Where HCH is today! • State of the art technology
Wilhelm Roentgen discovered x-rays in 1895 First x-ray was of his wife’s hand which was on a piece of glass X-rays were used for entertainment: checked for foot sizes, used at circuses, bone portraits, even sold home models for parties In the beginning there were a lot of safety issues due to the unknown hazards of radiation exposure History of Radiology
What does an X-Ray Technologist do? • Patient Care: dealing with patients in various states of health • Position patient correctly so desired anatomy is visualized • Radiation Protection: time, distance, shielding • Live x-ray exams: Fluoroscopy(x-ray video) • Responsible for cleaning and stocking all x-ray exam rooms • Obtaining and documenting patient history
Modalities • Diagnostic (basic, regular x-ray exams) • CAT Scan • MRI • Mammography • Nuclear Medicine • Angiography • Cath Lab
Purpose of Medical X-Rays • Diagnose fractures and pathology • Fluoroscopy diagnoses pathology
Types of Patients • Outpatients: mostly ambulatory sometimes immobile, various ages • Inpatients: various ages and conditions, some ambulatory, most bed ridden, some unconscious, pre/post surgical
Hospitals Outpatient facilities Doctors offices Mobile Radiography Travel Tech Agency Where can you work?
How much money will I make? • Varies on location, experience and facility • Average starting salary is $40,000 to $50, 000 • Continued education/cross trained tech can lead to making a higher salary
Why Choose HCHSRT? • Tuition and books are inexpensive • More hands on experience • A lot more clinic time than a 4 year/2 year college program • Only 22 months • Opportunity to possibly work at hospital when finished school
Program Mission & Goals • Mission statement- In accordance with Holy Cross Hospital School of Radiologic Technology will firmly dedicate itself to the education of professionals skilled in the art and science of radiography. To ensure service excellence is delivered to our communities of interest we will emphasize the need the for high standards of patient care, and always strive to meet our goals through utilization of continuous improvement methods. • Goal - The purpose of the School of Radiologic Technology is to provide a social and professional atmosphere in which the student can obtain the skills and attitudes necessary for an eventual position in the field of Radiologic Technology
School of Radiologic Technology • History • Founded in 1988 • Originally started because of staff shortage • First Graduating class was in 1990 with 5 students • 3 more to graduate in May 2010 • 97% pass rate on National Registry over the last five years
Length of program • 22 months Full time (40 hours per week) • 31 hours in Clinic and 9 hours in the Classroom • Time of operation • 7-3:30pm (subject to change depending on clinical rotation) • Personal Time Off • 180 hours per year( If students exceeds the allotted time he/she will be dismissed from program) • 7 Holidays( New Years, Presidents Day, Memorial Day, 4th of July, Labor Day, Thanksgiving, and Christmas)
Tuition is $2000.00 and is payable in 4 installments of $500.00. • Books are $850.00 • Uniforms are $200.00
ADA Criteria for Essential Job Functions • Must have visual acuity and manual dexterity to work with a computer keyboard and monitor, to perform essential job functions. • Must be able to hear and verbally communicate with the telephone, for essential duties involving receiving and giving information. • Must be able to lift, carry for short distances, push or pull a cart, weights in excess of 50 pounds, to perform essential job functions.
Application Process • High School Diploma or GED • Completed Prerequisite courses • Application with fee of $30 • Academic Aptitude test • Score in the upper 25 percentile of applicants (75% or better) • Interview • Three Character references • Essay • Observation day
Prerequisite Requirements English Composition English Communication Finite Math/ College Math Anatomy & Physiology with Lab (may include Part 1 and 2) Biology with Lab Basic Microsoft Word/Power point/Excel or PC equivalent
Once Accepted Student Must: • Pass a physical examination provided by your physician • Must pass the drug screening test provided by Holy Cross Hospital • Clear back round check
Accreditation • Maryland High Education Commission • Private Career Schools of Montgomery County • JRCERT (Joint Review Committee on Education in Radiologic Technology) • Protect Students welfare • Make sure that we are following the main governing bodies. • Adhere to Holy Cross Policies and Procedures
Intro. to Radiography Medical ethics & law Medical Terminology Radiographic Anatomy Radiographic Procedures Radiographic Film Processing Basic Principals of CT Radiation Protection Introduction to PACS CR/DR Processing Evaluation of Radiographs Radiographic Pathology Radiation Physics Radiation Biology/Protection Special Radiographic Procedures Imaging Equipment Quality Assurance Developmental Testing Registry Review Courses Offered and Required
The following radiographs show normal lumbar spine anatomy. Progressing caudally, the vertebral bodies increase in stature. The disc spaces also increase in size until L5-S1, which is often smaller than L4-L5. Like the thoracic spine, the vertebral bodies should have smooth alignment and continuous sclerotic margins AP VIEW LATERAL VIEW
Markers & Legal ConsiderationsWhat is a marker & where should it be placed?
Requirements for Graduation • Completion of clinical comps exams • Completion of Clinical objectives • “B” average Clinically • “C” average Academic (per Class per Quarter) • Financial obligations
Clinical Rotations at HCH Junior Year One Month Rotations Senior Year One Month Rotations Special Rotations
Routines Emergency Room and Express Care Pain Management or Epidurals (EPIs) Fluoroscopy IVP/Room 2/ERCP Modalities (Ultrasound, MRI, Nuclear Medicine, Mammography) Surgery or Operating Room Community Radiology (Off-site) Portables Junior Rotations
Routines Rotation • During your first year as a student here at HCH, you will rotate through a month of routine diagnositic x-ray. Each day you will be assigned to assist a technologist in performing various exams.
Emergency Room and Express Care Rotation • Both juniors and seniors will spend one month each year in the emergency center. There, the student will be exposed to a fast paced and demanding facet of radiology.
Pain Management Rotation • Seperated from Medical Imaging, Pain Management is a department of it’s own. Here students learn to operate a C-arm during epidural steriod injections.
Fluoroscopy Rotation • Fluoro is a branch of diagnostic radiology. Fluoro exams include barium enemas, small bowel follow throughs, upper GI’s, esphograms and other like studies requiring contrasting agents.
IVP/Room 2/ERCP Rotation • IVP or intraveinous pyelogram are studies of the kidneys often using a tomography unit. ERCP’s are studies using small camaras inserted into the body and are most often done in room 2.
Modalities Rotation • Students will learn the protocol for performing exams in the following areas: • Ultrasound • Nuclear Medicine • MRI • Mammography
Surgery or Operating Room Rotation • During this rotation, the student will be exposed to exams done in the operating room either during, after or prior to a surgery. Exams performed in this rotation are done using a portable C-arm.
Portables Rotation • Portable or bed side radiography is a form of mobile imaging done by our department. These portable x-ray machines are equipped to image unstable patients not capable of traveling to the department.
Specialized Senior Year Rotations • Computer Aided Tomography (CAT) • Angiography • Cardiac Catheterization Lab • Radiologist • Evenings • Weekends
Computer Assisted Tomography • CAT scan is another modality in which the machine cuts the body into image slices to better view the internal organs of the body. Here the student will learn the equiptment and protocol for performing CAT scans.
Angiography • Angiography is a modality that specializes in the imaging of the vessels in the body. Images are produced through the use of a C-arm much like the one used in the OR and EPI’s.
Cardiac Catheterization Lab • In this modality, the student learns the importance of the studies done in the Cath Lab. Specialized images of the heart, great vessels and placement of cardiac aids are produced here.
Radiologist Rotation • This rotation takes place in the radiology reading room. Each day the student is assigned to a Radiologist to observe the reading of films. The student learns what the doctor is looking for in each particular study.
Evening Rotation • This rotation is done during your senior year. It gives the student another perspective on diagnostic radiology outside of the normal day time shift.
Weekend Rotation • This rotation is also done only during your senior year. It allows the student to see how weekends differ from weekday shifts.
Boxer's Fracture • Occurs during a punch with a closed fist. • Usually involves the fifth metacarpal, but the fourth metacarpal may also be involved. Boxer's Fracture of Fifth Metacarpal