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CAREERS IN RADIOLOGIC CAREERS IN RADIOLOGIC TECHNOLOGY TECHNOLOGY RADIOLOGIC RADIOLOGIC TECHNOLOGIST TECHNOLOGIST RADIOGRAPHER RADIOGRAPHER X-RAY X-RAY TECHNOLOGIST TECHNOLOGIST TECHNICIAN” TECHNICIAN” RADIOLOGIST RADIOLOGIST

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  • CAREERS IN RADIOLOGIC TECHNOLOGYRADIOLOGIC TECHNOLOGISTRADIOGRAPHERX-RAY TECHNOLOGIST

    TECHNICIAN

    RADIOLOGIST

  • What does a Radiologic Technologist do?

  • A Radiologic Technologist (or Radiographer)

    medical professional

    trained to safely use x-ray radiation to image different parts of patients bodies

    Provide diagnostic images so the physician can make a diagnosis

  • Medical Radiographer (X-ray Technologist)use sophisticated imaging equipment to image parts of the human body challenging fieldassist physicians by producing images of diagnostic qualityresponsibility to explain the process to the patientsposition them and the equipment correctly and adhere to the principles of radiation protection. know how to maintain equipment, process images and keep patient records.

  • Radiologic TechnologistR.T.

    Dawn Charman, M.Ed., RT (R)(M), CRT(R)(F)Kelly Clark, M.S.R.T. RT (R)(CT), CRT(R)(F)Mina Colunga, B.S.R.T. RT (R), CRT(R)(F)

    ARRT R.T.State of California C.R.T.

  • Radiologic Technologistis a licensed professionalThis program here is for an entry level into the profession

    Both Radiation Therapy and Nuclear Medicine would require additional education

    Certification/licenses

    ARRTAmerican Registry of Radiologic TechnologiesProvides national certificationAfter taking the examCRT--California Registered TechnologistAfter completing ARRT exam you pay a fee and get your California license to practiceA separate test is taken for fluoroscopy

  • Radiologic Technologists All types of EXAMS & PEOPLEPATIENTS ARE:INFANTS ELDERLYALL CLASSESALL ETHICITYALL BACKGROUNDHEAD TO TOESTRAUMASPECIAL PROCEDURESCRITICAL PATIENTSWALK INSSURGERY

  • Elsevier items and derived items 2007, 2003 by Saunders, an imprint of Elsevier Inc. Radiologic TechnologistMust be able to COMMUNICATE EFFECTIVELY withPATIENTS, STAFF & PEERSMust use GOOD JUDGEMENT & CRITICAL THINKING SKILLS

    FIG. 42 Radiologic science professionals must use advanced critical thinking skills when handling all patient care situations.

  • Critical ThinkingInvolves sound, professional judgementApplied with high ethical standardAnd integrity

  • Critical ThinkingAnalysisSynthesisEvaluationCritiqueAchieved throughRole PlayingLab experimentsCase Studies

  • Patient CommunicationInteracting with the patient

    Interacting with family and friends

    Methods of Effective Communication

    Age as a factor in Patient Interactions

  • Communication & Adaptingto Special Condition PatientsTraumatized PatientsVisually Impaired PatientsSpeech and Hearing Impaired PatientsNon-English Speaking PatientsMentally Impaired PatientsSubstance Abusers

  • Education in the Radiologic SciencesDIDACTIC CurriculumSpecifically describes the objectives What the students will learn ..Instructional Activities LECTURECLINICAL - HospitalSee and do .

  • Types of Diagnostic ExamsCHESTEXTREMITIESSKULL / FACIALSPINEGASTROINTESTINALINTERVENTIONAL RADIOGRAPHY

  • LEARNINGCOGNITIVE thought / knowledgePSYCHOMOTOR physical actionsAFFECTIVE guided by feelings

  • RT ProgramsDidactic and Clinical Education

    FIG. 51 The articulation of didactic, laboratory, and clinical instruction. (From Ford C, ed: Clinical education for the allied health professions, St Louis, 1978, Mosby.)

  • Some studies of spinal trauma have recorded a missed injury rate as high as 33%.

  • communitedOpen fracture

  • ELDERLY

  • INFANTS & CHILDREN

  • SURGERY

  • Fluoroscopy

  • TECHNOLOGISTFLUOROSCOPYDawn Charman RT (R), (F)

    CONTRAST MEDIA (X-RAY DYE)

  • ARRT Standards Accrediting AgenciesJoint Review Committee on Educational Programs in Nuclear Medicine Technology (JRCNMT) Committee on Accreditation of Allied Health Education Programs (CAAHEP) in collaboration with the Joint Review Committee on Education in Diagnostic Medical Sonography (JRC-DMS) Regional Institutional Accrediting Agencies (degree-granting divisions) WSACConjoint Accreditation Services of the Canadian Medical Association Australian Institute of Radiography

  • Accrediting AgenciesSCHOOLS/PROGRAMSJoint Review Committee on Education in Radiologic Technology (JRCERT)

    HOSPITAL ACCREDITATION JCAHOJoint Commission on Accreditation ofHealthcare (Hospital) Organizations

  • Alphabet SoupNATIONAL & STATE LICENSES ARRT = (R.T.)American Registry of Radiologic TechnologyR.T. Certification in Radiologic Technology

    CRT Certified Radiologic Technology State of California, Dept of Health - Radiation Health BranchLicensing to practice in California

    C.R.T. (R) (F) (M)Radiography, Fluoroscopy, Mammography

  • 5 Primary ExamsRadiography (R)Nuclear Medicine Technology (NM)Radiation Therapy (T)Sonography (US) (RDMS)Magnetic Resonance Imaging (MR)

    candidates must have successfully completed a formal educational program in the respective discipline that is accredited by a mechanism acceptable to ARRT.

  • Post PrimaryCardiovascular-Interventional Radiography (Note: No longer available for new candidates) Mammography Computed Tomography Magnetic Resonance Imaging (Note: Both a primary and post-primary track) Quality Management Sonography (Note: Both a primary and post-primary track) Bone Densitometry Vascular Sonography Cardiac-Interventional Radiography Vascular-Interventional Radiography Breast Sonography Registered Radiologist Assistant

  • Alphabet SoupKNOW THESE!J.R.C.E.R.T - Joint Review Committee on Education in Radiologic Technology

    J.C.A.H.O Joint Commission of Accreditation of Healthcare Organizations

    A.R.R.T-American Registry of Radiologic Technologists

  • Beyond Diagnostic RadiographyAdvanced Modalities

  • ADVANCED SKILL LEVELSCAT SCAN (CT) MRI (MR)ANGIOGRAPHY (CIT) (CV)RADIATION THERAPY (T)MAMMOGRAPHY (M)Bone Densitometry (BD)ULTRASOUND (RDMS)NUCLEAR MEDICINE(NM)PETSPECTMANAGEMENT (BS)EDUCATION (BS,MEd, PhD EDD)

  • MAMMOGRAPHY

    Dawn Charman, RT (M)RADIOGRAPHIC IMAGING OF THE BREAST Dx for breast cancer

  • Bone Densitometrylow doseRadiation

  • BONE DENSITOMETRYJOE RUIZ, RT (R) (BD)

    POST PRIMARY EXAM BEGAN IN JANUARY 2001

    ??? May also have certification w/o RT ????

    MEASURING MINERAL CONTENT AND DENSITY OF BONES

  • FIG. 17 A nuclear medicine technologist performs procedures requiring the use of radioactive substances. (Courtesy of Philips Medical Systems.)

  • CAT SCAN & MRI

  • Computed TomographyKelly Clark, RT (R) (CT)1995 began post primary exam

  • CT SCANNERUSESRADIATION AND A COMPUTER TO RECONSTRUCTIMAGES

    3-D

    FIG. 19 A computed tomographic technologist uses a computerized x-ray system to produce sectional anatomic images of the body. (Courtesy of Philips Medical Systems.)

  • C T SCANNER

  • Electron BeamTomographyEBTWHOLE BODYSCANNER

  • Risk factorHIGH DOSES ?

    WHAT YOU DONTKNOW .

    FALSE POSITIVESNOW THAT YOU KNOW WHAT ARE YOU GOING TO DO ABOUT IT? =

  • Radiation DoseEBT scans expose the patient to about 1/5th the radiation of a multi-slice CT scanner. OR so they tell you..$$$$$$$$

  • Magnetic Resonance ImagingRT (R) (MRI) or RT (T) (MRI) or (N) (MRI)

    1995 ARRT began post primary exams

  • MRI SIGNAL PRODUCTIONImages are crated by interaction of Magnet field, radio waves with tissueAtoms Nucleus Electrons

  • MRI SAFETY

    USE NON MAGNETIC MATERIALS

    CAN CAUSE HARM TO PATIENT & PERSONELL1 REPORTED DEATH FROM O2 TANK & 6YO PATIENT

  • MRINOT IONIZING RADIATIONUSES MAGENTIC RESONANCE (RADIO WAVES)

    Jane Schultz, R.T. (MR)

  • RADIOGRAPHY VS MRIBONE vs Soft Tissue

  • PET Scan & SPECT ScanPET = Positron Emission Tomography

    Single Photon Emission Computed TomographyX-rays/MRI with Radioisotopes

  • PET Scan showing diffuse spread of prostate cancer to bone. PET has the advantage over traditional bone scanning in its ability to differentiate active from dormant disease.

  • ANGIOGRAPHY/ CARDIOVASCULAR INTERVENTIONAL TECHNOLOGYis a specialized radiographic examination where the images of the blood vessels of the body are demonstrated by injection of contrast media.

  • CARDIAC-INTERVENTIONAL RADIOGRAPHY Mike Smith, RT (R) (CI)

    POST PRIMARY EXAM BEGAN IN JANUARY 2003

  • INTERVENTIONALRADIOGRAPHYANGIOGRAPHYCARDIAC CATH+ MANY OTHERS

    RT (CV) (CIT) (CVIT)

  • ANGIOGRAPHY is a specialized radiographic examination where the images of the blood vessels of the body are demonstrated by injection of contrast media

  • Cardiovascular Interventional Radiography Jane Smith, RT (R) (CVI) Angiography

    1991 began post primary exam for CVIT Radiographers

  • Angiography

  • VASCULAR-INTERVENTIONAL RADIOGRAPHYJOE CAR, RT (R) (VI)

    POST PRIMARY EXAM BEGAN IN JANUARY 2003

  • NUCLEAR MEDICINEuse radioactive isotopes to make images

  • Nuclear MedicineRT (NM)

    ARRT or NMTCB

  • NM Images collected afterinjections of a RADIOISOTOPE

  • The tracer travels into the blood vessels until it arrives to the bone

  • PET Scan & SPECT ScanPET = Positron Emission Tomography

    Single Photon Emission Computed Tomography

  • Prostate cancer metastasized in bones

  • PET NUCLEAR MED + CT or MRI- co-registration

  • RADIATION THERAPYR.T.(T)2 YRS ADDITIONAL EDUCATIONCITY OF HOPELLUCAL STATE LONG BEACH

    The branch of Radiology that involves the treatment of disease by means of high energy x-rays or radioactive substances

  • RADIATION THERAPYbranch of Radiology that involves the treatment of disease by means of high energy x-rays (GAMMA) or radioactive substances

  • Radiation TherapyRT (T) = Registered technologist in radiation therapy technologyMedical dosemetrists are involved in treatment planning and dose calculations1-4 year program

  • ULTRASOUNDuses a technique similar to Navy SONAR to produce diagnostic images.

  • ULTRASOUNDCypress CollegeOrange CoastLLU1 2 years

  • Diagnostic Medical SonographersRT (R) (S) or RT (S) or (RDMS)American Registry of Diagnostic Medical SonographersARRT in 1999 began post primary examARRT in 2005 began primary exam

  • Determines depthUltrsound beam is transmitted and reflected as special crystal at the end of the transducer candetermine the type of tissue

  • Uses SOUND WAVES (NOT X-RAYS)real time images

  • ULTRASOUNDuses a technique similar to Navy SONAR to produce diagnostic images.

  • 2D vs. 3D/4D

  • U/S & the real thing

  • Breast SonographyPost Primary Exam

    Valuable for Technologists that specialize in Mammography

  • VASCULAR ULTRASOUND

  • New - RARadiology Assistant (Like PA)Weber State (On line Utah)LLU 3 others in US (2007 more)$$$$ NEW GRADS = 100 K/YEAR (?)PART OF RADIOLOGIST GROUPAs of 2007 NOT APPROVED BY STATE to Work as RA in California

  • Additional OpportunitiesEducationAdministrationManagement (QM)CommercialRadiologist Assistant = RA

  • RADIOLOGY ASSISTANT RALLU 2 YRS RTBA DEGREE

    WEBER STATE6YR RT

  • OTHER PATHWAYSSALES APPLICATIONS SPECIALISTINDUSTRIAL X-RAYMANAGEMENT (DEGREE)EDUCATON

  • TRAVELING TECHNOLOGIST = SEE THE WORLD AND GET $$$

  • Other working opportunitiesRegistry (local)

    Registry (out of state)

    X rays taken around the world !!

  • Variety of Work Settingsphysicians offices, clinical outpatient facilities,

    free standing imaging centers,

    mobile imaging centers

    portable services to rehabs

    Mammos to under privileged areas

    Urgent care

  • SALARY RANGES RTsNEW R.T. = $ 25 -$38 PER HOURON-CALL + O.T. $45,000 $60,000 YR

    ADVANCE SPECIALTIES$ 30 - $50 PER HOUR

    A GREAT SHORTAGE IN ALL HEALTH CARE A GREAT NEED TO AQUIRE NEW TECHNOLOGIST TO THIS AREA

  • Professional OrganizationsASRT American Society of Radiologic Technologis

    CSRT California SocietySociety of Radiologic Technologists

    RTEC Radiologic Technology Educators of California International Societies, other state societies, other modalities

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