Date Approved Or Revised s2

ANGELINA COLLEGE HEALTH CAREERS - RADIOGRAPHY RADR 1411 - BASIC RADIOGRAPHIC PROCEDURES COURSE SYLLABUS (REV. 8/23/16)

I. BASIC COURSE INFORMATION

A. Course Description (OVERVIEW OF THE COURSE): RADR 1411. BASIC RADIOGRAPHIC PROCEDURES. Four hours credit. An introduction to radiographic positioning terminology, manipulation of equipment, positioning and alignment of the anatomic structure and equipment, and evaluation of images for demonstration of basic anatomy. Forty-eight classroom and 64 lab hours. Prerequisites: RADR 1201 and RADR 1203. Lab fee. Program acceptance required.

B. End of Course Outcomes: Define radiographic positioning terms; manipulate equipment; perform basic level procedures in positioning; align anatomic structures and equipment; and evaluate images.

C. Intended Audience: Fall Semester, First Year of the curriculum (Freshman).

D. Instructor: Radiography Name: Angie L. Wilcox Office Location: HCII #128 Scheduled Office Hours: Friday 8:00a.m. – 12:00p.m. Others by appointment. Phone: 936-633-5413 or Adm. asst.- 936-633-5267 E-mail Address: [email protected]

II. INTENDED STUDENT OUTCOMES: A. Core Objectives Required for this Course 1. Critical Thinking Skills: Includes creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information. 2. Communication Skills: Includes effective development, interpretation and expression of ideas through written, oral, and visual communication. 3. Empirical and Quantitative Skills: Includes the manipulation and analysis of numerical data or observable facts resulting in informed conclusions. 4. Teamwork: Includes the ability to consider different points of view and to work effectively with others to support a shared purpose or goal. 5. Personal Responsibility: Includes the ability to connect choices, actions, and consequences to ethical decision making. 6. Social Responsibility: Includes intercultural competence, knowledge, and civic responsibility, and the ability to engage in regional, national, and global communities.

B. Course Learning Outcomes for all Sections: ● Manipulate radiographic equipment properly ● Position and align anatomical structures with the image receptor ● Evaluate radiographic images for proper demonstration of anatomy

C. Course Objectives for all sections – Determined by the ASRT Curriculum Guide The student will demonstrate a basic understanding of: I. Standard imaging terms, positioning and projections II. Anatomy, Positioning & Radiographic Evaluation of the Chest and Abdomen III. Anatomy, Positioning, & Radiographic Evaluation of the Upper Extremity, Shoulder, and Clavicle IV. Anatomy, Positioning, & Radiographic Evaluation of the Lower Extremity, Hip and Pelvis ASRT Course Objectives: ◆ Describe standard positioning terms.(1203) ◆ Demonstrate proper use of positioning aids. ◆ Discuss general procedural considerations for radiographic exams.(1203) ◆ Identify methods and barriers of communication and describe how each may be used or overcome effectively during patient education. (1203) ◆ Explain radiographic procedures to patients/family members. ◆ Modify directions to patients with various communication problems. (1203) ◆ Develop an awareness of cultural factors that necessitate adapting standard exam protocols. ◆ Adapt general procedural considerations to specific clinical settings. ◆ Identify the structures demonstrated on routine radiographic and fluoroscopic images.(2333) ◆ Adapt radiographic and fluoroscopic procedures for special considerations. ◆ Simulate radiographic and fluoroscopic procedures on a person or phantom in a laboratory setting.(2333) ◆ Evaluate images for positioning, centering, appropriate anatomy and overall image quality.(2305 & 2309) ◆ Discuss equipment and supplies necessary to complete basic radiographic and fluoroscopic procedures.(2333) ◆ Explain the patient preparation necessary for various contrast and special studies.(2333) ◆ Explain the routine and special positions/projections for all radiographic/fluoroscopic procedures.(2333) ◆ Explain the purpose for using contrast media.(1203 & 2333) ◆ Name the type, dosage and route of administration of contrast media commonly used to perform radiographic contrast and special studies.(1203) ◆ Describe the general purpose of radiographic and fluoroscopic studies.(2333) ◆ Apply general radiation safety and protection practices associated with radiographic and fluoroscopic examinations. (1266,1267,2266,2366,& 2367)

Description (ASRT) Content provides the knowledge base necessary to perform standard imaging procedures and special studies. Consideration is given to the evaluation of optimal diagnostic images.

ASRT Content A. Standard terms 1. Radiographic position 2. Radiographic projection 3. Radiographic view

B. Positioning terminology 1. Recumbent 2. Supine 3. Prone 4. Trendelenburg 5. Decubitus 6. Erect and upright 7. Anterior position 8. Posterior position 9. Oblique position

C. General planes 1. Sagittal or mid-sagittal 2. Coronal or mid-coronal 3. Transverse 4. Longitudinal

D. Terminology of movement and direction 1. Cephalad/caudad 2. Inferior/superior 3. Proximal/distal 4. Plantar/palmar 5. Pronate/supinate 6. Flexion/extension 7. Abduction/adduction 8. Inversion/eversion 9. Medial/lateral

E. Positioning aids 1. Sponges 2. Sandbags 3. Immobilization devices

F. Accessory equipment 1. Calipers 2. Lead strips 3. Lead shields or shadow shields 4. Lead markers 5. Image receptor holders

II. General Considerations A. Evaluation of radiographic orders 1. Patient identification 2. Verification of procedure(s) ordered 3. Review of clinical history 4. Clinical history and patient assessment (RADR 1203, 1260, 1411, 2333, & 2401) a. Role of the radiographer b. Questioning skills c. Chief complaint d. Allergy history e. Localization f. Chronology g. Severity h. Onset i. Aggravating or alleviating factors j. Associated manifestations k. Special considerations 5. Exam sequencing B. Room preparation 1. Cleanliness, organization and appearance 2. Necessary supplies and accessory equipment available

III. Patient Considerations

A. Establishment of rapport with patient 1. Patient education a. Communication b. Common radiation safety issues and concerns 2. Cultural awareness 3. Determination of pregnancy B. Patient preparation 1. Verification of appropriate dietary preparation 2. Verification of appropriate medication preparation 3. Appropriate disrobing and gowning 4. Removal of items that may cause artifacts C. Patient assistance D. Patient monitoring E. Patient dismissal

IV. Positioning Considerations for Routine Radiographic Procedures A. Patient instructions B. Image analysis 1. Patient positioning 2. Part placement 3. Image receptor selection and placement 4. Beam-part-receptor alignment 5. Beam restriction and shielding C. Special considerations 1. Atypical conditions 2. Mobile procedures 3. Surgical unit procedures 4. Special needs patients 5. Trauma 6. Obesity 7. Cultural awareness 8. Claustrophobia D. Positioning for the following studies: 1. Skeletal system a. Upper extremity 1) Fingers 2) Hand 3) Wrist 4) Forearm 5) Elbow 6) Humerus b. Shoulder 1) Shoulder joint 2) Scapula 3) Clavicle 4) Acromioclavicular articulations c. Lower extremity 1) Toes 2) Foot 3) Ankle 4) Calcaneus 5) Tibia/fibula 6) Knee 7) Patella 8) Femur d. Pelvic girdle 1) Pelvis 2) Hip 3) Sacroiliac articulations

III. ASSESSMENT MEASURES: A. Assessments for the Core Objectives: 1. Critical Thinking: Students will evaluate and critique a radiographic image. 2. Communication: 3. Empirical and Quantitative Skills: 4. Teamwork: 5. Social Responsibility: 6. Personal Responsibility:

B. Assessments for Course Learning Outcomes Four unit examinations, three radiographic critique examinations, and one comprehensive examination will be administered. Each unit examination will comprise 10% of the course grade (total of 40%). The average of three radiographic critique exams will comprise 15% of the course grade, and the average of all laboratory performance evaluations will also equate to 15% of the course grade. The comprehensive final will be weighted as 20% of the course grade, with the remaining 10% being derived from random quizzes, and workbook/notebook completion.

C. Assessments for Course Objectives for all sections – SCANS (Secretary of Labor’s Commission on Achieving Necessary Skills): Students are expected to demonstrate basic competency in academic and workforce skills. The following competencies with evaluation are covered in RADR 1411: SCANS Skills: Evaluation:

Foundation Skills Required readings; Written Assignments; Oral presentations; Critical thinking case studies; Mathematical calculations; Demonstrate clinical competency

Workplace Competencies: Reading patient requisitions/reports; Written patient histories; Communication/collaboration with patients, physicians, & staff; Demonstrated clinical competency; Computer usage

IV. INSTRUCTIONAL PROCEDURES: A. Methodologies common to all sections Methodologies utilized in this course include familiarization with examinations, procedures, image evaluation, and equipment which will occur through explanation, observation, demonstration, guided practice, and evaluation.

B. Methodologies determined by the instructor One or more of the following methods will be employed: Lecture Discussion Demonstration Blackboard Performance Programmed Instruction Audiovisual aids Computer Assisted Instruction Individualized Instruction (as needed)

METHODS OF EVALUATION: 1. Lecture: Written Unit Examinations, Radiographic Critique Examinations, Exams, Quizzes, & Final Exam 2. Lab: Performance Evaluations ASSIGNMENTS: Students will be given written and/or laboratory assignments throughout the semester which will correlate with the criterion objectives. V. COURSE REQUIREMENTS AND POLICIES: A. Required Textbooks, Materials, and Equipment – Bontrager, Kenneth Textbook of Radiographic Positioning and Related Anatomy, 8th Edition.

Bontrager, Kenneth Radiographic Positioning and Related Anatomy Workbook and Laboratory Manual, 8th Edition.

Bontrager, Kenneth Pocket Handbook of Positioning and Techniques, 8th Edition. *Internet Enhancement - Adaptive Quizzing an Evolve online program www.evolve.elsevier.com

REFERENCE(S): Ballinger, Thomas Merrill’s Atlas of Radiographic Positions and Radiologic Procedures Volumes I, II, & III, 13th Edition.

B. Course Policies – This course conforms to the policies of Angelina College as stated in the Angelina College Handbook.

1. Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Sellestine Hunt Associate Dean of Student Services, Student Center, Room 200. At a post- secondary institution, you must self-identify as a person with a disability; Ms. Hunt will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101, (936) 633-5292 or by email [email protected].

Tutoring: Student Tutoring and Access Center (STAC)- Free student tutoring services. Students are able to attend scheduled tutoring sessions or can be recommended by a faculty member to tutor students in a course.

Angelina College is a TOBACCO FREE campus. Use of tobacco products is limited to the students’ vehicle.

Angelina College (AC) admits students without regard to race, religion, color, religion, national origin, sex, disability or age. Inquiries regarding the non-discrimination policies of AC should be directed to: Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101, (936) 633-5292 or by email [email protected]

2. Attendance – Attendance is required as per Angelina College Policy and will be recorded every day. Any student with three (3) consecutive absences of four (4) cumulative absences may be dropped from the class. Records will be turned in to the academic dean at the end of the semester. Do not assume that non- attendance in class will always result in an instructor drop. You must officially drop a class or risk receiving an F. This is official Angelina College Policy.

3. Additional Policies Established by the Instructor

1. Attendance – The course instructor will follow the attendance policies adopted by Angelina College. Didactic absences: The established and published class times are to be observed. Students entering the classroom eight minutes after the scheduled class start time will be counted absent. Three consecutive or four cumulative absences will result in the student being dropped from the course. Only one readmission will be granted by the instructor of the course.

2 . If a student is absent on the day of a scheduled Unit or Radiographic Critique Examination, the instructor reserves the right to issue an essay examination. Absence from a scheduled lab must be approved by the course instructor and rescheduled during the same week. Violation of this policy may result in a 5 point grade deduction from the following laboratory practical.

3. According to the college handbook, academic dishonesty to include, but not limited to, cheating, plagiarism, and collusion will not be tolerated. Violation of this policy will result in a grade of zero on the assignment in question.

4. The established & published class times will be observed. Students arriving late disrupt others who arrive on time. Roll will be taken at 11:08 a.m. and absences recorded without further changes. Please refer to the college General Bulletin and Radiography Handbook regarding tardy and absence policies. NOTE: Family members are not allowed in the classroom during class time as they provide disruption for others.

5. Didactic course absences. Due to program didactic course material being covered at a rapid pace, students are expected to attend class regularly. The radiography program will follow the established College General Bulletin and radiography program handbook policies regarding didactic course absences.

6. If a student has three (3) consecutive or four (4) cumulative didactic course day absences, they will be dropped from the course and the instructor of record will allow one (1) readmission to the course for the student. If a student is habitually absent from a radiography didactic course, the instructor of record will deduct:

5% from the final course average for the fifth (5) absence. An additional 10% from the final course average for the sixth (6) absence for a total of 15%. An additional 15% from the final course average for the seventh (7) absence for a total of 30%.

NOTE: Students missing a total of seven (7) classes from a didactic course will be unable to pass the class with the deduction of 30% from the final course grade. The passing score for a radiography course is 75 in each program course. **Some radiography courses are taught one day a week with the class day equating to two (2) didactic course days.**

7. CLASSROOM ETIQUETTE: It is important to maintain a quiet learning environment for your other classmates. Cell phones are not allowed to be turned on in the classroom during scheduled class time. All books, backpacks, phones, and personal items must be taken to the front of the classroom before each exam. Unless given individual permission by the course instructor, no voice or photo recording devices are allowed. 8. All exams and written assignments become the property of Angelina College Radiography Program.

9. If necessary, information in this course syllabus may be altered by the Instructor. Students will be given adequate notice of any schedule changes.

RADIOLOGY LABORATORY: It is important for students to practice their laboratory skills in collaboration with their colleagues. For the safety of the students, the lab may only be used when a Radiology Instructor is available to monitor your performance. Students will be allowed to schedule additional time in the laboratory setting by making arrangements with a program faculty member. Students are also required to immediately inform the instructor, lab assistant or lab partner of any potential dangers (electrical, biological or safety situations) that they observe and that could potentially cause injury to others.

Laboratory Rules 1. Students shall not be in the Radiologic Technology lab without permission from program instructors. 2. Any unauthorized or inappropriate use of the Lab may lead to suspension or withdrawal from the Program. 3. Students shall not display disruptive behavior in the classroom or laboratory. Students displaying disruptive behavior will be dismissed from class and this will be considered as a partial absence for the class or laboratory period. (Repeated incidents of disruptive behavior will result in dismissal of the student from the course and possibly the program. 4. Students may not bring children into the radiographic area of the Lab. This is to eliminate the risk of any potential radiographic exposure to the child during the Lab period. 5. Students are not allowed to make exposures utilizing ionizing radiation without program faculty knowledge. 6. Under NO circumstances will exposures be made on human beings or animals in the Radiologic Technology Lab. Violations of this policy will result in immediate expulsion and withdrawal from the program. 7. Students are required to wear radiation monitors at all times in the laboratory setting of the classroom. 8. Students are required to leave the lab area clean and orderly prior to departure from the Lab. 9. No food or beverages will be allowed in the Radiographic rooms of the Lab or classroom 130.

VI. COURSE OUTLINE: Description of the Course Activities including due dates, schedules, and deadlines. (see Addendum- Course Calendar for detailed information). In order to be prepared for class, the student is advised to carefully and thoroughly read all assigned information and complete the assigned workbook chapters.

I. General Anatomy, Terminology, and Positioning Principles II. Anatomy, Positioning, & Radiographic Evaluation of the Chest and Bony Thorax III. Anatomy, Positioning, & Radiographic Evaluation of the Abdomen IV. Anatomy, Positioning, and Radiographic Evaluation of the Upper Limb and Shoulder Girdle V. Anatomy, Positioning, and Radiographic Evaluation of the Lower Limb and Pelvis

A. Required Content/Topics Assignments – Have a friend check your assignments (workbook, textbook, handbook, and notebook). If any blanks are empty, it will equate to a ZERO (0) for the assignment. It is all or nothing on these assignments.

1. Daily grades are acquired from random exams to ensure continuous study and review of class material. Absence from class on a random exam day will result in a grade of zero (0). Additional daily grades will be derived from Blackboard assignments/ exams and notebook, handbook, and workbook submissions.

2. Each student is required to purchase a 3 inch, three ring notebook (binder) at the beginning of the semester. This positioning notebook will be used to maintain course information (syllabus, objectives, lab information, handouts, lecture notes, etc., and will be submitted on December 05, 2016 for evaluation as a daily exam grade. Evaluation will be based upon organization, quality, and completeness.

3. Completion of the Bontrager workbook is required as either an independent or classroom assignment. The workbook will also be submitted on December 05, 2016 for evaluation as a daily exam grade. Evaluation will be based upon complete and accurate responses for all sections of Chapters 1, 2, 3, 4, 5, 6, 7 & 8.

4. The Bontrager Pocket Handbook, with additional lab information and associated changes, will also be submitted for evaluation as a daily grade on December 05, 2016. Evaluation will be based upon the inclusion of necessary information and changes for Chapters 1-7.

5. The lecture portion of this course is enhanced within a computer web-based environment (Blackboard- MRO. Students should use the available computer based material as a review for this course. MRO assignments will be recorded as daily grades. B. Additional Content – Available on the Blackboard and Evolve website.

C. Smarthinking. An online tutoring service for basic core courses. The icon is on the student Blackboard menu list.

D. The Student Tutoring and Access Center (STAC) is in the Student Center, Room 101. Students can be referred to STAC for information and support. 936.633.4504.

E. MASS – Math Achievement/Student Support. The Quality Enhancement Plan (QEP) is a 5 year plan the College will undertake to enhance student learning. AC has developed a QEP designed to increase student success in math. Please see the AC website for more information about MASS.

VII. EVALUATION AND GRADING:

A. Grading Criteria ) Four unit examinations, three radiographic critique examinations, and one comprehensive examination will be administered. Each unit examination will comprise 10% of the course grade (total of 40%). The average of three radiographic critique exams will comprise 15% of the course grade, and the average of all laboratory performance evaluations will also equate to 15% of the course grade. The comprehensive final will be weighted as 20% of the course grade, with the remaining 10% being derived from random quizzes, and workbook/notebook completion.

B. Determination of Grade The alphabetic grading for this course is as follows: A = 92-100 B = 83-91 C = 75-82 D = 70-74 F = 69 & below

VIII.SYLLABUS MODIFICATION: The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made.

IX. CAMPUS POLICIES: Angelina College is a tobacco free campus.

X. Safety Data Sheet (SDS) Book A Safety Data Sheet is a document that contains information on the chemical make-up, use, storage, handling, emergency procedures and potential health effects related to a hazardous material. The SDS contains much more information about the material than the label on the container. SDS’s are prepared and written by the manufacturer of the The SDS sheets are accessible at all times & are kept in the following location(s):

Health Careers II: A. Radiology Tech Lab: Rm 130

B. Ultrasound Tech Lab: Rm 224

C. Pharmacy Tech Lab: Rm 223A & 226

D. Respiratory Care Lab Rm 220

Plan and Procedure Book (Includes the Following” These Reference Materials are accessible at all times & are kept in the following location Health Careers II Building: First Floor Administrative Assistance Office

I Plans  Universal Waste Plan

 Hazardous Waste Plan  Chemical Waste Plan

 Exposure Control Plan

II Procedures  Battery Disposal

 Lamp Disposal

 Pesticide Disposal

 Mercury Containing Equipment Disposal

 Paint & Paint Related Waste Disposal

 Electronic Waste Disposal

 Medical Waste Disposal

 Chemical Waste Disposal

 Spill Cleanup

Students’ should know these items exist and where they are located and how they are used. ADDENDUM RADR 1411.01

INSTRUCTOR INFORMATION: Angie Wilcox, M.Ed., RT(R)(CT) Office Location: Health Careers II , #128 Office Phone: 936.633.5413 or Adm. asst. 936.633.5267 Scheduled Office Hours: Friday 8:00a.m.-12:00p.m. E-mail: [email protected]

ASSIGNMENTS AND CLASS CALENDAR:

DAY DATE ASSIGNMENT WRITING INSTRUCTION/EVAULATION 1 8/24 Chapters 1 Workbook Intro;Syl.Rev.;Rad. Terms

2 8/29 Chapters 1 Workbook Rad. Principles (1-67)

3 8/31 Chapters 1 Workbook Chp Rad Review 9/05 Labor Day Holiday

4 9/07 Chapters 1 “ ” “ ” UNIT EXAM I

5 9/12 Chapter 2 “ ” “ ” Chest Anatomy (69-89)

6 9/14 Chapter 2 “ ” “ ” Chest Positioning (90-102)

7 9/19 Chapter 3 “ ” “ ” Abdomen Anatomy (104-115)

8 9/21 Chapter 3 “ ” “ ” Abdomen Pos. (116-123)

9 9/26 Chapter 3 “ ” “ ” Chp. & Rad. Review

10 9/28 Chapter 2 & 3 “ ” “ ” UNIT EXAM II

11 10/03 Chps. 2 & 3 “ ” “ ” CRITIQUE EXAM I (Lab Practical wk)

12 10/05 Chapter 4 “ ” “ ” Upper Ext. (126-140)

15 10/17 Chapter 5 “ ” “ ” Shoulder Anat. (174-182)

16 10/19 Chapter 5 “ ” “ ” Shoulder Pos. (183-205)

17 10/24 Chapter 5 “ ” “ ” Shoulder Pos. (183-205)

18 10/26 Chps. 4 & 5 “ ” “ ” UNIT EXAM III 19 11/02 Chps. 4 & 5 “ ” “ ” CRITIQUE EXAM II (Lab Practical wk)

20 11/07 Chapter 6 “ ” “ ” Lower Ext.Anat (208-225)

21 11/09 Chapter 6 “ ” “ ” Lower Ext. Pos. (226-259)

22 11/14 Chapter 6 “ ” “ ” Lower Ext. Pos. (226-259)

23 11/16 Chapter 7 “ ” “ ” Hip & Pelvis Anat (262-273)

24 11/21 Chapter 7 “ ” “ ” Hip & Pelvis Pos. (274-287)

25 11/23 Chapter 7 (at home)“ ” “ ” Hip & Pelvis Pos. (274-287) 11/24 Thanksgiving Holiday begins 11/23/16

26 11/28 Chps. 6 & 7 “ ” “ ” UNIT EXAM IV (Lab Practical wk)

27 11/30 Chps. 6 & 7 “ ” “ ” CRITIQUE EXAM III

28 12/05 Chps. 6 & 7 “ ” “ ” Critique review/All assignments are due.

**Workbook, Bontrager Handbook, Notebook, and Text due today.**

29 12/07 Review “ ” “ ” Rev. Chps.1,2,3,4,5,6, & 7

30 12/13 (Tuesday) All Chapters “ ” “ ” 8:30 am FINAL EXAM

** NOTE: Have a friend check your assignments (workbook, textbook, handbook, and notebook). If any blanks are empty, it will equate to a ZERO (0) for the assignment. It is all or nothing on these assignments. Syllabi Signature Page

I, , have read and understand the syllabus for this course. It is my responsibility to review the AC and Radiography Student Handbooks each semester. If I have any questions regarding policies or procedures in these handbooks, it is my responsibility to seek clarification from a program instructor.

Furthermore, I understand that all test questions and other test materials must be kept confidential and secure from disclosure. These materials are not available to me outside of the test administration, either before or after the test administration. I understand that I cannot and will not take any assessment materials including notes from the test administration room. Any other duplication of test materials, in whole or part, is prohibited. I promise and agree not to disclose any of the contents of the assessment and will not duplicate or reproduce information contained in the test in whole or in part.

Also, I understand that the use of cell phones and all other communication devices are strictly prohibited in the classroom. Using electronic devices (other than an approved calculator) may result in voiding of my test scores.

By signing this form, I indicate that I understand the information provided on this form and in the AC and Radiography Student Handbooks. I understand that violations regarding the handbook policies will result in disciplinary action.

Name: (Print)

(Signature)

An AC Student Handbook is available online for review. Also, students are required to review the online version of the Radiography Program Handbook in RADR 1266. Both of these handbooks are available online at: www.angelina.edu or through Blackboard access for clinical courses.