School of radiologic technology


Columbus Technical College – Radiologic Technology Program



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Columbus Technical College – Radiologic Technology Program

Proficiency

Patient Transfer Techniques
Student Name: ______________________________________ Date: ___________________
Objective: to demonstrate proper wheelchair and cart transfer techniques

Procedure: on completion of this laboratory activity, the student will be able to:
Standby Assist Wheelchair Transfer YES NO

1. Position the wheelchair at a 45 degree angle to the table. 


2. Move the wheelchair footrests out of the way and be sure that the wheelchair 

is locked.

3. Instruct the patient to sit on the edge of the wheelchair seat. 
4. Instruct the patient to push down on the arms of the chair of assist in rising and

then stand up slowly 


5. Direct the patient to reach out and hold onto the table with the hand closest to

the table and then turn slowly until he or she feels the table behind him or her. 


6. Instruct the patient to hold the table with both hands and then sit down. 
Assisted Standing Pivot Wheelchair Transfer

1. Position the wheel chair at a 45 degree angle to the table with the patient’s

strongest side closest to the table. If the Patient has loose-fitting clothes,

place a transfer belt around the patient’s waist. 


2. Move the wheelchair footrests out of the way and be sure that the wheelchair

is locked. 


3. Direct the patient to sit on the edge of the wheelchair seat, providing assistance

as needed. 


4. Instruct the patient to push down on the arms of the wheelchair to assist in rising. 
5. Bend at the knees, keeping the back stationary, and grasp the transfer belt with

both hands. Block the patient’s feet and knees to provide stability, especially

for paraplegic and hemiplegic patients. 
6. Assist the patient in rising to a standing position. 
7. Ask the patient whether he or she is feeling all right. If the patient reports any

feelings of dizziness or exhibits any of the other signs of orthostatic

hypotension, let him or her stand for a moment until the feeling subsides. 
8. Pivot the patient toward the table until the patient can feel the table against the

back of the thighs. 


9. Ask the patient to support himself or herself on the table with both hands and

sit down, assisting as necessary. 


Two-Person Wheelchair Lift

1. Plan for the lift by locating an assistant who will lift the patient’s feet as you

lift the patient’s torso. 
2. Lock the wheelchair, remove the armrests, swing away or remove the leg rests,

and direct the patient to cross his or her arms over the chest. 


3. Stand behind the patient, reach under the patient’s axillae, and grasp the

patient’s crossed forearms. Direct the assistant to squat in front of the

patient and cradle the patient’s thighs in one hand and the claves in the other

hand. 
4. On command, lift the patient to clear the wheelchair and move the patient as

a unit to the desired place. 


Cart Transfer with a Moving Device

1. Move the cart alongside the table, preferably on the patient’s strong or less

affected side. Place it as close to the table as possible, and then secure

it by depressing the wheel locks. In addition, place sandbags or other

devices on the floor to block the wheels satisfactorily. 
2. Place the patient at an oblique angle away from the table while the moving

device is placed to the midpoint of the back. 


3. Return the patient to a supine position so that he or she is halfway onto the

moving device. 


4. Grab the draw sheet, and use it to move the patient slowly onto the table. 
5. Remove the moving device, turning the patient obliquely if necessary. 
Cart Transfer Without a Moving Device

1. Move the cart alongside the table, preferably on the patient’s strong or less

affected side. Place it as close to the table as possible, and then secure

it by depressing the wheel locks. In addition, place sandbags or other devices

on the floor to block wheels satisfactorily.  
2. Begin by rolling up the draw sheet on both sides of the patient. Be sure that the

draw sheet is completely under the patient and straightened before the transfer 


3. Support the patient’s head and upper body from the far side of the radiographic

table. Direct a second assistant to support the patient’s pelvic girdle from the

cart side and a third assistant to support the patient’s legs from the table side. 
4. Cross the patient’s arms over the chest to avoid injury or interfering with a

smooth transfer. 


5. Direct the second assistant supporting the pelvic girdle to stand on the

opposite side of the cart, and make sure that the cart does not move away

from the table during the transfer. 
6. On command, grasp the rolled up draw sheet and slowly pull the patient to the

edge of the cart. On a second command, slowly lift and pull the patient

onto the table. 

Comments: ______________________________________________________________________________


______________________________________________________________________________
______________________________________________________________________________

Evaluator’s Signature: ________________________________________________________________


Student’s Signature: __________________________________________________________________


Columbus Technical College

Proficiency

Monitoring Patient Vital Signs
Student Name: ______________________________ Date: ___________________
Objective: to measure a patient’s vital signs of temperature, pulse, respiration, and blood pressure.

Equipment:

  • Thermometer

  • Blood pressure kit

Procedure: On completion of this lab activity, the student will be able to:
Temperature – Oral Method

YES NO


_____ _____ 1. Place the oral thermometer under the patient’s tongue.

_____ _____ 2. Ensure that the thermometer is kept in place until a stable reading is

obtained.

_____ _____ 3. Read the oral thermometer and record the reading.


Respiration

_____ _____ 1. Measure a patient’s respiration by observing the patient’s chest or

abdomen for a 60 second period.

_____ _____ 2. Record the number of respirations per minute.


Pulse

_____ _____ 1. Measure a patient’s pulse rate at the radial artery near the wrist for 60

second period.

_____ _____ 2. Record the patients pulse rate per minute.


Blood Pressure

_____ _____ 1. Obtain a sphygmomanometer and stethoscope.

_____ _____ 2. Place the cuff of the sphygmomanometer on the patient’s upper arm

midway between the elbow and shoulder.

_____ _____ 3. Inflate the cuff above the systolic pressure to stop blood flow to the

arm.


_____ _____ 4. With the stethoscope placed over the brachial artery in the antecubital

fossa of the elbow, slowly release the cuff of the sphygmomanometer.

_____ _____ 5. When the first sound of blood flow is heard through the stethoscope,

record the systolic pressure reading.

_____ _____ 6. When the sound of blood flowing through the arm ceases, record the

diastolic pressure reading.

Comments: ________________________________________________________________________________________________________________________________________________

Evaluator’s Signature: _____________________________________________________

Student’s Signature: ___________________________________________________

Columbus Technical College

Proficiency

Proper Handwashing Technique
Objective: To demonstrate proper handwashing technique.
Equipment:


  • Sink

  • Soap

  • Toweling


Procedure: On completion of this lab activity, the student will be able to:
YES NO

_____ _____ 1. Approach the sink. Consider it to be contaminated. Avoid contact

with clothing. Use foot or knee levels when available. If not, use

toweling to handle all controls. Adjust water flow to avoid

splashing. Adjust water temperature to comfort.

_____ _____ 2. Wet hands thoroughly with water, keeping the hands lower than the

elbows.

_____ _____ 3. Apply soap. Soap should be available in liquid form and can be



applied by use of foot or knee levers.

_____ _____ 4. Use a firm, vigorous, rotary motion, beginning at the wrist and

working toward the fingertips. Rub the palms, back of the hands,

between the fingers, and under the nails.

_____ _____ 5. Rinse and allow water to run down over hands.

_____ _____ 6. Repeat the entire process to cleanse from the elbow to the fingertips.

_____ _____ 7. Turn off the water. Use toweling on handles if foot or knee levers are

not available.

_____ _____ 8. Dry from the elbow to the fingertips, never returning to an area.

Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________

Evaluator’s signature: _____________________________________________________

Student’s signature: _______________________________________________________



Columbus Technical College

Proficiency

Sterile Gloving Technique
Student Name: _________________________________ Date: ___________________
Objective: To demonstrate proper sterile technique for the closed and open methods of self-gloving and for gloving another person.
Equipment: Surgical gloves; Surgical gown
Procedure: On completion of this lab activity, the student will be able to:

Self-Gloving: Closed Method
YES NO

_____ _____ 1. Approach the sterile field with caution.

_____ _____ 2. Secure the first glove, keeping the fingers within the cuff of the gown,

if a gown is being used.

_____ _____ 3. Align the glove on the palm of the hand that will be gloved first with

the thumb side of the glove toward your palm and the fingertips

toward the elbow.

_____ _____ 4. Pull the cuff of the glove over the cuff of the gown.

_____ _____ 5. Unfold the cuff of the glove to completely cover the cuff of the gown.

_____ _____ 6. Grasp the glove and the gown at the wrist level.

_____ _____ 7. Work the fingers into the clove as the glove is pulled into position.

_____ _____ 8. Secure the second glove and apply using the same technique.

_____ _____ 9. Adjust the fingers until comfortable.
Self-Gloving: Open Method

_____ _____ 1. With the hands pushed through the sleeves of the sterile gown, pick up

the cuff of the dominant hand glove with the nondominant hand,

being sure not to touch the outside surface of the glove.

_____ _____ 2. Slip the dominant hand into the glove and pull the glove on by the

nondominant hand.

_____ _____ 3. Pick up the other glove by reaching under the cuff with the gloved

(and now sterile) dominant hand, being sure to touch only the

outside surface of the glove with the sterile gloved hand.

_____ _____ 4. Pull the glove onto the nondominant hand without touching the inside

surface of the glove (which is actually the outside surface of the

folded cuff).



Gloving Another

_____ _____ 1. After gloving using sterile technique, open the sterile package and

pick up the gloves.

_____ _____ 2. After informing the person being gloved which hand to use, grasp the

cuff and pull sideways to open the glove, with the thumb facing the

hand to be gloved. Be sure to have an extremely good grasp on the

cuff, as considerable force will be exerted when the hand is pushed

down into the tight glove.

_____ _____ 3. Direct the person being gloved to keep the thumb away from the

glove to avoid possible contact, and then put the hand in the glove

using a downward motion.

_____ _____ 4. Repeat the process for the other hand.

Comments:______________________________________________________________________________________________________________________________________
Evaluator’s Signature: _____________________________________________________

Student’s Signature: _______________________________________________________



Columbus Technical College

Proficiency

Pediatric Immobilization Techniques
Objective: To demonstrate proper techniques for pediatric immobilization
Equipment:

  • Pediatric patient or doll

  • Sheet

  • Pigg-O-Stat

  • Velcro restraint board


Procedure: On completion of this lab activity, the student will be able to:
Mummification Technique

YES NO


_____ _____1. Position the child in the center of a triangularly folded sheet so that the

shoulders are just above the top fold.


_____ _____2. Bring the left corner of the sheet over the left arm and under the body

so that about 2 feet of the sheet extends beyond the right side of the

body. Make sure the child is not lying on the left arm.
_____ _____3. Tuck the 2 feet of sheet over the right arm and under the body. Again,

make sure the child is not lying on the arm.


_____ _____4. Bring the remaining sheet over the body, tucking the sheet securely

under the left side of the body. Secure the sheet in place with tape.


Using Specialized Pediatric Immobilization Devices

_____ _____1. Position a pediatric patient in a Pigg-O-Stat for an AP chest radiograph.


_____ _____2. Position a pediatric patient on a Velcro strap restraint board.
Comments: ________________________________________________________________________________________________________________________________________________________________________________________________________________________
Evaluator’s Signature:______________________________________________________
Student’s Signature: _______________________________________________________


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