Name_____________________

Linn Benton Community College

Diagnostic Imaging Program
Competency Evaluation
CHEST & ABDOMEN

(Each criteria worth 5 points) Exam:____________________________

VOLUNTEER POSTIONING:
Student identified themselves to the patient YES NO

Student verified patient name YES NO

Student reviewed and documented the patient’s history YES NO

Student properly prepared patient for exam: (proper attire, checked for artifacts) YES NO

Student properly prepared the room and then cleaned up the room YES NO

Student determined pregnancy status of patient prior to exam YES NO

Student demonstrated confidence and professionalism during the exam YES NO

Student completed exam efficiently & in a logical manner YES NO

Student maintained patient’s modesty & safety throughout the entire exam YES NO

Clear communication and directions to patient YES NO

Exam was completed within the time frame YES NO

Proper grid/cassette size & type YES NO

Appropriate cassette/blocker placement YES NO

Changed cassettes (no double exposure) YES NO

Appropriate SID YES NO

Tube is in detent YES NO

(Each view worth 2 points) View 1 View 2

Patient shielding demonstrated YES NO YES NO

Proper tube angle & tube alignment YES NO YES NO

Accurate positioning YES NO YES NO

Collimation demonstrated YES NO YES NO

Anatomical markers displayed YES NO YES NO

Volunteer’s perception of patient care: 1 = needs work 3 = okay 5 = great

 Name_____________________

ANNIE/GERTIE FILM CRITIQUE:

(Each criteria worth 5 points) Exam:____________________________

Student identified themselves to the patient YES NO

Student verified patient name YES NO

Student reviewed and documented the patient’s history YES NO

Student properly prepared patient for exam: (proper attire, checked for artifacts) YES NO

Student properly prepared the room and then cleaned up the room YES NO

Student determined pregnancy status of patient prior to exam YES NO

Student demonstrated confidence and professionalism during the exam YES NO

Clear communication and directions to patient YES NO

Exam was completed within the time frame YES NO

Proper grid/cassette size & type YES NO

Appropriate cassette/blocker placement YES NO

Appropriate SID YES NO

Patient shielding demonstrated YES NO

(Each criteria worth 2 points) View 1

Accurate positioning demonstrated YES NO

Area of interest centered on the film YES NO

Collimation demonstrated YES NO

Appropriate tube angle/tube alignment used YES NO

Correct anatomical marker was appropriately placed YES NO

Film is diagnostic and does not need to be repeated (10 points) YES NO

Anatomy (10 points) _______/10

Total points (200 points) _______/200