHY • Diagnostic Radiology – Technologist – Radiographer – Technician (Limited Licensure) – Specializing in the use of x-rays to create3 images of the body including the skeletal system,chest and abdomen 100 Early years in Radiologic Technology • Nurses or nurses aides taught how to “take an xray” • NO special education • Only “ON THE JOB” training • Experience the best teacher • The first Technologist is credited to be EDWARD C. JERMAN. 101 An early therapy session 102 In 30 years • Developed from a technical trade to one of a professionalism • Once thought that anyone could be trained to quickly = “push the buttons’ • To now where it is considered a profession that requires analytical thinking and problem solving 103 National Certification ARRT arrt.org • 275,000 Registered RT (R) • 2007: 15,285 exams – 89% Radiography – 3.6 % Nuclear Med – 7.1 Radiation Therapy 104 National Inconsistencies • Everything from requiring fully accredited programs to 8 hours of education to become a general operator. • Some have stated that in their states during the initial grand fathering that their family pet could have qualified..... • No chance for nationally consistent state-licensure laws...... 105 106 As of Sept 2001- 16 states have no licensure laws Diagnostic Radiologic Technologist Aka: Radiographer Not a “Technician” 107 Diagnostic Radiology • Portable (Mobile) Radiography • Pediatric • Geriatric • Surgery • Trauma 108 Uses Ionizing Radiation to create images of the human body 109 110 111 112 Digital whole body scan for Trauma is this the future of Radiology? 113 114 TECHNOLOGIST • Fluoroscopy • Contrast Media (Xray dye) • Mina Colunga, R.T. (R) 115 FLUOROSCOPYXRAYS IN MOTION 116 117 ADVANCED SKILL LEVELS • CAT SCAN (CT) • ULTRASOUND (RDMS) • MRI (MR) • ANGIOGRAPHY (CIT) (CV) • NUCLEAR MEDICINE (NM) • RADIATION THERAPY (T) • MAMMOGRAPHY (M) • MANAGEMENT (BS) • PET (BD) • EDUCATION • Bone Densitometry • (BS,MEd, PhD EDD) 118 Types of Powerpoints 1) Complete lecture 2) Incomplete Lecture 3) Skeleton Lecture 119 Complete Lecture • Everything is there • You have to take few notes because you can refer back to it at a later date • It’s your lucky day if you miss class • Much like todays lecture • Lecture goes fast- because you have all the information you need on the PP. 120 Incomplete lecture 1. Bits and ________ 2. Must __________to get all information. 3. You should _______ powerpoints, take_____ to fill in the spots missing or bring ________ or ___________. 4. ______ areas are in _______. 5. _________ is _____-pace giving you enough time to take ______ and ______ to lecture. 121 Incomplete lecture (Slide 123) 1. Bits and pieces 2. Must attend class to get all information. 3. You should print powerpoints, take notes to fill in the spots missing or bring a laptop or digital recorder. – – Don’t have to print entire PP only the sheets that need filling in Or use the page numbers as a reference to which bullet points need to be filled in 4. Missing areas are in red. 5. Lecture is mid-pace giving you enough time to take notes and listen to lecture. 122 Skeleton Lecture • Topics • Note taking • Class • Speed 123 Skeleton Lecture (Slide 126) • Topics – The main points are listed • Note taking – Elaboration of these topics will be given and you must take notes on these topics • Class – If you are not in class you will not get the information unless you have a buddy that takes excellent notes • Speed – Lecture is slower so that you can take notes better, concepts are reviewed and explained in more detail 124 FINAL vs. DRAFT • Final: – Safe to print – No changes will be made • Draft – Small changes will be made – May be best to wait to print 125