RA Procedures IV

Course Details

Course Number
RADS 5453
Section Number
RADS 5453
Summer I 2012
Bridwell Hall
Classroom Number
Days & Times

Hybrid Distance Education Course- Internet and on -campus requirements

Dr. Richard Redd (view Profile)

Course Attachments


Course Objectives

Course Overview:

This course prepares the radiologist assistant for clinical procedures involving patient preparation, fluoroscopy, and filming for selective invasive procedures.



Course Objectives:    Upon completion of this course, a student will be able to:


  • Describe the basic concepts of reviewing radiographic images of invasive procedures.
  • Identify indications for appropriate invasive procedures.
  • Radiographically identify common pathologies demonstrated on invasive procedures.
  •  Perform common invasive procedures.

Course Expectations



Students can proceed through the course content at their own pace within the boundaries set by the Course Schedule and the MSU Academic Calendar.  Quizzes may not be posted until the due dates.  See the Course Schedule for specific information about activities and due dates.




Blackboard Open Book Module Quizzes - 20%


Module 1:  General Patient Care

Module 2:  Vascular & Invasive Procedures

Module 3:  Other Invasive Procedures


Each module has a quiz.  Students should complete the reading assignments before attempting the open book module quizzes.  See the separate Reading Assignments link on Blackboard.  See the Course Schedule at the end of this syllabus for specific information about module quiz due dates. 


When a student has reviewed a module and is ready for the quiz, he or she will log on to Blackboard and receive a customized timed module quiz consisting of randomized multiple choice questions.  Students may take quizzes ahead of schedule but MUST complete them by the scheduled deadlines on the Course Schedule at the end of this syllabus. 


The information covered during seminar days will be included on the module quizzes.


It is important to know the module content before attempting the module quizzes because they are timed.  Students who do not complete module quizzes before the deadlines listed on the Course Schedule at the end of this syllabus will have points deducted from their Class Participation grade.  Quiz scores will be available through Blackboard after they have been graded.


If students have technical difficulties during a quiz, they should use the "Help" link at the top toolbar in Blackboard, contact the MSU Information Systems Support Staff, and send an email to the course instructor explaining what happened.


If a student finds a faulty quiz test item or believes that a quiz question has been scored incorrectly, he or she should send an email to the course instructor ( that includes the following:


  • Module Quiz Number (I –III)
  • Question Stem
  • Answer Scored as Correct by the Computer
  • Answer the Student Thinks Should be Correct
  • Rationale Supporting Why the Student's Answer is Correct
  • Page numbers must be included when referencing the textbook in a rationale


For example, a student can not send the message "I think question number ten is wrong on quiz four" because each student gets a quiz of randomly generated test items.  The instructor has to know the question stem to find the question in the database. 


After reviewing the case, if the course instructor thinks a revision is justified, the student's quiz score will be revised to reflect the additional points and the test bank will be updated.  It may take several weeks for the student to receive a response because the instructor works on batches of questions for a particular quiz at a time.




Module Presentation – 20%


Students will teach their classmates about specific invasive procedures from the perspective of what a radiologist or radiologist assistant would need to do during the procedure, instead of from the perspective of what a technologist would need to do.


Students are encouraged to use textbooks and captured images, and Internet or other external resources will produce a PowerPoint presentation about their module content.  Students should provide handouts for their classmates.  Student presentations should be at least 50 minutes in length.  Presentations should be INTERACTIVE.  Students should NOT read their presentations to the group.




  • Vascular
    • Non-tunneled venous central line placement
    • PICC
    • Venous catheter placement for dialysis
    • Port injection
    • Venogram (lower extremity)
  • Musculoskeletal
    • Lumbar punctures
    • Myelograms
    • Joint aspiration, injection
    • Arthrogram
    • Vertebroplasty
  • Biopsy & -Centeses
    • Soft tissue mass biopsy
    • Breast biopsy including needle locallization
    • Bone biopsy
    • Thoracentesis
    • Paracentesis
  • Tube & Anatomical Injections & Drainage
    • Cholangiogram
    • Ductogram
    • Nephrostogram
    • Loopogram
    • Fistulogram
    • Sinogram
    • Hysterosalpingogram
    • Abscess Drainage



The modules will include graphics and Internet links.  The outline for each procedure will include AT LEAST the following clearly marked sections:


            I.  Indications for the Procedure

(patient history, medications, clinical symptoms, other studies, lab indications, etc.)

            II.  Contraindications for the Procedure

(patient history, medications, clinical symptoms, other studies, lab indications, alternative studies, etc.)

            III.  Patient Preparation

(pre-medications, diet, consent form, etc.)

            IV.  Patient Education

(sample narrative of how the procedure would be explained)

            V.  Supplies & Special Equipment

(sterile tray set-up, contrast media, imaging equipment, & other)

            VI.  Precautions

(radiation protection issues, risks, etc)

            VII.  Patient Positions / Interactions

            VIII.  Step by Step Procedure

            IX.  Post Procedure Protocol

(patient instructions, complications, etc.)

            X.  Images

(normal & comparative common pathological findings)

            XI.  Sample Normal Dictation



Participation – 10%


Students must participate in class activities, projects, and discussions.  Students complete most course requirements by working independently from the instructor and classmates.  Evidence of class participation includes:  responding to emails, taking quizzes and the final exam on or before the scheduled deadlines, participating in online discussions, and submitting the assignments in a timely manner.  Students should participate in the online discussions at least once every other week throughout the semester.  Discussion topics can be posted by students or by the instructor. 




In-Class Image Review – 30%


Students will participate in a "hot seat" for image observation during seminar classes.  Various faculty members will display randomly selected images and the students will describe what they observe on those images.  Radiographs will primarily focus on procedures covered this semester, but may include chest and abdomen, musculoskeletal, GI, and GU images as a review.


By this time in the RA curriculum, students MUST demonstrate competence during in-class image reviews.  Students who perform at lower than a grade level of B on the image review will have to repeat the image review.  The online repeat image review will be proctored and timed.  Students who do not achieve a minimum of grade level B on the repeated review, will not successfully complete this course, and consequently, can not continue in the RA program.



Comprehensive Closed Book Final Exam - 20%


The comprehensive proctored closed-book final exam will be administered using Blackboard on or before August 4, 2011.  Each student must have a proctor and test site approved by the course instructor by the date on the course schedule. 



Typically acceptable proctor sites and candidates include: 


  • College or University Testing Centers
  • Officials at military base education offices
  • Commercial testing services such as Sylvan, Thomson-Prometric, or Pearson VUE Testing Centers are NOT accepted as testing centers.


The exam site must have reliable Internet connections and should have at least two Internet browsers available (Netscape Navigator and Microsoft Explorer).  Sites with extensive firewalls and high security mechanisms may not work for testing.  Please test to be sure you can connect to Blackboard before committing to a proctor site.  High speed connections are more desirable than traditional phone line connections.  The site must support an independent phone line in addition to the computer connection so that calls can be made while the student is connected online.  The proctor must have moderate computer expertise including the ability and authorization to reboot the remote computer.  The student is responsible for any fees proctors charge for their services. 


Even if someone has served as a proctor in previous courses, he or she will not be accepted as a proctor for this course if he or she does not meet these criteria.  Proctor emails will only be sent to commercial or educational email addresses.  Proctor approval is at the discretion of the course instructor.


The proctor form is available in .pdf format from Blackboard.  The proctor forms for this course have been redesigned so please use the appropriate proctor forms.   Students should review the form and get the proctor information ahead of time.  Students should then open the Adobe PDF file and type the required information in the boxes on the forms.  Students should print the forms and have the proctor sign the forms.  The students should then fax the forms to the course instructor (Fax Number 940-397-4845). 


Each student can set his/her exam appointment anytime between 9am and 9pm.  It is better to take the exam during normal working hours to be sure that MSU Technical Support will be available.  The course instructor will provide the examination password to the proctor by email. 


The instructor may be available by phone and email during the exam time in case there are technical difficulties with the electronic version of the exam.  If there are any problems during the exam, the proctor should call the course instructor (Toll Free 866-575-4305, Direct 940-397-4083, Cell 940-249-0100) If the instructor is not available, contact MSU Technical Support through MSU Blackboard, and send an email to the instructor explaining what happened.  The exam may have to be rescheduled. 

Grading Standards

Grading / Evaluation:


Blackboard Open Book Module Quizzes                                     20%

Module Presentations                                                                20%

Participation                                                                              10%

In-Class Image Review                                                               30%

Comprehensive Closed Book Final Exam                                   20%     


A = 90 = 100

B = 80 – 89

C = 70 – 79

D = 60 – 69

F = Below 60

The last opportunity to drop this course with a grade of "W" is 4:00pm July 8, 2011.  Refer to the Undergraduate Bulletin for details about receiving a grade of "Incomplete" in a course.  In an emergency or extenuating circumstance, a student may request a grade of "Incomplete" in a course before grades are submitted.  If the instructor grants the "Incomplete," the student has until thirty (30) days after the beginning of the next long semester to complete the course requirements.  If the student does not complete the course requirements within the deadline, the grade of "Incomplete" will automatically convert into a grade of "F." 

Submission Format Policy

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Plagiarism Policy

Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception.

Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters.

We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student.

We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed.

Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, (940) 397-4140.

Safe Zones Statement

The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor

All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements


This is a hybrid distance education course.  Because of the unique distance learning format for this program, students must be present for both on-campus seminars to receive a passing grade.  There are no exceptions to this policy.  


Students must also be vigilant in checking email and logging onto Blackboard to insure that messages from the instructor are received in a timely manner.


Other Policies







May 29

MSU Summer Session Classes Start

July 14-15

On-Campus Seminar Classes

Student Presentations

In-Class Image Review

Quizzes / Exam on or before:

June 7

RA Presentation topics due

June 14

Module 1 Quiz

July 5

Module 2 Quiz

July 19

Proctor Applications Due

July 26

Module 3 Quiz

Before or on August 2

Comprehensive Closed Book Final Exam

(comprehensive for this course plus comprehensive for all previous courses – chest, abdomen, musculoskeletal, GI, GU)




Administrative Process:

 Unresolved issues related to this course should be first addressed between the student and the course instructor.  If there is no resolution, students must follow this sequence: 

Department Chair – Dr. Donna Wright (940-397-4615)

College Dean – Dr. James Johnston (940-397-4594)

Dean of Students – Dail Neely (940-397-6273) 

Communication with Instructor:

 Contact information for the instructor is listed at the beginning of this syllabus.  Email is the preferred mode of communication.  It is critical that students report all email changes immediately to the instructor.  The instructor will respond or at least acknowledge email messages from students within a maximum of five (5) business days when MSU is in session.  Beyond standard university holidays and breaks, the instructor will notify students of any extended periods of time when email contact is not practical (professional meetings, etc)



Writing Proficiency Requirement

All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed the 6 hours of Communication Core and and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at, or call 397-4131.

Campus Carry

Senate Bill 11 passed by the 84th Texas Legislature allows licensed handgun holders to carry concealed handguns on campus, effective August 1, 2016. Areas excluded from concealed carry are appropriately marked, in accordance with state law. For more information regarding campus carry, please refer to the University’s webpage at

If you have questions or concerns, please contact MSU Chief of Police Patrick Coggins at