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2013 Competency Form Good Samaritan (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
8/21/2013 10:28:15253929908/16/13Abdomen Supine (KUB) (M)Melissa Hulse
3
8/21/2013 10:29:21253945508/16/13Thumb or Finger (M)Melissa Hulse
4
8/21/2013 10:31:05253927908/16/13Hand (M)Melissa Hulse
5
8/21/2013 10:31:44253928008/16/13Wrist (M)Melissa Hulse
6
8/21/2013 10:32:25253943608/16/13Foot (M)Melissa Hulse
7
8/21/2013 10:33:06253943508/16/13Ankle (M)Melissa Hulse
8
8/21/2013 10:34:05253946708/16/13Tibia-Fibula (M)Melissa Hulse
9
8/21/2013 10:35:38253928308/16/13Trauma: Lower Extremity * (M)Melissa Hulse
10
8/21/2013 10:37:12253952308/21/2013Mobile Study Chest (M)Roberto Lerias
11
8/21/2013 10:37:54253979908/19/2013Mobile Study Abdomen (M)Roberto Lerias
12
8/21/2013 10:40:11253999406/26/13Trauma: Upper Extremity (Non-shoulder) (M)Romina Arami
13
8/21/2013 10:41:05253983606/21/13Chest Routine (M)Soo Jung
14
8/21/2013 10:41:52253932906/24/13Lumbar Spine (M)Romina Arami
15
8/22/2013 10:59:35788379207/03/13Chest Routine (M)Michelle Hooshivar
16
8/22/2013 11:00:34788375806/28/13Pelvis (M)Bac Dinh
17
8/22/2013 11:01:16788375806/28/13Hip (M)Bac Dinh
18
8/22/2013 11:01:56788336307/29/13Mobile Study Orthopedic (M)Roberto Lerias
19
8/22/2013 11:02:50788349908/09/13Mobile Study Abdomen (M)Roberto Lerias
20
8/22/2013 11:03:56788338207/10/13Trauma: Lower Extremity * (M)David De La Torre
21
8/22/2013 11:05:1078839807/24/13Trauma: Lower Extremity * (M)Marcos Morgana
22
8/22/2013 11:06:04788321608/05/13Chest Lateral Decubitus (E)Roberto Lerias
23
8/22/2013 11:11:06926936108/16/13Hand (M)Keila Renado
24
8/22/2013 11:11:47926949308/13/13Chest Routine (M)Romina Arami
25
8/22/2013 11:12:24951017308/12/13Lumbar Spine (M)Melissa Hulse
26
8/22/2013 11:12:58951042608/16/13Knee (M)Melissa Hulse
27
8/22/2013 11:13:36951028108/16/13Wrist (M)Melissa Hulse
28
8/22/2013 11:14:09951027808/16/13Hand (M)Melissa Hulse
29
8/22/2013 11:14:54951096508/19/13Chest Routine (M)Melissa Hulse
30
8/22/2013 11:15:25926954708/21/13Knee (M)Romina Arami
31
8/22/2013 11:15:52926990508/19/13Clavicle (E)Romina Arami
32
8/22/2013 11:16:1292692908/12/13Wrist (M)Romina Arami
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10/3/2013 13:23:26253964809/20/13Calcaneous (Os Calcis) (E)Michelle Hooshivar
34
10/3/2013 13:24:27253936009/19/13Chest AP (Wheelchair or Stretcher) (M)Michelle Hooshivar
35
10/3/2013 13:25:27253941109/12/13Pediatric Abdomen (E)Michelle Hooshivar
36
10/3/2013 13:28:12253974609/17/13Pediatric Chest Routine (M)Michelle Hooshivar
37
10/3/2013 13:29:20253911708/23/13Chest Lateral Decubitus (E)Roberto Lerias
38
10/25/2013 20:59:01253982509/13/13Toes (E)Melissa Hulse
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10/25/2013 20:59:52253987809/13/13Cervical Spine (M)Melissa Hulse
40
10/25/2013 21:00:41253914910/22/13Thoracic Spine (M)Melissa Hulse
41
10/25/2013 21:01:29253988109/13/13Ribs (M)Melissa Hulse
42
10/25/2013 21:02:08253988209/10/13Upper Airway (Soft Tissue Neck) (E)Melissa Hulse
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10/25/2013 21:02:47253951809/09/13Femur (M)Melissa Hulse
44
10/25/2013 21:03:44253946909/09/13Pelvis (M)Melissa Hulse
45
10/25/2013 21:04:30253930607/25/13Forearm (M)Melissa Hulse
46
10/25/2013 21:05:13253934807/25/13Abdomen Upright (M)Melissa Hulse
47
10/25/2013 21:05:53253987109/18/13Shoulder (M)Melissa Hulse
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10/25/2013 21:06:36253986709/17/13Humerus (M)Melissa Hulse
49
10/25/2013 21:07:14253981509/17/13Knee (M)Melissa Hulse
50
10/25/2013 21:07:52253980909/17/13Hip (M)Melissa Hulse
51
11/21/2013 15:46:00253947911/21/13Elbow (M)Ricardo S. Ponce
52
11/21/2013 15:46:5325399811/20/13Scoliosis Series (E)Monica Hashemieh
53
11/21/2013 15:47:59253954411/19/13  Trauma Cervical Spine (Cross Table Lateral) * (M)David De La Torre
54
11/22/2013 9:59:15253982909/20/2013Sternum (E)Brian Soanes
55
11/22/2013 10:00:02253948310/16/2013Clavicle (E)Roberto Lerias
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1/15/2014 17:10:51253971511/26/13Mandible (E)Melissa Hulse
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1/15/2014 17:13:44253944811/25/13Sacrum and/or Coccyx (E)Monica Hushemieh
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1/15/2014 17:14:35253944811/25/13Sacrum and/or Coccyx (E)Monica Hashemieh
59
1/15/2014 17:16:582539333501/06/14  Upper GI Series (Single or Double Contrast) (E)David De La Torre
60
1/15/2014 17:17:522539373401/07/14Small Bowel Series (E)David De La Torre
61
1/15/2014 17:19:102539676710/31/13ERCP (E)David De La Torre
62
1/15/2014 17:23:46253928408/16/13Trauma: Lower Extremity * (M)Melissa Hulse
63
1/20/2014 19:33:509510HRM11009/30/13Myelography (E)DAVID DE LA TORRE
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1/20/2014 19:35:169510HRM36011/21/13Trauma: Lower Extremity * (M)MARCOS MORGANA
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1/20/2014 19:36:149510HRM30109/23/13Scoliosis Series (E)MONICA HASHEMIEH
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1/20/2014 19:37:159510HRM67608/28/13Thumb or Finger (M)KEILA PENEDO
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1/20/2014 19:38:049510HRM26108/27/13Ribs (M)MARIETA MANUKIAN
68
1/20/2014 19:38:559510HRM23608/27/13Clavicle (E)MARIETA MANUKIAN
69
1/20/2014 19:41:049510HRM31108/27/13Calcaneous (Os Calcis) (E)MARIETA MANUKIAN
70
1/20/2014 19:42:289510HRM17608/27/13Shoulder (M)MARIETA MANUKIAN
71
1/20/2014 19:43:469510HRM54708/13/13Ankle (M)MELISSA HULSE
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1/20/2014 19:49:14951028208/16/13Foot (M)MELISSA HULSE
73
1/20/2014 19:49:56951070008/19/13Abdomen Supine (KUB) (M)MELISSA HULSE
74
1/20/2014 19:50:459510700608/19/13Abdomen Upright (M)MELISSA HULSE
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1/20/2014 19:51:46951081408/23/13Mobile Study Chest (M)MONICA HASHEMIEH
76
1/20/2014 19:52:29951081508/23/13Mobile Study Abdomen (M)MARIETA MANUKIAN
77
1/20/2014 19:53:12951076308/21/13Tibia-Fibula (M)MARIETA MANUKIAN
78
1/20/2014 19:53:5595105108/21/13Pelvis (M)MONICA HASHEMIEH
79
1/20/2014 19:54:44951035708/21/13Hip (M)MONICA HASHEMIEH
80
1/20/2014 19:55:17951015608/27/13Skull (E)KEILA PENEDO
81
1/20/2014 19:55:59951022312/03/13Chest Lateral Decubitus (E)MELISSA HULSE
82
1/20/2014 19:56:3495106509/11/13Chest AP (Wheelchair or Stretcher) (M)MELISSA HULSE
83
1/29/2014 7:53:55926912408/12/13Thumb or Finger (M)Marieta Manukian
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1/29/2014 7:54:48926910708/27/13Ankle (M)Marieta Manukian
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1/29/2014 7:55:42926918008/30/13 *Trauma: Shoulder (Scapular Y, Transthoracic or Axillary) (M)Marcos Morgana
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1/29/2014 7:56:38926961407/12/13Mobile Study Abdomen (M)Roberto Lerias
87
1/29/2014 7:58:39926962210/17/13Abdomen Supine (KUB) (M)Marcos Morgana
88
1/29/2014 7:59:14926962210/17/13Abdomen Upright (M)Marcos Morgana
89
1/29/2014 8:07:492539579301/13/14C-Arm Procedure (Orthopedic) (M)Carlos Lopez
90
1/29/2014 8:08:282539579401/13/14C-Arm Procedure (Non-Orthopedic) (E)Carlos Lopez
91
1/29/2014 8:25:53926939910/23/13Trauma: Upper Extremity (Non-shoulder) (M)Keila Penedo
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1/29/2014 8:26:41926970608/14/13Forearm (M)Keila Penedo
93
1/29/2014 8:27:36926999610/25/13Toes (E)Romina Arami
94
1/29/2014 8:28:27926953008/13/13Foot (M)Romina Arami
95
1/29/2014 8:32:37926917610/08/13Pediatric Mobile Study (E)Michelle Hooshivar
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1/29/2014 8:33:58926970512/09/13C-Arm Procedure (Orthopedic) (M)Brian Soanes
97
1/29/2014 8:35:11926993809/06/13Mobile Study Chest (M)Marcos Morgana
98
1/29/2014 8:40:03926964409/09/13Upper Airway (Soft Tissue Neck) (E)Armando Calderon
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1/29/2014 8:40:43926971311/26/13Femur (M)Melissa Hulse
100
1/29/2014 8:42:01926962409/09/13Hip (M)Melissa Hulse
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