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Courtney Nance

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Final Clinical Reflection

Each clinical site provided diverse experiences that complimented many areas of
learning. Dixie Regional Medical Center is a fast paced work environment with many
employees and patient exams. I was able to apply critical thinking skills due to experience in the
Emergency Department, Intensive Care Unit, Operating Rooms, portable exams and trauma
cases. Working with many radiologic technologists I used many different methods and tips to
determine what routine worked best for me. I enjoyed time in Fluoroscopy and the OR, because
learning new skills is a goal I always strive for. I realized while working in the OR with the
surgeon how much imaging is relied on. This recognition made me appreciate my work and
effort in providing optimum images. Dixie Regional enabled me to experience all types of exams
with a large work volume.
At Valley View Medical Center I enjoyed being able to perform x-ray, fluoroscopy,
DEXA, and OR procedures at any time instead of being scheduled shifts weeks apart and
forgetting how to perform special exams. Also, I was able to work directly with the radiologists
during fluoroscopy procedures whom were helpful with any questions. I became experienced in
spine exams due to a referring spine doctor at VVMC. This was the only site I had practice with
a pigg-o-stat and the NICU which is helpful in adding to my technologist skill set.
At River Road Health Clinic I was able to focus more on my technique settings due to my
better knowledge level of positioning procedures. The technologists wanted me to succeed and
worked with me to improve. A lot of my confidence was boosted here because of the positive
work environment and the technologists letting me perform exams on my own and only
intervening if I asked for help or was doing something wrong. I began to understand the reason

Courtney Nance

for performing the exams and could catch mistakes in orders due to patient questioning. I began
to critique my image to see if it was acceptable to send instead of the technologist approving it
for me. I was at this site during the summer four days a week which enabled me to greatly
improve my skills.
At Zion Orthopedics I worked with only one technologist which enabled me to focus on
any areas I needed improvement in. Being an orthopedic office we mainly performed exams on
upper extremities and some lower extremities. Although we had repetitive exams, each one was
different depending on the patients abilities. I applied critical thinking by using alternate
resources like tape, sponges, straws, tourniquets, etc. to achieve at least two different views. My
work at Zion gave me experience to help competently when a patient walks in with a fractured,
recovering, bruised, sore, recently out of surgery, splinted, casted, or no mobility body part.
When I had any question about an exam or what I was viewing on an x-ray I could go right to the
surgeon or physicians assistant to answer my question. I felt like I was working with the doctors
to help the care of the patient where in hospitals you are not able to see that end of the spectrum.
Also, returning patients were helpful in seeing the healing process of our bodies and improving
my image critiquing skills. I was able to review the image more at this clinic site and determine
with my technologist if we needed different views or no x-rays at all. We also used certain
markers at this site for pre-surgery images and used different views. The technologist was willing
to let me experiment with different technique settings, positioning, and procedures to obtain a
better image. I was able to learn by always thinking of how to better improve an image.
During the special modality rotations I was able to apply what we learned in class about
each modality. I spent time in Magnetic Resonance Imaging, Ultrasound, Computed Tomography
and Radiation Therapy. Seeing the exams first hand and working with the technologist broadened

Courtney Nance

my knowledge and it was interesting to see imaging in other ways besides radiation. I learned
more about different pathologies, the cause behind them, and why that certain modality was best
for it. It was also interesting to see the therapeutic side of imaging in radiation therapy. I learned
about different cancers and how the treatment of each condition was related to the patients
anatomy. Meeting different technologists in each modality helped to see why they were
passionate about their work. The special modality rotation was a valuable experience.
At the beginning of my clinical experience I was overwhelmed by not knowing how to
perform every exam. I then realized I needed to take one step at a time and slowly progress my
knowledge focusing on one area at a time. Communication became apparent in successful exam
follow through. I tend to talk quiet and mumble when Im thinking about the next step in an
exam which created communication barriers. I am now paying more attention to my speech and
non-verbal actions to create a better environment. This has helped with patient cooperation by
being informed and comfortable.
My confidence level from the first day of clinic forard has grown tremendously. Aside
from my knowledge of positioning and techniques, I have become more comfortable in talking
with patients and explaining steps to them through the whole exam. Making the patient feel
comfortable is key to cooperation and obtaining an optimum exam. Whether geriatric or
pediatric, patients are unfamiliar with x-ray equipment and are already anxious about the
possibility of a disease. Through becoming more confident I am able to relax and think critically
about different positions or techniques that are needed. I am able to perform an exam at a faster
pace without forgetting important steps like applying ALARA. What has helped me most is
applying tips from technologists and the desire to perform well. The ability to attend various
clinic sights with different equipment is an advantage by being prepared to work in any setting.

Courtney Nance

Through this clinical experience I have become more independent, prepared and confident when
faced with a new circumstance.