Diagnostic Imaging 3 LO's | Queen Margaret University

Clinical Practice in Diagnostic Imaging 3 Learning Outcome : General Learning Outcome

QMU Clinical Practice in Diagnostic Imaging 3 Learning Outcome : General Learning Outcome

Clinical Practice in Diagnostic Imaging 2 (CP3) is the continued development of general skills in routine radiography.

By the end of CP 3, in addition to achieving the ICP and CP 2 outcomes, the student will be able to:

describe the type and specification of imaging equipment in use;
discuss the capabilities and limitations of the equipment and its suitability for use;
demonstrate safe, effective and efficient operation of imaging equipment and accessories;
discuss the capabilities and limitations of image recording systems used locally;
describe and utilise correct technique for all procedures specific to the placement;
demonstrate appropriate and safe patient preparation, positioning and aftercare for the examinations specific to the placement;
modify and adapt techniques and procedures in consideration of traumatic, congenital and pathological conditions which may limit patient cooperation;
demonstrate effective and appropriate communication with patient, relatives, carers and members of the multidisciplinary team to facilitate clear understanding, instill confidence, obtain informed consent and encourage cooperation and compliance;
demonstrate appropriate care to patients with traumatic, congenital, pathological and post-operative conditions;
critically evaluate radiographs for normal and abnormal anatomical appearances and identify requirements for additional, supplementary or repeat imaging;
discuss preparation, care and aftercare of patients having ultrasound, cardiovascular, CT, MRI and RNI examinations and procedures;
discuss the use of alternative and additional imaging modalities appropriate for the demonstration and differentiation of pathology and disease;

describe and demonstrate correct technique for all examinations specified for the clinical placement by:

identifying and examining the patient correctly;
selecting and utilising the correct equipment and accessories;
positioning the patient, x-ray tube and image receptor correctly;
selecting correct exposure technique;
applying radiation protection protocols correctly;
demonstrating appropriate standards of care of the patient, before, during and after the procedure;
completing documentation correctly as per local protocol.

SPECIFIC LEARNING OUTCOMES –

ROUTINE RADIOGRAPHY

Radiography in the Imaging Department, Wards and Operating Theatres

By the end of CP 3, in addition to achieving the ICP and CP2 outcomes, the student will be able to:

demonstrate the ability to perform correctly and in their entirety, additional and alternate projections of:

cervical spine;
thoracic spine;
lumbar spine, sacrum and coccyx
pelvis and hip

discuss the rationale for the modifications to the routine techniques for the above areas and identify the criteria for assessing the diagnostic quality of the resultant radiographs;

list the sequence of radiographs taken for examination of multiple trauma and discuss the reasons for this sequence;

discuss and evaluate the specific radiation risks associated with radiography of the abdomen and thorax, demonstrate and describe effective and appropriate methods of radiation protection;

discuss and demonstrate the procedure for the examination of the chest and abdomen on a non-ambulant, acutely unwell patient;

demonstrate correct management of patients cared for under barrier and reverse barrier nursing conditions in addition to those in high dependency and intensive and coronary care facilities;

describe and critically evaluate patient care in the Accident and Emergency department, the appearance and treatment of shock, the application of sterile dressings, plaster of paris and splints;

list, describe and discuss the various skeletal surveys performed and the clinical reasons for them;

describe and perform the total care required for patients who have incurred a spinal injury, who have kyphoscoliosis and who have undergone surgery for femoral neck fracture;

describe and discuss the care required and the modifications to basic technique for patients with traumatic conditions in the x-ray department, wards and operating theatres;

describe the techniques used for open reduction and internal fixation of fractures;

demonstrate safe handling and operation of the dedicated skull unit and orthopantomograph / cephalostat;

Radiography Using Contrast Media

By the end of CP 3, in addition to achieving the Level 2 outcomes, the student will be able to:

describe and demonstrate the techniques required for radiographic procedures with contrast of:

genito-urinary system;
biliary system;
gastro-intestinal system;
cardiovascular system;
central nervous system (CT brain).

state and describe the contrast media used and the reasons for their selection;

prepare the equipment and contrast for the examination;

demonstrate disposal of contaminated material and ‘sharps’ correctly according to local protocol;

discuss and analyse the differences between digital and conventional vascular examinations;

discuss and evaluate therapeutic interventional techniques such as angioplasty, embolisation and coronary artery stenting;

demonstrate correct operation of imaging equipment and PACS.

Image Processing

By the end of CP 3, in addition to achieving the ICP and CP2 outcomes the student will be able to:

demonstrate the care of computerised and digital image receptors;

demonstrate the range of functions of computerised and digital processing systems, describing the unloading, loading and processing cycles in full;

participate in the routine care, maintenance and quality assurance of image processing systems.

SPECIFIC LEARNING OUTCOMES – SPECIAL IMAGING TECHNIQUES

Mammography