Intermediate Radiographic Procedures Syllabus for 2021-2022
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Instructor Information

Office Location

West Campus Allied Health 128

Office Hours

Monday 11-12

Tuesday 8-12

Wednesday 11-3

Thursday 8-12

Friday 11-12

Course Information

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RADR-2401-001 Intermediate Radiographic Procedures


Prerequisite: RADR 1411

Course Description

A continuation of the study of the proper manipulation of radiographic equipment, positioning and alignment of the anatomical structure and equipment and evaluation of images for proper demonstration of anatomy.

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Department Expectations

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Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:

Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact:

Melodie Graves
Justice Involved Advocate
Student Service Center 117
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You can also contact the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.


(4 sem hrs; 3 lec, 3 lab)

Class Type

On Campus Course

Syllabus Information



           8th. edition, By Bontrager
2. Radiographic anatomy and positioning workbook
            By Bontrager






Students will need notecards. Size doesn't matter, but you will be handwriting information on them.

Student Performance

During this course the student will learn to “POSE’ the body into all fundamental positions which deal with spines, barium work, and the skull. The student will also learn to critique finished radiographs of the same body parts. This course is included as a requirement for all radiography majors so that the graduate will have a working knowledge of the basic anatomy and procedures necessary to produce quality radiographs.

End-of-Course Outcomes: Manipulate equipment; perform intermediate level procedures in positioning; align anatomical structures and equipment; and evaluate images.


After completion of RAD 2401, the student should...
1. Know basic positioning terminology
2. Know the anatomy which is pertinent to each body part studied
3. Know pertinent topographical anatomy
4. Know how to align each body part over the image receptor
5. Know how to manipulate the radiographic equipment, especially the central ray
6. Be able to identify and correct film errors pertinent to the body parts being studied
7. Be able to correlate the use of Trauma, Portables, Surgery, Pediatric & Angiography and Interventional Procedures into the overall patient evaluation.



Given the text book, workbook, lecture notes, audio visuals, and lab. experiences,  the student will be able to demonstrate with a 75% accuracy rate knowledge over the following objectives.


Chapter 15 Objectives, Trauma, Mobile and Surgical Radiography



  1. Describe the two primary types of mobile radiographic units and their operating principles.
  2. Explain the features, operating principles, and uses of mobile fluoroscopy units
  3. Describe the difference in exposure field levels with different orientations of the x-ray tube and intensifiers with the C-arm.
  4. Explain why the AP  projection orientation of the C–arm is not recommended.
  5. Explain the three positioning principles that must be observed during trauma radiography.
  6. Define and apply terms for specific types of fractures and soft tissue injuries.
  7. List the projections taken for a post-reduction study of the limbs, including open and closed reductions.
  8. List projections for trauma and mobile procedures of the chest, bony thorax and abdomen.
  9. List projections for trauma and mobile procedures for various parts of the upper and lower limbs.
  10. List projections for trauma and mobile procedures of the cervical thoracic and lumbar spine.
  11. List trauma and mobile procedures for the skull and facial bones.
  12. List the essential attributes of an effective surgical technologist.
  13. Describe the role of the various members of the surgical team.
  14. Differentiate between sterile and non-sterile environments in the surgical suite.
  15. Define surgical asepsis and describe methods and procedures to protect the integrity of the sterile environment.
  16. Describe surgical garb that must be worn by the technologist before entering the operating suite, pre-surgical area, and recovery.
  17. Explain the preparation, cleaning and safe use of radiographic equipment in surgery.
  18. Describe common radiographic procedures performed in surgery (cholangiography, urinary tract procedures, orthopedic procedures, spinal procedures, and thoracic procedures), including required equipment, the role of the technologist, and surgical equipment and devices used during the procedures.
  19. Match common surgical terms, orthopedic devices and procedures to their correct definitions.


Chapter 16 Objectives, Pediatric Radiography


  1. List the steps and process of the technologist’s introduction to the child and parent and the potential role of the parent during the child’s examination.
  2. Define the term non-accidental trauma (NAT) and describe the role of technologists if they suspect child abuse based on individual state guidelines.
  3. List the five categories of child abuse.
  4. Identify the more common commercial immobilization devices and explain their function
  5. List the most common types of ancillary devices used for immobilization.
  6. List the four steps of “mummifying” an infant.
  7. Define terms relating to bone development or ossification and identify the radiographic appearance and the normal stages of development of secondary growth centers.
  8. Identify methods of reducing patient and guardian doses and repeat exposures during pediatric procedures.
  9. Identify alternative imaging modalities and procedures performed on pediatric patients.
  10. List the common pathologic indication for radiographic examinations of the pediatric chest, upper and lower limbs, pelvis and hips, skull and abdomen.
  11. For select forms of pathology of the pediatric skeletal system, determine whether manual exposure factors would increase, decrease, or remain the same.
  12. Describe positioning, technical factors, shielding requirements, and immobilization techniques for procedures of the chest, skeletal system and abdomen.
  13. List general patient preparation requirement for procedures of the pediatric abdomen, including specific minimum patient preparation requirements for  the upper GI, lower GI. And genitourinary procedures.
  14. List the types and quantities of contrast media based on age as recommended for upper GI, lower GI, and genitourinary procedures.
  15. Discriminate between acceptable and unacceptable radiographs and describe how positioning or technical errors can be corrected.


Chapter 17 Objectives, Angiography and Interventional Procedures


  1. List the divisions and components of the circulatory system.
  2. List three functions of the cardiovascular system.
  3. On drawings, identify the components of the pulmonary and general systemic circulation.
  4. Identify the four chambers of the heart, associated valves, and coronary circulation.
  5. List and identify the four arteries supplying blood to the brain and the three branches arising form the aortic arch.
  6. List the major branches of the external and internal carotid arteries and the primary divisions of the brain supplied by each.
  7. On drawings, identify the major veins of the neck draining blood form the head and neck region.
  8. List the major venous sinuses found in the cranium.
  9. List the four segments of the thoracic aorta and describe the three common variations of the aortic arch.
  10. List and identify the five major branches of the abdominal aorta.
  11. List and identify the major abdominal veins.
  12. List and identify the major arteries and veins of the upper and lower limbs.
  13. List four functions of the lymphatic portion of the circulatory system.
  14. Identify the six steps for the Seldinger technique.
  15. Identify the equipment generally found in an angiographic room.
  16. Identify the pathologic indications, contraindications, and general procedure for cerebral angiography.
  17. Identify the indications, catheterization technique, and general procedure for thoracic and abdominal angiography.
  18. Identify the pathologic indications, contraindications, and general procedure for peripheral angiography.
  19. Identify specific examples of vascular and nonvascular interventional procedures.


Chapter 19 Objectives, Special Radiographic Procedures.



  1. Identify the purpose, indications, patient preparation, equipment, general procedure, and the positioning routines related to knee arthrography.
  2. Identify the purpose, indications, patient preparation, equipment, general procedure, and the positioning and imaging sequence related to shoulder arthrography.

Postoperative Cholangiography

     1. Identify the purpose, indications, patient preparation, equipment, contrast media, and injection process associated with T-tube or delayed cholangiography.


    1. Define Endoscopy and ERCP

    2. Identify the purpose, indications, contraindications, patient preparation, equipment, contrast media and injection process associated with ERCP.


  1. Identify specific aspects of the female reproductive system.
  2. Identify the purpose, indications, patient preparation, equipment, general procedure, and the positioning routines related to hysterosalpingography.



  1. Identify the purpose, indications, contraindications, equipment and general procedure related to myelography.    
  2. Identify positioning routines performed for lumbar, thoracic and cervical myelography.

Long Bone Measurement, Bone survey

  1. Explain the purposes of these procedures.
  2. Identify the specific positioning and procedure for long bone measurement
  3. Identify the x-rays included on a bone survey and when they may be done with relevance to metastatic disease.

Students Rights and Responsibilities

Student Rights and Responsibilities

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In order to receive your AC Connect Email, you must log in through AC Connect at .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

No disruptive behavior will be tolerated. No electronic communications devices ie: telephones, pagers, etc. without prior permission of the instructor.

The instructor wishes to encourage any student having questions about the course content to ask questions during class time so that all may share the information. If the student is having a particular problem with the course material, he or she is welcome to seek assistance from the instructor outside of class time in the privacy of the instructor's office. Likewise, Amarillo College offers a FREE peer-tutoring service for students with course difficulties. Inquiries for tutoring in this manner should be made to the ACcess Center in the library on the Washington street campus.
Each student is reminded to refer to the "Student's Rights and Responsibilities" publication for more information.



Procedure for Communicating and Resolving Student Concerns


A student who has a grievance concerning an academic course in which he or she is enrolled should make an appeal in the following order to the:

1. Instructor.
2. Department Chair/Program Director.
3. Associate Dean of Health Sciences

4. Dean of Health Sciences

5. Associate VP of Academic Affairs.
6. Vice President of Academic Affairs.
7. College President.


The purpose of this policy is to secure at the first possible level prompt and equitable resolution of student complaints, including those alleging discrimination on the basis of race, religion, color, sex, national origin, age, or disability.

The student may be represented at any level of the complaint.

Discrimination Complaints
Any student who believes that he or she has been discriminated against on the basis of race, religion, color, national origin, sex, age, or disability by the institution or its personnel may informally discuss the complaint with the Associate Vice President of Student Affairs with the objective of reaching a reasonable solution. The Associate Vice President of Student Affairs shall advise the student of his or her options in the situation and notify the Director of Administrative Services/Human Resources of the College.

If the aggrieved student believes the complaint has not been resolved at the informal discussion, he or she may submit a written complaint stating his or her name, the nature and date of the alleged violation, names of persons responsible (where known), names of any witnesses, and requested action within 30 working days of the date of the informal discussion, to the Vice President of Student Affairs. The Associate Vice President of Student Affairs shall ensure that the aggrieved student’s rights to appropriate due process procedures are honored. If a hearing is held, the Vice President of Student Affairs and the Associate Vice President of Student Affairs shall conduct the hearing. The Vice President of Student Affairs and the Associate Vice President of Student Affairs will consult with the College legal counsel and render a decision in writing on the complaint within ten working days. If this decision is not to the student’s satisfaction, he or she may appeal the decision to the Vice President of Student Affairs within ten working days of the receipt of the written decision according to procedures at Level Two below.


Level One
A student who has a complaint may either request a conference with the Associate Vice President of Student Affairs or submit the complaint in writing. Written complaints may be initiated at the following location:

Level Two
If the outcome of the conference with the Associate Vice President of Student Affairs is not to the student’s satisfaction, the student has 15 calendar days to request a conference with the academic division chair or Vice President of Student Affairs, as appropriate, or designee(s), who shall schedule and hold a conference. Prior to or at the conference, the student shall submit a written complaint that includes a statement of the complaint and any evidence or witnesses in its support, the solution sought, the student’s signature, and the date of the conference with the division chair or Associate Vice President of Student Affairs.

Level Three
If the outcome of the conference at Level Two is not to the student’s satisfaction, the student has 15 calendar days to request a conference with the College President or designee, who shall schedule and hold a conference. Prior to or at the conference, the student shall submit the written statements required at Level Two and the date of the conference with the Vice President of Student Affairs.

After exhausting Amarillo College’s grievance/complaint process, current, former, and prospective students may initiate a complaint with The Texas Higher Education Coordinating Board. Directions are available at the following location:


Grading Criteria


This course will consist of four types of activities that will be graded and receive course credit:
       1.  LAB PARTICIPATION-Notecards and Workbooks will be checked randomly.--10%
       2. LAB QUIZ-A ten to fifteen minute examination consisting of 10 to 20 questions.--20%
       3. MAJOR EXAMINATION- A 45-60 minute examination consisting of 25 to 100+ questions. (announced in daily schedule).--35% The lab exam will also count as a major exam. This will be a 30 minute lab practical exam done near the end of the semester. The group presentation will also count as a major exam grade.
       4. FINAL COMPREHENSIVE EXAMINATION-100 to 250 questions 90% from previous test and 10% new material. --35%
All grades will be posted through Blackboard. If the student suspects a discrepancy on the report, he or she must contact the instructor immediately. If you fail a test you must have remediation before you will be permitted to take the next exam. This remediation may be in the form of class remediation, worksheets, a personal meeting with the instructor, or mandatory time in the tutoring center as deemed necessary. It is the responsibility of the student to complete/attend a tutoring session or activity before the next exam. Students who fail to attend a mandatory tutoring session will not be allowed to take the next exam until a session is completed and proof of such turned in to the instructor.
The following grade scale shall apply during this course:
A= 91.5 - 100     B= 82.5 - 91.4                   C= 74.5- 82.4       F= 0   - anything below 74.5
A grade of “D” is not possible in this course!
It is not possible to raise a failing grade at the end of the course by asking for extra work to raise your failing grade. I encourage each student to put forth extra effort from the start of any course.


Pop quizzes cannot be made up, however, major examinations may be completed for partial* credit if done so within one school day immediately following the original deadline and with prior notification to the instructor that the major exam will not be done at the scheduled time.
*Partial credit refers to 80% of the original maximum point value.
e.g. Jane Doe has taken a 100 point major examination at an unscheduled time or late due to an absence. She scores 90%. However, since the work is late, she will only receive 80% of that score or 72% (90x.80=72)
Furthermore, if a “curve” has been provided, late work will NOT receive the benefit of the curve. Any scored activity not completed in accordance with these policies shall be scored as ZERO credit and will be averaged as such into the final course grade. 
Note: Students who are present for a class must be prepared to submit any scored activities required at the beginning of the class period. (Example, note cards.) This includes a “pop quiz” or out-of-class assignment. Students should come to all classes prepared to fully participate in the scheduled activities both in Lecture and Lab activities.

Remote testing rules:

     1. You are required to do an environment check by moving your camera all around your testing area.

     2. No smart technology allowed in the same room, other than the computer on which you are testing. (no tablets, smart watches, etc).

     3. You may not leave the room for any reason during the exam.

     4. If you are booted off the exam, you may retrieve your phone because you must take a screen shot of what it shows when it boots you off and send it to the instructor immediately.

     5. If you are booted off, you must immediately attempt to log back in to the exam.

     6. No two students (or more) may test in the same room at the same time. Each student should be alone while testing.

Failure to comply with any of the above rules will result in a 10 point reduction in the test grade for EACH infraction. For example, if you get booted off and wait 30 minutes to log back in (which the instructor can monitor) and you don't take a screen shot and send it to the instructor, that will result in a 20 point reduction of your test grade. If you are sick and think you may need to leave to go to the restroom, do NOT begin the exam. Contact the instructor to work out a different time to take the exam.


Cheating: Cheating on any assignments, quizzes, or exams will not be tolerated. Having a smart device on your person during an exam is considered cheating. This course has a zero tolerance policy for cheating. If you are suspected of cheating you will automatically be given an F for your final course grade. The instructor also has the option to remove you from the program without the possibility to re-enroll at a later date (per the Student Handbook, "Course Ethics" section).







Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend class.
Students who do not have more than 1 absence during the course will have will have one (1) of their lowest pop quiz scores dropped. Students with  two absences will not have any of their lowest pop quiz scores dropped.
Absences include, regardless of the reason, coming to class/lab 15 minutes after the scheduled start of the class or leaving class 15 minutes before the class is dismissed. Missing three (3) labs in one semester is unacceptable. There is not enough time in the semester to make up three labs. Therefore, if someone misses three (3) labs, they would need to retake the course. A grade of F for the course will be given on the third lab absence.
Attendance policy for lecture also applies to lab sessions and these will be added for a total number of absences. Therefore it is very important that every effort be made to not miss any labs. The lab you miss may cover the material needed for you to function in the clinical area. Missed labs may be made up during subsequent labs that week, but only with prior approval from the instructor. If a lab cannot be made up during the same week, you must make arrangements to come in during open lab to make it up. Missed pop quizzes during lab can not be made up and will be counted as a zero. Admittance to lab requires that you bring your completed Skills Attainment Checklist, Note Cards, Textbook, Workbook and Radiation Dosimeter.





Intermediate Radiographic Procedures  - Spring 2021 Daily Schedule


Date/ Week



Jan. 17   Week 1

No Class

School Holiday--No labs

   Jan. 24  Week 2  Lecture Chapter 9   Lumbar Spine

Jan. 31   Week 3

Test Chapter 9

Lecture Chapter 10

Bony Thorax

Feb. 7    Week 4

Test Chapter 10

Lecture Chapter 12

Upper GI

Feb. 14   Week 5

Test Chapter 12

Lecture Chapter 13

  Lower GI

Feb. 21   Week 6

Review Chapter 13

Lower GI

Feb. 28   Week 7

Test Chapter 13

Lecture Chapter 14

Urinary System

March 7    Week 8

Test Chapter 14

Lecture Chapter 11

 Basic Skull

Get Group presentation Assignments

Mar.  14

Spring Break

Spring Break

Mar. 21    Week 9

Test Basic Skull

Lecture Facial bones, nasal bones

Facial bones, nasal bones, zygomatic arches, orbits

Mar. 28     Week 10

Review Facial bones, nasal bones, etc.

   Facial bones, etc.

Apr 4     Week 11

Test Facial bones, nasal bones, zygomatic arches & orbits

Lecture sinuses, mandible, TMJs

Sinuses, Mandible, TMJs

Apr. 11      Week 12

 Test--Sinuses forward

Student Lecture Chapter 15 & 16

     No Labs...Good Friday

Apr. 18  Week  13

Test Chapters 15 and 16

Student lecture Chapter 17 & 19

 Practice for Lab Exams

Apr. 25  Week 14

Test Chapter 17 & 19

Lab Exams

May 2    Week 15

No class

No Lab

May 9   Week 16

Final Exam. 9:00-11:00

Chapters 15, 16, 17, & 19 will not be included on the final exam.


This schedule is subject to change. Changes will be posted on the Course Website.

Additional Information

The instructor maintains the right to make decisions concerning policies, based on individual circumstances.  These individual decisions should not be taken as general policies that apply to all students. 

If you need help with any personal issues during the semester such as food, clothing, or rent, please visit this website to find resources for help:

Syllabus Created on:

12/15/21 12:50 PM

Last Edited on:

05/25/22 1:26 PM