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2013 Competency Form Kaiser Los Angeles (Responses)
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ABCDEFGHIJKLMNOPQRSTU
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TimestampLACC Student IDExamination Identification NumberDate of CompletionRadiologic Procedure CompletedRT who supervised Approved by Clinical InstructorCommentRepeat DateRepeat Approved by Clinical Instructor
2
8/20/2013 20:59:4184175321531807/10/13Scapula (E)Delma Braddy
3
8/20/2013 21:01:0984175308394307/01/13Calcaneous (Os Calcis) (E)Delma Braddy
4
8/20/2013 21:02:4784175310752407/02/13Paranasal Sinuses (E)Delma Braddy
5
8/22/2013 21:36:2629135340828507/30/2013Chest Routine (M)Tim Ellis
6
8/22/2013 21:38:0029135365720208/09/2013Ribs (M)Tim Ellis
7
8/22/2013 21:39:2029135362642108/07/2013Upper Airway (Soft Tissue Neck) (E)Se Liev
8
8/22/2013 21:40:2129135347928707/29/13Hand (M)Se Liev
9
8/22/2013 21:44:0429135353533808/01/2013Wrist (M)Zaida Chan Lee
10
8/22/2013 21:45:0729135370048708/13/2013Forearm (M)Tesfagaber Haile
11
8/22/2013 21:46:2429135355023908/02/2013Foot (M)Tim Ellis
12
8/22/2013 21:49:4729135349202707/29/2013Ankle (M)Se Liev
13
8/22/2013 21:51:0029135349356807/29/2013Knee (M)Se Liev
14
8/22/2013 21:55:0729135330894207/29/2013Cervical Spine (M)Se Liev
15
8/22/2013 21:56:0329135350664207/30/2013Lumbar Spine (M)Tim Ellis
16
8/22/2013 21:57:1629135340762308/01/2013Hip (M)Zaida Chan Lee
17
8/22/2013 22:00:5829135372213108/14/2013Abdomen Upright (M)Tesfagaber Haile
18
8/22/2013 22:02:2429135323400807/30/2013  Upper GI Series (Single or Double Contrast) (E)Se Liev
19
8/22/2013 22:04:2829135337637408/08/2013  Barium Enema (Single or Double Contrast) (E)Se Liev
20
8/22/2013 22:06:4829135318001707/30/2013Esophagus (E)Se Liev
21
8/22/2013 22:08:582913MRN 00000792860007/09/2013C-Arm Procedure (Non-Orthopedic) (E)Tesfagaber Haile
22
8/22/2013 22:10:5929135371830108/14/2013Mobile Study Chest (M)Tesfagaber Haile
23
8/22/2013 22:12:1029135374180808/15/2013Pediatric Upper Extremity (E)Zeus Villagomez
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8/22/2013 22:13:5629135369892008/13/2013Trauma: Upper Extremity (Non-shoulder) (M)Kevin Clements
25
8/22/2013 22:14:5229135372146308/14/2013Trauma: Upper Extremity (Non-shoulder) (M)Tesfagaber Haile
26
8/23/2013 17:43:0633495335009907/19/2013Chest Lateral Decubitus (E)Efren Fradejas
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8/23/2013 17:44:2433495332773607/19/2013Wrist (M)Rogelio Cabato
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8/23/2013 17:45:3033495331518107/17/2013Shoulder (M)Rogelio Cabato
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8/23/2013 17:46:2433495334657707/19/2013Knee (M)Rogelio Cabato
30
8/23/2013 17:48:0533495378340908/19/2013Sacrum and/or Coccyx (E)Anush Odabashyan
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8/23/2013 19:03:0433495334895907/19/2013Scoliosis Series (E)Andrea Valencia
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8/23/2013 19:04:0933495368873808/14/2013Mobile Study Chest (M)Anush Odabashyan
33
8/23/2013 19:05:1633495370221508/13/2013Pediatric Lower  Extremity (E)Anush Odabashyan
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8/23/2013 19:06:2133495373045708/14/2013Pediatric Abdomen (E)Anush Odabashyan
35
9/5/2013 21:16:4229135372935308/14/2013Trauma: Lower Extremity * (M)Jessica Paz
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9/7/2013 7:19:3829135353545608/01/2013Abdomen Supine (KUB) (M)Tim Ellis
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9/16/2013 22:19:1529135834074308/22/2013Chest Lateral Decubitus (E)Tom Lam
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9/16/2013 22:24:0829135400941509/03/2013Sacrum and/or Coccyx (E)Sevilla Bernardo
39
9/16/2013 22:26:5429135400984109/03/2013Tibia-Fibula (M)Sevilla Bernardo
40
10/2/2013 22:27:4029135427336009/21/13Pediatric Mobile Study (E)Denise Blanks
41
10/2/2013 22:28:462913539983009/03/2013Trauma: Upper Extremity (Non-shoulder) (M)Erica Washington
42
10/17/2013 18:18:4895395326165507/22/13Chest Routine (M)Delma Braddy
43
10/17/2013 18:20:0495395339229807/23/13Hand (M)Delma Braddy
44
10/17/2013 18:21:3495395335000007/19/13Humerus (M)Delma Braddy
45
10/17/2013 18:22:3395395334644407/19/13Shoulder (M)Delma Braddy
46
10/17/2013 18:24:1995395422131409/18/13Foot (M)Se B. Liev
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10/17/2013 18:27:5495395419981609/17/13Cervical Spine (M)Se B. Liev
48
10/17/2013 18:28:5195395423049809/18/13Cervical Spine (M)Se B. Liev
49
10/17/2013 18:29:5895395341264107/24/13Lumbar Spine (M)Delma Braddy
50
10/17/2013 18:31:0095395321372407/23/13Pelvis (M)Delma Braddy
51
10/17/2013 18:32:0995395339946907/23/13Hip (M)Delma Braddy
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10/17/2013 18:34:1995395425872209/20/13Abdomen Supine (KUB) (M)Se B. Liev
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10/17/2013 18:36:1995395338427407/22/13Abdomen Upright (M)Kimberly Wyman
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10/17/2013 18:38:4795395350813408/01/13Myelography (E)Tom Lam
55
10/17/2013 18:46:1795395388808409/12/13  Upper GI Series (Single or Double Contrast) (E)Se B. Liev
56
10/17/2013 18:47:1195395419395209/16/13Knee (M)Se B. Liev
57
10/17/2013 18:48:2495395418363109/16/13Thoracic Spine (M)Se B. Liev
58
10/17/2013 18:49:1795395421443909/17/13Ribs (M)Se B. Liev
59
10/17/2013 18:51:0795395408638009/17/13Esophagus (E)Tim Ellis
60
10/17/2013 18:52:2095395402210309/17/13  Barium Enema (Single or Double Contrast) (E)Tim Ellis
61
10/17/2013 18:53:3095395443956210/11/13Wrist (M)Kiria Duran
62
10/17/2013 18:54:4395395457672910/15/13Clavicle (E)Andrea Valencia
63
10/17/2013 18:56:1895395465734210/16/13Ankle (M)Efren Fradejas
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10/28/2013 22:11:336635371601908/16/2013Elbow (M)Roberto Polanco
65
10/28/2013 22:14:226635380866808/22/2013Ankle (M)Roberto Polanco
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10/28/2013 22:15:076635431879910/07/13Chest Routine (M)Delma Braddy
67
10/28/2013 22:16:276635468041710/18/13Thumb or Finger (M)Delma Braddy
68
10/28/2013 22:17:556635454982610/09/13Knee (M)Kimberly Wyman
69
10/28/2013 22:19:156635460597110/14/13Lumbar Spine (M)Rahel Mengesha
70
10/28/2013 22:21:33663532465557/25/13  Upper GI Series (Single or Double Contrast) (E)Se B Liev
71
10/28/2013 22:20:196635379186408/19/2013Scoliosis Series (E)Kiria Duran
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10/28/2013 22:23:146635328185407/25/13Esophagus (E)Se B Liev
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10/29/2013 20:47:2595395441808610/01/13Trauma: Lower Extremity * (M)Renato Valencia
74
10/29/2013 20:49:0295395481012110/28/13Mobile Study Chest (M)Zeus Villagomez
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10/29/2013 21:36:2029135477359410/24/13Thumb or Finger (M)Delma Braddy
76
10/29/2013 21:37:1729135474029010/22/13Elbow (M)Delma Braddy
77
10/29/2013 21:38:0529135477230910/24/13Shoulder (M)Delma Braddy
78
10/29/2013 21:39:1629135473535910/22/13Paranasal Sinuses (E)Delma Braddy
79
10/31/2013 18:43:13165346971307/27/13Chest Routine (M)tim ellis
80
10/31/2013 18:44:55165481958210/28/13Ribs (M)dennis blanks
81
10/31/2013 18:46:22165488588610/31/13Thumb or Finger (M)Beer, Robin
82
10/31/2013 18:53:13165346914807/27/13Hand (M)tim ellis
83
10/31/2013 18:55:2616534987208/13/13Wrist (M)delma braddy
84
10/31/2013 18:56:27165346908507/27/13Forearm (M)tim ellis
85
10/31/2013 18:57:31165346908607/27/13Elbow (M)tim ellis
86
10/31/2013 19:00:04165465595610/16/13Humerus (M)sevillid bernando
87
10/31/2013 19:01:13165375960608/22/2013Clavicle (E)delma, braddy
88
10/31/2013 19:02:51165349075707/29/13Foot (M)sevilld, bernardo
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10/31/2013 19:03:52165349270307/20/13Knee (M)tim ellis
90
10/31/2013 19:05:01165477455210/24/13Tibia-Fibula (M)Arvin Valle
91
10/31/2013 19:06:22165382707208/22/13Cervical Spine (M)kimberly, wyman
92
10/31/2013 19:07:3716538517108/22/13Lumbar Spine (M)kimberly wyman
93
11/1/2013 10:40:05165487893410/31/13Abdomen Upright (M)Zeus Villagomez
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11/6/2013 21:33:3895395492708511/04/13Pediatric Abdomen (E)Anush Odabashyan
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11/19/2013 20:01:4695395491869911/04/13Pediatric Chest Routine (M)Anush Odabashyan
96
11/19/2013 20:07:2695395494886311/05/13Pediatric Upper Extremity (E)Anush Odabashyan
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11/19/2013 20:08:26953954441277/5444127810/02/13Pediatric Lower  Extremity (E)Eduardo Molina
98
11/19/2013 20:09:3595395482730110/29/13Mobile Study Abdomen (M)Jose Solano
99
11/19/2013 20:11:09953954727543/5472754210/22/13Mobile Study Orthopedic (M)Eduardo Molina
100
11/28/2013 13:29:0495395521673611/22/13Chest AP (Wheelchair or Stretcher) (M)Sterling Holt
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