PROCESSOR ORIENTATION FOR WSU LAB 2020...Clinical Simulation 3: Vitals and Final Practicum Mondays,...

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RADT 1601 Radiography Clinical Simulation Experience

Fall 2020

For each Clinical Simulation class, please print off and bring all worksheets with you to class. Please have #1 and #2 answers

complete for both Clinical Reasoning assignments before your Clinical Simulation class. If possible, please have annotation

assignments done before your class also so that you can turn them in with the rest of your worksheets.

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Campus Radiography Clinical Simulation Schedule 2020 CLINICAL SIMULATION 1 Orientation to X-ray Lab, Rooms, and Processing Chest and Abdomen Radiography: Imaging and Positioning Aug 24-25 Outreach Clinical Simulation Aug 31 8:30 am – 11:30 am

Group 1 12:00 pm – 3:00 pm Group 2

Sept 7 University Holiday Labor Day Sept 14 8:30 am – 11:30 am

Group 3 12:00 pm – 3:00 pm Group 4

Sept 21 Provo Clinical Simulation Sept 28 8:30 am – 11:30 am

Group 5

12:00 pm – 3:00 pm Afternoon session is Clinical Simulation #2

CLINICAL SIMULATION 2 Upper Extremity, Shoulder, and Bony Thorax: Imaging and Positioning Sept 29-30 Outreach Clinical Simulation Oct. 1-2 Oct 5

8:30 am – 11:30 am Morning Session is Clinical Simulation #1

12:00 pm – 3:00 pm Group 1

Oct 12

8:30 am – 11:30 am Group 2

12:00 pm – 3:00 pm Group 3

Oct 19

8:30 am – 11:30 am Group 4

12:00 pm – 3:00 pm Group 5

Oct 26 Provo Clinical Simulation CLINICAL SIMULATION 3 Vitals Final Practicum Nov 2 8:30 am – 11:30 am

Group 1 No afternoon Clinical Simulation

Nov. 3-4 Outreach Clinical Simulation Nov 9 8:30 am – 11:30 am

Group 2

12:00 pm – 3:00 pm Group 3

Nov 16 8:30 am – 11:30 am Group 4

12:00 pm – 3:00 pm Group 5

Nov 23 Provo Clinical Simulation Date

3 Campus Group Assignments

Group 1

1. Rebecca Beers 2. Kristina Felkins 3. Kaitlyn Bird 4. Kaelee Burdett 5. Katelyn Jeffs 6. Ramona Powell 7. Mikayla Widrick 8. Maurisa Pulsipher 9. Hailey Graham 10. Ashly James

Group 2 1. Maria Campbell 2. Lauryn Farnworth 3. Alice Doherty 4. Hannah LaRose 5. Alexis Patterson 6. Loren Porter 7. Kelsey Rigby 8. Adam Roach 9. Taylor Scadlock 10. Sydney Simmons 11. Kayla Horne

Group 3 1. Mariah Tatton 2. Logann Thompson 3. Aubrey Vanorden 4. Emily Thatcher 5. Eric White 6. Mercedes Cross 7. Karelia Velasco 8. Angela Myers 9. Christina Thorup 10. Morgan Reeder 11. Colby Huerta

Group 4 1. Courtney Goody 2. McKenna Hall 3. Kathryn Hinck 4. Kaden Migliori 5. Reahan Nicolds 6. Kelsee Vanorman 7. Caitlyn Williams 8. Kirsten Ward 9. Julia Jenkins 10. Sophia Hulet

Group 5 1. Megan Culp 2. Tayla Dunning 3. Kayley Riches 4. Alecia Simmons 5. Taylor Skousen 6. Kristin Walters 7. Karin VanWeerd 8. Devin Webb 9. Katie Brown 10. Alexis Fresques

4 Outreach Radiography Clinical Simulation Schedule 2020 (Clinical Simulation times vary according to group)

Clinical Simulation 1: 08/27 or 28 Clinical Simulation Orientation (Rooms, Processing, Complete a Chest and Abdomen Radiograph), Chest and Abdomen Radiography Peer Positioning, Clinical Reasoning Assignment

Clinical Simulation 2: 10/01 or 02 Upper Extremity and Shoulder Peer Positioning, Bony Thorax Peer Positioning, Clinical Reasoning Assignment, Phantom Imaging Clinical Simulation 3: 11/05 or 06 Vitals and Final Practicum

Outreach Group Assignments

Group 1 -Sadie Clark

-Madison Price

-Dawson Winterton

-Kennedy DeJarnett

-Brianne Davis

-Brianna Davis-Mitchell

-Sierra Huff

-Shelby Trapp

-Natasha Loyola

-Scott Morris

-Candace Fulton

Group 2 -Madison Bentley -Kinley Carter -Bonnilee Parker -Daniel Schmutz -Crystal Blake -Nikkole Carnes -Abraham Erives -Ernestine Gonzalez -Amry Graham -Mikayla Hankins -Tanner Johnson -Cournita Jones -Megan Lee -Jessica Olson -Nizhoni Perkins -Mariah Ruyba -Aundrea Weaver -Anna White

Group 3 -Demi Jackson -Ashley Petersen -Kylee Welling -Devan Moore -Cassie Lynn McCormick -Kelli Madrid -Aaron Jones -Jan Jackson -Natasha Salguero -Calista Wilkinson

Clinical Simulation times: Tuesday Aug 27, Oct 1, Nov 5 9am-12pm

Clinical Simulation times: Tues Aug 27, Oct 1, Nov 5 3:30-6:30pm

Clinical Simulation times: Wednesday Aug 28, Oct 2, Nov 6 12pm-3pm

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Provo Radiography Clinical Simulation Schedule 2020

RADT 2403 9:00 – 11:00 am All students will be in class the first 1.5 hours of Clinical Simulation with Professor Clampitt. Please bring all learning materials for this course. This is a change in traditional scheduling due to the large number of holidays and Clinical Simulations held on Mondays. Clinical Simulation will be held immediately following class from 11:00 am – 2:00 pm. We will be rotating students into the Clinical Simulation for imaging purposes. ALL students should plan to arrive and leave at the same time. Clinical Simulation 1: Clinical Simulation Orientation (Rooms, Processing, Complete a Chest Radiograph), Chest and Abdomen Radiography Peer Positioning, Clinical Reasoning Assignment Clinical Simulation 2: Upper Extremity, Shoulder, and Bony Thorax Peer Positioning, Clinical Reasoning Assignment, Phantom Imaging Clinical Simulation 3: Vitals and Final Practicum

Mondays, September 21, October 26, November 23

Carley Guymon Elizabeth Tomlinson Jordon Helmer Austin Keyes Isabella Lewis Tahnee Sanders Miriam Squire Karlie Taylor Frankie Terry

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RADT 1601: CLINICAL SIMULATION EXPERIENCE EDUCATIONAL OBJECTIVES

SECTION I: RADIOGRAPHIC POSITIONING

1. Demonstrate proper positioning and identify radiographic anatomy for the following procedures:

a. PA chest radiograph b. LT lateral chest radiograph c. RAO/LAO chest radiograph d. AP and PA axial (lordotic) chest radiograph e. Lateral decubitus chest radiograph 2. Demonstrate proper positioning and identify the radiographic anatomy for the following procedures: a. AP abdomen/ KUB b. AP upright abdomen c. Lateral decubitus abdomen radiograph

3. Demonstrate proper positioning and identify the radiographic anatomy for the following procedures:

a. Fingers, Hand, Wrist, Forearm b. Elbow, Humerus, Shoulder, Scapula, Clavicle c. Sternum, SC Joints, Ribs

SECTION II: PATIENT CARE

1. Demonstrate proper method of radiation protection for the technologist and patient.

2. Demonstrate professional communication skills and appropriate behavior

while working with patients.

3. Demonstrate critical thinking skills for various radiography situations.

4. Demonstrate proper patient handling for the following situations: a. Infant, Toddler, Adult, and Geriatric Patients with various degrees

of illness and pathology. b. Assisting patients into and out of a wheelchairs and patient

transfers onto radiographic tables. c. Patient handling while on the radiographic table with the table in

the erect and horizontal positions d. Appropriate methods of immobilization

5. Identify and demonstrate the appropriate techniques for assessing the

following patient vital signs: a. Temperature b. Pulse

7 c. Respiration d. Blood pressure SECTION III: PRINCIPLES OF EXPOSURE

1. Identify the major components of the radiographic suite at Weber State University and at your base hospital including:

a. Parts of the diagnostic imaging unit b. Control panel c. Warm up procedures d. Accessories

2. Identify the major components of the digital processors to include start-up and shut down procedures.

3. Demonstrate the effect that distance from the x-ray source has on x-ray

intensity.

4. Demonstrate the variation of x-ray intensity in a plane perpendicular to the central axis of the useful beam (heel effect).

5. Demonstrate factors associated with optical density, contrast, and

recorded detail.

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COURSE EXPECTATIONS, GRADING, AND LEARNING EXPERIENCES

Objective Learning Experiences Checklist

During your scheduled Clinical Simulation time you will be practicing radiographic examinations by producing phantom images and/or participating in peer positioning.

Phantom Imaging Worksheets Completed ___

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Each student will submit radiographic images

demonstrating the chest, abdomen, upper extremity and bony thorax. Each image will be reviewed for diagnostic quality including technical factors, positioning, centering, tube angle and collimation

After the RADPACS campus orientation is complete, students may review images on the RADPACS from home or another computer Clinical Simulation and annotate images and perform clinical reasoning assignments. As discussed during the RADPACS orientation, it is recommended that these forms and images be reviewed prior to the Clinical Simulation experience. In this way, Clinical Simulation discussion demonstrates greater participation, more detail, and more critical thinking because students have had an opportunity to view the images and engage in thoughtful problem solving prior to class. Instructors will lead the discussion. Students should not fear answering incorrectly. During the discussion, students may add to, delete, or change answers as their knowledge grows, and the errors will not negatively affect their grade.

Clinical Reasoning and Annotation Worksheets completed. _____

Students may utilize Shaderware and 3D Software as a means to improve knowledge and skills. The user manual for Shaderware may be accessed at http://shaderware.com/distrib/ProjectionVR/ProjectionVR%20v5.0%20User%20Guide.pdf

During your scheduled Clinical Simulation time, demonstrate radiation protection while practicing radiographic positions. Also, demonstrate the appropriate communication skills and behavior while practicing radiographic positions. Explain the special consideration for various patients due to age or illness. Demonstrate several forms of immobilization and proper transfer techniques using peer positioning.

During your assigned Clinical Simulation time, demonstrate proper assessment of vital signs. Using the Vital Signs Documentation form contained within this module to record the vital signs of two peers. Submit a copy of this form in for grading.

Vitals Worksheet completed. _____

All Several of the objectives and learning experiences involve your completion of RADT 1303. Aspects of Radiographic Exposure will be covered each Clinical Simulation experience in conjunction with your classroom experiences.

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CLINICAL SIMULATION GRADE SHEET FALL SEMESTER 2020

RADT 1601 COURSE REQUIREMENT Course requirements may be altered or changed by Clinical Simulation instructors based on students’ needs and time.

POINTS AWARDED

Attendance With WSU faculty permission and a defendable cause, a Clinical Simulation may be made up due to absence. All requirements for Clinical Simulation must be met, and the completion of these requirements will be determined by the WSU Clinical Simulation faculty.

50 pts per Clinical Simulation

Chest Anatomy Annotation

50

Abdomen Anatomy Annotation

50

Phantom Imaging AP Chest KUB

100

Chest Clinical Reasoning

50

Abdomen Clinical Reasoning

50

Phantom Imaging Oblique Hand Lateral Wrist Scapular Y Oblique Upper Ribs Oblique Lower Ribs

250

Peer Positioning Lateral Finger AP Elbow AP Humerus

150

Upper Extremity Clinical Reasoning

50

Shoulder or Bony Thorax Clinical Reasoning

50

Vitals Worksheet

50

Final Practicum

120

ALL assignments should be printed, completed, stapled, and turned in at the final Clinical Simulation experience.

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RADIOGRAPHY CLINICAL SIMULATION #1

WSU Clinical Simulation Orientation Chest

Abdomen

The following assignments must be completed after completion of the first Clinical Simulation.

COURSE REQUIREMENT POINTS

AWARDED Attendance

50

Chest Anatomy Annotation

50

Abdomen Anatomy Annotation

50

Phantom Imaging AP Chest KUB

100

Chest Clinical Reasoning

50

Abdomen Clinical Reasoning

50

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ROOM ORIENTATION & CHEST IMAGING INSTRUCTIONS

1. Detent the machine a) Select the transverse button on the tube head and move it toward you. As you push the tube head toward the base, you will feel the tube head slide into a rut or “clunk” into place. Remove your finger from the transverse button and you should be locked into place.

2. Align the central ray of the tube head (red light) to the center of the bucky. The red light is activated when you depress the light button on the tube head.

a) Depress the longitudinal button on the tube head and you can move the entire head either up or down the table until the red light is adjusted to the center of the film and bucky.

3. Place the film in the bucky (black side should be up)

a) Pull open the lock, place the film into the bucky, and close the lock. Be sure that the cassette is secure and will not move when you slide the bucky back into the table.

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4. Check to ensure that the tube head is 40” to the Bucky.

a) The measuring stick behind the tube head has a pointer that demonstrates inches from the table and from the bucky. Also, the blue light on the tube head will light up when the tube head is 40” from the Bucky.

b) Most imaging is done at 40” to the Bucky, however; in the case of taking Chest images, you will want to set the height as close to 72” as possible. Raise the tube head as high as it will allow (the blue light indicating 40” will turn off) and lower the table. Some rooms will not expose when the table is lowered, if you have difficulty getting your image to expose, this may be the issue.

5.Collimate the light field to a 14 x 17 imaging plate. a) Be careful to take into account that a 14 x 17 will appear differently at 40” than at 72”

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6. Adjust your light field so that it is 1.5 to 2 inches above the phantom’s shoulder. Your CR should be at T7. Place the appropriate marker on the anatomical left corner of the film. 7. You are now ready to expose the film. Don’t forget to close the door to the x-ray room USING THE CONSOLE 8. On the console, you will select Chest PA (even though we will be taking it AP) on the right hand of your screen.

9.For your first image, with the film in the Bucky, we will photo-time the image. In order to do this, you will need to select AEC. Select the two top photo cell boxes, and indicate that the cassette is placed inside the table. You will want your kVp to be set between 90-110 kVp. Once set, take the exposure button to the left of the screen, depress it half way to get the rotor turning. The wheel on the top of the screen will turn yellow. Then, depress it all the way and you will hear an audible “beep” and the wheel will turn green. Retrieve your film and go to processing.

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10. For your second film, we will take the image table top. As a team, carefully lift the phantom onto the film directly. Adjust the light field. You may use the free-floating table and foot directors.

Once positioned correctly, set a manual technique. In this case, you will choose manual with none (meaning without use of the bucky). Then, you will need to set your technique to approximately 85 kVp and 2.6 mAs. Take note of the difference between taking an image with use of a Bucky versus without the Bucky. Expose the film and take the resulting image to the processor.

PROCESSING A FILM Your Clinical Simulation instructor will help you to process your first film. 1. Locate the appropriate patient name (or Clinical Simulation group) from the worklist. 2. Select the appropriate body part. 3. ID the film with the patient information. 4. Place the film in the processor. 5. Complete post processing procedures and critique.

a) Do you have a marker? b) Was the film too light or too dark? How do you know? c) Was the image positioned correctly? d) How can you change the image using the viewer software?

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PA CHEST ANATOMY ANNOTATION ASSIGNMENT Identify and annotate the following structures on a chest radiograph. Please place a check mark in the box provided by each anatomical term(s) to indicate annotation completion. Anatomy not easily seen may be “drawn in” by the student for full credit. RIGHT LUNG MEDIASTINUM STRUCTURES Upper Lobe (1 pt) Apical Segment Anterior Segment Posterior Segment

Heart Shadow (1 pt)

Middle Lobe (1 pt) Medial Segment Lateral Segment

Aortic Arch (1 pt)

Lower Lobe (1 pt) Superior Segment Anterior Basal Segment Lateral Basal Segment

Esophagus (1 pt)

Oblique Fissure (1 pt)

Descending Aorta (1 pt)

Horizontal Fissure (1 pt) Trachea (2 pts) Carina of the Trachea

Diaphragm (1 pt) Thymus (1 pt) If Present

Costophrenic Angle (1 pt)

Right Main Stem Bronchus (1 pt)

Cardiophrenic Angle (1 pt)

Left Main Stem Bronchus (1 pt)

Right Dome of Diaphragm (1 pt)

Vena Cava (1 pt)

Hilus of the Lung (1 pt)

BONY THORAX

Brachial Tree (1 pt) Ribs 1-12 (4 pts) True Ribs False Ribs Floating Ribs

Thymus Depression (1 pt) If Present

Head of Rib (1 pt)

Cardiac Depression (2 pts) Right Atrium

Neck of Rib (1 pt)

LEFT LUNG Rib Angle (1 pt)

Oblique Fissure (1 pt) Clavicle (1 pt)

Scapula (4 pts) Scapula Spine Spinal Border Acromion

Cardiac Depression (2 pts) Left Ventricle

Spine (3 pts) C spine T spine (1-12) L Spine

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ABDOMINAL ANATOMY ANNOTATION ASSIGNMENT Identify and annotate the following structures on an abdomen radiograph. Please place a check mark in the box provided by each anatomical term(s) to indicate annotation completion. Anatomy not easily seen may be “drawn in” by the student for full credit. RIGHT HYPOCHONDRIAC REGION

UMBILICAL AREA

Liver Shadow (1 pt)

Psoas Muscles (1 pt)

Gallbladder (1 pt) Abdominal Aorta (1 pt)

Right Kidney (1 pt) HYPOGASTRIUM REGION

Lower Ribs (1 pt)

T Spine (1 pt)

Hepatic Colonic Flexure (1 pt)

L Spine (1 pt)

Diaphragm, Right Lung (1 pt)

Sacrum (1 pt)

EPIGASTRIC REGION

Coccyx (1 pt)

Right Lobe of Liver (1 pt)

Right and Left Femoral Heads (1 pt)

Lesser Curvature of Stomach (1 pt)

Acetabulum (1 pt)

Duodenum (1 pt)

Iliac Crest (1 pt)

Transverse Colon (1 pt)

Ilium (1 pt)

LEFT HYPCHONDRIAC REGION

Greater Trochanter (1 pt)

Body of Stomach (1 pt)

Pubic Symphysis (1 pt)

Left Kidney (1 pt)

Instructor Signature

Lower Ribs (1 pt)

Spleen (1 pt)

Left Diaphragm (1 pt)

Splenic Flexure (1 pt)

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www.wikiradiography.net

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PHANTOM IMAGING

Name: __________________________________Date: ____________________ AP Chest (Tabletop – Similar to Portable Imaging) 6. Evaluate your image.

Was the image properly marked and identified?

Is the pertinent anatomy included and positioned correctly?

Did you use the correct exposure? kVp________________ mAs ________________

Are there artifacts, misalignments, or other features that distract from the image?

Is there evidence of radiation safety (i.e. collimation)?

7. Identify the cause of problems noted in #1. Was the image repeated? What changes were made to repeat the image successfully?

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PHANTOM IMAGING

Name: __________________________________Date: ____________________ KUB (Flat Plate Abdomen) 1. Evaluate your image.



Did you use the correct exposure? kVp__________________ mAs______________________




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Clinical Reasoning PA Chest Xray

(Each question worth 5 pts)

Name ______________________________________ Date_________________

For questions 1 and 2, please refer to your Merrill’s Atlas. These two questions should be completed prior to your Clinical Simulation.

1. What is the position of the patient, part, and central ray for this image?

2 . Which evaluation criteria are used to determine the image is acceptable?

3 . Identify the anatomy demonstrated on the image (at least 10 structures)

4 . Evaluate the image for positioning, exposure, artifacts, markers, and evidence of radiation safety. Should this image be repeated and why?

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5. Identify the possible pathologies present and be specific (i.e. pleural effusion, atelectasis, COPD, etc.) and indicate the radiographic signs present to identify these pathologies.

6 . What are possible clinical signs and symptoms experienced by this patient?

7 . Identify what lab results may show based on this pathological abnormality.

8 . What special radiographic views and positions (i.e. lordotic imaging, decubitus imaging, etc.) may be required to demonstrate the pathology?

9 . What special patient care considerations may need to be considered for a patient with this condition (can the patient hold still, stay in position, etc.)?

10. What treatment and follow-up might this patient expect as a result of the abnormality?

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Clinical Reasoning KUB Abdomen Xray


Name ______________________________________ Date_________________






5 . Identify the possible pathologies present and be specific (i.e. pleural effusion, atelectasis, COPD, etc.) and indicate the radiographic signs present to identify these pathologies.

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Upper Extremity

Shoulder Bony Thorax



AWARDED Attendance

50

Phantom Imaging Oblique Hand Lateral Wrist Scapular Y Oblique Upper Ribs Oblique Lower Ribs

Up to 250

Peer Positioning Lateral Finger AP Elbow AP Humerus

150

Upper Extremity Clinical Reasoning

50

Shoulder or Bony Thorax Clinical Reasoning

50

PHANTOM IMAGING

Name: __________________________________Date: ____________________

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OBLIQUE HAND 1. Evaluate your image.



Did you use the correct exposure? kVp_________________ mAs_____________________




PHANTOM IMAGING

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Name: __________________________________Date: ____________________ LATERAL WRIST 1. Evaluate your image.



Did you use the correct exposure? kVp_______________________ mAs______________________




PHANTOM IMAGING

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Name: __________________________________Date: ____________________ SCAPULAR Y (SHOULDER SERIES) 3. Evaluate your image.



Did you use the correct exposure? kVp______________________mAs______________________


Is there evidence of radiation safety (i.e. collimation)


PHANTOM IMAGING

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Name: __________________________________Date: ____________________ OBLIQUE RIBS (UNILATERAL, UPPER, POSTERIOR PAIN) 3. Evaluate your image.



Did you use the correct exposure? kVp_____________________mAs_____________________


Is there evidence of radiation safety (i.e. collimation)


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PHANTOM IMAGING

Name: __________________________________Date: ____________________ LOWER RIBS (UNILATERAL, LOWER, POSTERIOR RIBS) 3. Evaluate your image.



Did you use the correct exposure? kVp________________________mAs______________________




MOCK EXAM PEER EVALUATIONS

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Name: __________________________________Date: ____________________ Under the direction of your Clinical Simulation instructors, you may be required to mock examinations within the radiography rooms. These mock exams will be viewed by your peers via Clinical Simulation cameras. Peer evaluations will be reviewed and discussed during the Clinical Simulation. During your evaluation, please respond to the following questions:

PEER POSITIONING LATERAL FINGER 1. How did the student radiographer(s) demonstrate good patient care? In what ways could the student(s) improve? 2. Did the student radiographer(s) appropriately position their patient for the required examination? Could the patient’s position be improved? How did the student radiographer(s) demonstrate their understanding of radiation safety?

3. Did the student radiographer(s) appropriately use the equipment and select an effective technique? Why or why not?

Other Comments:

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PEER POSITIONING AP ELBOW

1.How did the student radiographer(s) demonstrate good patient care? In what ways could the student(s) improve?

2. Did the student radiographer(s) appropriately position their patient for the required examination? Could the patient’s position be improved? How did the student radiographer(s) demonstrate their understanding of radiation safety?


Other Comments:

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PEER POSITIONING AP HUMERUS

1.How did the student radiographer(s) demonstrate good patient care? In what ways could the student(s) improve?

2. Did the student radiographer(s) appropriately position their patient for the required examination? Could the patient’s position be improved? How did the student radiographer(s) demonstrate their understanding of radiation safety?


Other Comments:

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Clinical Reasoning Upper Extremity Xray-Lateral Wrist


Name ______________________________________ Date_________________







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Clinical Reasoning

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Shoulder or Bony Thorax Xray-Scapular Y (Each question worth 5 pts)

Name ______________________________________ Date_________________







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Vitals

Final Practicum Complete Clinical Simulation Materials



AWARDED Attendance

50

Vitals Worksheet

50

Final Practicum

120

VITAL SIGNS WORKSHEET Infant Toddler Adolescent Adult

Pulse 100-170 80-130 70-110 60-100 Respiration 30-50 20-30 14-20 12-20

Systolic Blood Pressure

60-90 70-100 95-130 100-140

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Diastolic Blood

Pressure

30-55 45-65 60-80 60-90

Body Temperature (F)

Adult Oral 98.6

Axillary 97.6

Rectal 99.6

70 + Oral 96.8

1 yr oral 99.7

3 yr oral 99.0

Patient / Peer: Respiration Rate

Resp/min

Within limit? Yes No

Blood Pressure

Systolic/Diastolic


Pulse: Radial Carotid

# Beats/min


Patient / Peer: Respiration Rate

Resp/min


Blood Pressure

Systolic/Diastolic


Pulse: Radial Carotid

# Beats/min


FINAL PRACTICUM

The final practicum is an exam used to determine imaging competency. If possible, the final practicum should be completed individually. All images acquired during the practicum will be stored on the WSU PACS system in the student’s file (including

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repeats). Radiographs will be reviewed by the Clinical Simulation faculty, and each exam will be graded according to the overall image quality and technical factors. Each practicum exam is worth a total of 40 pts. Repeat of an examination does NOT indicate failure. Students should seek to demonstrate proficiency when repeats occur by exhibiting knowledge of image evaluation criteria in correlation to successful corrective action. Fall Semester, the final practicum is worth a total of 160 pts. Images required for the first semester final practicum include:

1. KUB 2. Oblique Hand 3. Unilateral Ribs (Area of pain will be designated by your Clinical Simulation

instructor) The following practicum grading forms must be completed by the Weber State University Clinical Simulation faculty the day of the student’s practicum. Please bring a copy of these forms with you the day of your practicum.

FINAL PRACTICUM

Student Name:___________________________________ Date:_______________ Clinical Site:_________________________________________________________ KUB

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Clinical Simulation Review Criteria Points Awarded

Right or Left Marker visualized and accurately placed (2 pts)

Evidence of good radiation protection (lead shielding, collimation, etc.) (2 pts)

Preventable artifacts not present on the radiograph (2 pts)

Correct Film Size Utilized (2 pts)

Correct detent of the machine and alignment of the film (2 pts)

Correct patient positioning and central ray alignment (10 pts)

Correct technical factors (kVp and mAs) utilized (10 pts)

What technical factors did the student utilize? kVp _____ mAs _____ If the image was repeated, how many times was the image repeated? _______ What corrective action was observed? How would you rate the student’s overall competency at performing this examination on a scale from 1-10 (1 being unsatisfactory and 10 being above average)? (10 pts)

1 2 3 4 5 6 7 8 9 10 WSU Clinical Simulation Instructor Comments: WSU Clinical Simulation Instructor Signature:________________ Total Points Awarded:_____/40

FINAL PRACTICUM

Student Name:___________________________________ Date:_______________ Clinical Site:_________________________________________________________ OBLIQUE HAND

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FINAL PRACTICUM

Student Name:___________________________________ Date:_______________ Clinical Site:_________________________________________________________ OBLIQUE UNILATERAL RIBS

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PROCESSOR ORIENTATION FOR WSU LAB 2020...Clinical Simulation 3: Vitals and Final Practicum Mondays,...

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Transcript of PROCESSOR ORIENTATION FOR WSU LAB 2020...Clinical Simulation 3: Vitals and Final Practicum Mondays,...