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Radiology Technologist

Information

Name *

Last 4 digits of SSN *

Phone *

Email *

Proficiency Scale

1 = No Experience

2 = Need Training

3 = Able to perform with supervision

4 = Able to perform independently

Settings

Adult Inpatient *

ER/Trauma *

Adult Outpatient *

Pediatric Inpatient *

Pediatric Outpatient *

Procedures

Chest Studies *

Abdominal Studies *

Foreign Body/Soft Tissue Studies *

Specimen Radiography *

Extremities

Upper *

Lower *

Pelvis Obls/Judet Views *

Pelvis SI Joints *

Pelvis Sacrum/Coccyx *

Spine

Cervical Spine - Obls/Flexion/Extension *

Thoracic Spine - Swimmer's View *

Lumbar Spine - Obls/Flexion/Extension *

Head

Facial Bones *

Mandible *

Head (cont.)

Mastoids *

Orbits *

Sinus Series *

TMJ *

Skull Series *

Tomography

Renal *

TMJ *

Spine *

Fluoroscopy/Contrast Studies

Barium Swallow/Esophagram *

Modified Barium Swallow/Protocol Swallow *

Swallow Studies with Videotaping *

Upper GI Series - Single Contrast *

Upper GI Series - Air Contrast *

Small Bowel Follow Through *

Enema Studies

Barium Enema - Single Contrast *

Water Soluble Contrast Enema (e.g. Hypaque) *

Barium Enema - Air Contrast *

Lower GI Studies thru Colostomy *

Cystography

Cystogram *

Voiding Cystogram *

Cystography (cont.)

Urethrography *

Contrast Injection Studies

IVP *

IVP with Tomograms *

Myelograms

Cervical Spine *

Thoracic Spine *

Lumbar Spine *

Mobile C-Arm Fluoroscopy

Broncoscopy with Fluoro Guidance *

Bedside Line and Tube Placement *

OR Cases

Sterile Procedures in OR *

Spine Work *

Operative Cholangiography *

Hip Studies *

Extremity Studies *

Cystography *

Retrograde Urography *

Patient Safety

National Patient Safety Goals *

Computerized Charting *

Age Specific Practice Criteria

Newborn/neonate (birth-30 days) *

Infant (30 days-1 year) *

Toddler (1-3 years) *

Preschooler (3-5 years) *

School age children (5-12 years) *

Adolescents (12-18 years) *

Young adults (18-39 years) *

Middle adults (39-64 years) *

Older adults (64+) *

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