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JOB TASK ANALYSIS. Stanislaus County. Radiology Tech I,II,III. CEO-Recruitment Unit

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JOB TASK ANALYSIS

Employer: Stanislaus County Occupation: Radiology Tech I,II,III Company Contact: CEO-Recruitment Unit

Date: June 2001

Analysis Provided By: Lyle Andersen, PT, CWCE

Andersen & Baim Physical Therapy, Inc.

3500 Coffee Road, Suite 3

Modesto, California 95355

(209) 549-4626

INTRODUCTION:

The job description for this document was provided by Stanislaus County. The environmental factors, physical and functional demands for this Job Task Analysis were documented by Andersen & Baim Physical Therapy, Inc. The methodology for documentation consisted of on-site visits, using various measuring devices such as dynamometers and scales, as well as observation and interviews with employees and managers. A detailed record was made of the physical and functional demands of the job in terms of force pounds, weight, frequency, height, distance, anthropometric measurements, stamina, and degrees of range of motion. The determination of the frequencies of functional activities are based on standards provided by the National Institute for Occupational Safety and Health (NIOSH) and the Work Practice Guide for Manual Lifting (U.S. Department of Commerce, National Technical Information Service).

The Job Task Analysis is organized as follows: General work description and specific duties; safety requirements; uniform/equipment; required job-related knowledge, education, ability, and experience; union; environmental factors; and physical/functional demands.

The Job Task Analysis is organized as follows: General work description and specific duties; safety requirements; uniform/equipment; required job-related knowledge, education, ability, and experience; union; environmental factors; and physical/functional demands.

Chief Executive Office – Recruitment Unit

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P.O. Box 1723, Modesto, CA 95354 Phone (209) 525-5710 Fax (209) 525-5779

GENERAL WORK DESCRIPTION:

The frequency of the following activities may vary according to the physical requirements of the specific job tasks that the employee may be required to perform at periodic intervals.

Under the general supervision of the department manager, the Radiology Technologist I,II, operates a variety of radiological equipment for diagnostic and treatment purposes. The Radiology Technologist III, operates a variety of radiological equipment for diagnostic and treatment purposes, including those of a more sophisticated nature.

SPECIFIC DUTIES:

Radiology Technologist I,II

1.) Performs routine skeletal, fluoroscopy and portable x-ray exams. 2.) Loads cassettes, develops and processes x-ray films.

3.) Records information and completes all paperwork for each patient. 4.) Assists radiologist in performing fluoroscopic examination. 5.) Administers portable x-ray examinations in the urgent care. 6.) Performs special procedures including C-ARM procedures. 7.) Schedules radiology procedures when requested.

8.) Sets up films for Radiologist’s review.

9.) Insures that all safety rules and procedures are followed in the use of radiation-emitting equipment or substances in compliance with accepted standards as published by state and federal rules and

regulations.

10.) Maintains rooms with adequate supplies in an orderly fashion. 11.) Performs minor equipment repairs.

Radiology Technologist III-

1.) Performs a variety of technical procedures that require independent judgment and initiative. 2.) Loads cassettes, develops and processes x-ray films.

3.) Maintains adequate records to insure safety and proper care of patients. 4.) Assists Radiologist as needed.

5.) Administers portable x-ray examinations.

6.) Schedules patients for procedures performed in Radiology Department. 7.) Sets of films for Radiologist’s review.

8.) Performs diagnostic ultrasonic scans.

Safety Requirements: All employees are required to observe company safety procedures and standards to insure

individual and collective safety, in addition to avoiding unnecessary risk to oneself, co-workers, customers, and property.

UNIFORM:

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EQUIPMENT:

1. Computer 6. Echocardiography equipment

2. Telephone 7. Mammography equipment

3. Facsimile 8. CT

4. Printer 9. Nuclear med processor

5. X-Ray equipment 10.Ultrasound

Required Job-Related Knowledge, Education, Ability or Experience:

KNOWLEDGE:

Radiology Technologist I,II-

1.) Basic anatomy and physiology at a sufficient level to allow proper positioning of patients for any kind of x-ray needed.

2.) Physics, electricity, and related physical sciences as applied to x-ray techniques. 3.) Radiation safety standards as prescribed by law.

Radiology Technologist III-

1.) Anatomy and physiology at a level to allow proper positioning of patients for any kind of diagnostic procedure needed.

2.) Physics, electricity and related physical sciences as applied to x-ray techniques. 3.) Radiation safety standards as prescribed by law.

4.) Standard hospital operating and management procedures. EDUCATION:

Radiology Technologist I,II-

1.) Satisfactory completion of formal radiological technology training in an American Medical Association (AMA) approved school. Must be certified as a Radiologic Technologist (CRT) in the state of California.

Radiology Technologist III-

1.) Satisfactory completion of formal radiological technology training in an American Medical Association (AMA) approved school. Must be certified as a Radiologic Technologist (CRT) in the state of California and a member of the American Registry of Radiologic Technologist (ARRT) at time of appointment.

ABILITY/QUALIFICATIONS:

Radiology Technologist I, II-

1.) Read and understand technical medical materials and instructions relating to the administering of x-rays. 2.) Accurately visualize relationships of internal organs in relation to x-ray tube and film in order to obtain

radiographs of good diagnostic value. 3.) Perceive detail in x-ray.

4.) Maintain a high degree of quality and quantity of radiographic production. 5.) Follow technical written and oral instructions.

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6.) File film alphabetically and maintain written records.

Radiology Technologist III

1.) Read and understand technical medical materials and instructions relating to the administering of x-rays. 2.) Accurately visualize relationships of internal organs in relation to x-ray tube and film in order to obtain

radiographs of good diagnostic value. 3.) Perceive detail in x-ray.

4.) Perform special diagnostic procedures, which includes mammography, arterial, venous, computed tomography scan procedures and ultrasound procedures.

5.) Maintain a high degree of quality and quantity of radiographic production. 6.) Follow technical written and oral instructions.

7.) Files film alphabetically and maintain written records. 8.) Work independently without immediate supervision.

EXPERIENCE/QUALIFICATIONS:

Radiology Technologist I, II-

1.) No experience is required at the Radiology Technologist I level of the series. At least six months of full-time experience performing routine radiographic procedures is required prior to appointment as a Radiology Technologist II, with satisfactory completion of training in CT, arterial and/or venous procedures.

Radiology Technologist III-

1.) At least one year of experience performing ultrasonic examinations as a primary responsibility or satisfactory completion of a formal AMA approved medical sonography training program and registered in Diagnostic Medical Sonography, or eligible for examination by the American Registry of Diagnostic Medical Sonographers, OR, 2.) One year in the performance of special diagnostic procedures, including venous, arterial, compute tomography,

mammography and/or ultrasound.

All employees within the Radiology Tech III position are required to provide physical assistance for all weight and frequency requirement needs of all job tasks in order to maintain a safe work environment. Employees must be physically capable of working in any of the job tasks within the Radiology Tech III position.

WORK HOURS:

Monday through Friday 8:00 a.m. to 9:30 p.m. Saturday and Sunday 9:30a.m. to 9:30p.m.

UNION:

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ENVIRONMENTAL FACTORS

The following percentages are given in terms of an eight-hour workday:

Seldom = Less than 1% Frequent = 34% - 66%

Occasional = 1% - 33% Continuous = 67% - 100%

ENVIRONMENTAL FACTORS MAXIMUM

FREQUENCY

1. Unprotected heights: Not Applicable

2. Being around moving machinery: Not Applicable

3. Exposure to marked changes in temperature and humidity: Not Applicable 4. Exposure to dust, fumes, smoke, gases, or other irritating substances (specify): Not Applicable 5. Driving material handling and cleaning equipment: Not Applicable

6. Exposure to excessive noise: Not Applicable

7. Exposure to radiant or electrical energy: Not Required

8. Exposure to solvents or chemicals: Not Required

9. Exposure to slippery or uneven walking surfaces: Seldom

10. Working below ground: Not Applicable

11. Unusual fatigue factors: Not Applicable

12. Working with explosives: Not Applicable

13. Excessive vibration: Not Applicable

14. Working with hands in water or other substance: Not Applicable 15. Working proximity:

Alone - Evening shift Frequent

Closely with others - Day shift Continuous

16. Working inside: Continuous

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FUNCTIONAL ACTIVITIES

The frequency of the following activities may vary according to the physical requirements of the specific job tasks the employee may be required to perform at random intervals.

The following percentages are given in terms of an eight-hour workday:

Seldom = Less than 1% Frequent = 34% - 66%

Occasional = 1% - 33% Continuous = 67% - 100%

1) PUSH: Pushing activities may require use of the back flexors and extensors in conjunction with bicep/tricep

musculature.

MAXIMUM REQUIREMENT 0-10 Pounds: Occasional

11-25 Pounds: Occasional 26-35 Pounds: Occasional 36-50 Pounds: Not Required 51-75 Pounds: Not Required

76-100 Pounds: Not Required MAXIMUM

FORCE:

35 Pounds

Assistive Devices: 4-Wheeled Cart. Additionally, one person assistance is available with forces greater than 35 pounds. Comments: Pushing is utilized with activities such as retrieving, returning, storing, adjusting, moving, and/or

transporting equipment, and supplies (e.g. carts, doors). The employee exerts up to 35 pounds of force in a horizontal plane from waist to shoulder height of a distance up to 3 feet when performing job tasks (e.g. push up to 35 pounds of force to travel with carts; open/close doors, drawers, files, cabinets; wheelchair, gurney; assisting with patient transfers; x-ray tube relocation).

2) PULL: Pulling activities may require use of the back flexors and extensors in conjunction with bicep/tricep

musculature.

MAXIMUM REQUIREMENT 0-10 Pounds: Occasional

11-25 Pounds: Occasional 26-35 Pounds: Occasional 36-50 Pounds: Not Required 51-75 Pounds: Not Required

76-100 Pounds: Not Required MAXIMUM

FORCE:

35 Pounds

Assistive Devices: 4-Wheeled Cart. Additionally, one person assistance is available with forces greater than 35

pounds.

Comments: Pulling is utilized with activities such as retrieving, returning, storing, adjusting, moving, and/or

transporting equipment, and supplies (e.g. carts, doors). The employee exerts up to 35 pounds of force in a horizontal plane from waist to shoulder height of a distance up to 3 feet when performing job tasks (e.g. pull up to 35 pounds of force to travel with carts; open/close doors, drawers, files, cabinets; wheelchair, gurney; assisting with patient transfers; x-ray tube relocation). Pushing is the preferred method of moving carts.

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3) STAND-UP LIFT: Lifting from/to floor and waist height level. MAXIMUM REQUIREMENT

0-10 Pounds: Not Required 11-25 Pounds: Not Required 26-35 Pounds: Not Required 36-50 Pounds: Not Required 51-75 Pounds: Not Required

76-100 Pounds: Not Required MAXIMUM

FORCE:

0 Pounds

Assistive Devices: Not Required.

Comments: A stand-up lift is not required to perform job tasks.

4) LEVEL LIFT: Lifting weight from between waist height level and chest height level for a maximum

horizontal distance of four feet.

MAXIMUM REQUIREMENT 0-10 Pounds: Frequent

11-25 Pounds: Occasional 26-35 Pounds: Seldom 36-50 Pounds: Seldom 51-75 Pounds: Not Required

76-100 Pounds: Not Required MAXIMUM

FORCE:

40 Pounds

Assistive Devices: 4-Wheeled Cart. Additionally, one person assistance is available with weights greater than 40

pounds.

Comments: A level lift is utilized with activities such as retrieving, returning, storing, adjusting, moving, and/or

transporting equipment (e.g. miscellaneous radiological supplies; patients). The employee lifts items weighing between <1 pound and 40 pounds up to 36 inches in height when performing job tasks (e.g. lift to assist patients with transfer to/from radiological machines; up to 20-pound handfuls or armfuls of film or cassettes; cases or boxes of stored supply materials).

5) WEIGHT CARRY: Carrying weight between waist and chest height level beyond a distance of four feet.

MAXIMUM REQUIREMENT 0-10 Pounds: Occasional

11-25 Pounds: Occasional 26-35 Pounds: Seldom 36-50 Pounds: Seldom 51-75 Pounds: Not Required

76-100 Pounds: Not Required MAXIMUM

FORCE:

40 Pounds

Assistive Devices: 4-Wheeled Cart. Additionally, one person assistance is available with weights greater than 40

pounds.

Comments: A level lift is utilized with activities such as retrieving, returning, storing, adjusting, moving, and/or

transporting equipment (e.g. miscellaneous radiological supplies; patients). The employee carries items weighing between <1 pound and 40 pounds between 5 feet and 50 feet when performing job tasks (e.g. lift and carry to assist

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patients with transfer to/from radiological machines; up to 20-pound handfuls or armfuls of film or cassettes; cases or boxes of stored supply materials).

6) OVERHEAD LIFT/PULL DOWN: Lifting weight from/to chest and overhead height level

MAXIMUM REQUIREMENT 0-10 Pounds: Occasional

11-25 Pounds: Not Required 26-35 Pounds: Not Required 36-50 Pounds: Not Required 51-75 Pounds: Not Required

76-100 Pounds: Not Required MAXIMUM

FORCE:

5 Pounds

Assistive Devices: A vertical ladder, stepladder or step stool is available to bring items to eye or shoulder level.

Additionally, one person assistance is available with weights greater than 5 pounds.

Comments: Overhead lift/pull down is utilized with activities such as retrieving, returning, adjusting, moving, and/or

transporting equipment (e.g. x-ray component). The employee lifts items weighing between <1 pound and 5 pounds to a maximum height of 72 inches when performing job tasks (e.g. reach to lift x-ray tube for relocation). Variables to

overhead reaching will be the employee’s height and anthropometric reach.

7) OVERHEAD REACH:

MAXIMUM FREQUENCY:

Occasional

Comments: Overhead reach is performed to a maximum height of 72 inches when retrieving, returning, adjusting,

moving, and/or transporting equipment (e.g. reach for x-ray tube relocation). A ladder (appropriate height) or step

stool may be utilized to bring items to eye or shoulder level. Variables to overhead reaching will be the employee’s height and anthropometric reach.

8) FORWARD REACH:

MAXIMUM FREQUENCY:

Frequent

Comments: Forward reach is performed to a distance of 28 inches when retrieving, returning, storing, adjusting,

moving, and/or transporting equipment and supplies (e.g. reach lateral or forward for operating equipment, keyboard, keypads; assisting patients with positioning and transfers, positioning cassettes and film, immobilization aids; lead shielding; stored materials; push/pull equipment). The degree of elbow extension required for reaching will vary

according to the employee’s anthropometric reach.

9) STOOPING:

MAXIMUM FREQUENCY:

Occasional

Comments: Stooping is performed when retrieving, returning, storing, adjusting, moving, and/or transporting

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miscellaneous stored items; placement of immobilization aids). Variable to stooping will be the employee's height.

Stooping of the head, trunk and knees can be minimized or avoided by substituting alternate positions of squatting, kneeling or bending when performing job tasks.

10) SQUATTING: (Unloaded)

MAXIMUM FREQUENCY:

Seldom

Comments: Squatting is performed when retrieving, returning, adjusting equipment (e.g. squat to reach below waist

height for positioning of film for x-ray; weight bearing of feet). Squatting may be minimized or avoided by

substituting alternate positions of bending or kneeling. Partial squatting is a preferred lifting posture.

11) REPETITIVE BENDING:

MAXIMUM FREQUENCY:

Occasional

Comments: Bending forward at the waist is performed when retrieving, returning, storing, adjusting, moving, and/or

transporting equipment and supplies (e.g. bend to reach near or far below waist height for assisting patients with positioning and transfers; miscellaneous stored items; placement of immobilization aids). Maximum forward trunk flexion required is 60 degrees. Employee may avoid excessive forward bending of the trunk up to 80 degrees by using

alternate positions of bending at the hips, kneeling, half kneeling, stooping, sitting or squatting.

12) TWISTING:

MAXIMUM FREQUENCY:

Occasional

Comments: Twisting at the waist is performed when retrieving, returning, storing, adjusting, moving, and/or

transporting equipment and supplies (e.g. twist for assisting patients with positioning and transfers; miscellaneous stored items; placement of immobilization aids). Twisting at the waist may be minimized by turning the whole body,

including the feet and working from a swivel chair.

13) TURNING:

MAXIMUM FREQUENCY:

Occasional

Comments: Turning is performed when retrieving, returning, storing, adjusting, moving, and/or transporting

equipment and supplies (e.g. turn for assisting patients with positioning and transfers; miscellaneous stored items; placement of immobilization aids).

14) KNEELING:

MAXIMUM FREQUENCY:

Not Required

Comments: Kneeling is not required to perform job tasks. Kneeling may be minimized or avoided by substituting

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15) CRAWL: MAXIMUM FREQUENCY:

Not Required

Comments: Crawling is not required to perform job tasks.

16) STAIR CLIMB:

MAXIMUM FREQUENCY:

Not Required

Comments: Stair climb is not required in order to go to/from the basement or 2nd

story. Elevators are available. Maximum number of 42 steps may be climbed.

17) LADDER CLIMB:

MAXIMUM FREQUENCY:

Not Required

Comments: Ladder climbing is not required to perform job tasks. Variables to overhead climbing will vary according

to the employee's height and anthropometric reach.

18) WALKING:

MAXIMUM FREQUENCY:

Frequent

Comments: Walking is performed when retrieving, returning, storing, adjusting, moving, and/or transporting

equipment and supplies (e.g. walk to/from exam/dressing/waiting/dark/office rooms). Walking length varies between 3 feet and 100 feet depending on job task.

19) SITTING:

MAXIMUM FREQUENCY:

Occasional

Comments: Sitting is performed for a maximum of 30-minute intervals when performing job tasks (e.g. sit to operate

and monitor radiological imaging machines).

20) STANDING: (Static)

MAXIMUM FREQUENCY:

Frequent

Comments: Static standing is performed for a maximum of 10-minute intervals when performing job tasks (e.g. stand

to monitor and operate imaging machines; patient instruction; observation of worksite).

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MAXIMUM FREQUENCY:

Continuous

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22) OPERATING HAND/FOOT CONTROLS: MAXIMUM REQUIREMENT HAND:

Right: Not Required Left: Not Required Both: Occasional Either: Occasional FOOT:

Right: Not Required Left: Not Required Both: Not Required Either: Occasional

Comments: Hand controls are utilized to operate equipment (e.g. gurney, tubes) when adjusting controls (e.g. gurney

crank head control; x-ray tube relocation). Foot controls are utilized to operate equipment (e.g. hand washing valve; table control).

23) UPPER AND LOWER EXTREMITY COORDINATION:

MAXIMUM REQUIREMENT Simple Grasping: Frequent

Firm Grasping: Occasional Fine Manipulation: Frequent Eye/Hand Coordination: Frequent Hand/Foot Coordination: Not Required

Comments: Grasping and coordination activities are performed when retrieving, returning, storing, operating, adjusting,

moving, and/or transporting equipment and supplies (e.g. imaging machines and paraphernalia). Simple grasping is utilized to perform job tasks (e.g. lifting and manipulating objects weighing less than 5 pounds; performing miscellaneous radiological examination procedures).

Firm grasping is utilized to perform job tasks (e.g. lifting and handling objects weighing 5 pounds or greater;

performing miscellaneous radiological examination procedures; transferring, assisting and placing patients).

Fine manipulation is utilized to perform job tasks (e.g. keyboard, mouse, key pads; handwriting; marker placement;

intravenous placement/removal; mixing and pouring for diagnostic exams; switches, levers, buttons).

Eye/hand coordination is utilized to perform job tasks (e.g. keyboard, mouse, key pads; handwriting; marker

placement; intravenous placement/removal; mixing and pouring for diagnostic exams).

Hand/foot coordination is not utilized to perform job tasks.

Depending on individual hand dominance, one hand may be used more frequently than the other when performing job tasks.

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24) NECK RANGE OF MOTION:

MAXIMUM REQUIREMENT Static neutral position: Frequent

Flexing: Occasional Rotating: Occasional Extending: Seldom

Comments: Neck movement is required when performing job tasks (e.g. performing radiological procedures, assisting

patients; office work; maintaining supply inventory). Participating in observation of work environment allowing for

safe working conditions. Full cervical range of motion is required to safely perform the job tasks.

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Prepared by Andersen & Baim Physical Therapy, Inc. Stanislaus County: Radiology Tech I,II,III Page 14

Stanislaus County Job Task Analysis

Enclosed are the results of the Essential and Marginal Functions of the Job Task Analysis that were obtained for the position of

Radiology Tech I, II, III.

Please note the specific summary of maximum weight and frequency requirements of the definitions as follows:

Stanislaus County

Job Task Analysis Summary

Radiology Tech I, II, III

Functional Activities Maximum Requirements Push (Force) 1

35 pounds

Pull (Force) 1 35 pounds

Stand Up Lift 0 pounds

Level Lift1 40 pounds

Weight Carry1 40 pounds

Overhead Lift/Pull Down1

5 pounds Overhead Reach1 Occasional Forward Reach1 Frequent Stooping1 Occasional

Squatting (Unloaded) 1 Seldom

Repetitive Bending1 Occasional

Twisting1

Occasional

Turning1

Occasional

Kneeling Not Required

Crawl Not Required

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Prepared by Andersen & Baim Physical Therapy, Inc. Stanislaus County: Radiology Tech I,II,III Page 15

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