JOB TASK ANALYSIS Employer: Occupation: Company Contact: Stanislaus County Radiology Tech I,II,III 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 P.O. Box 3404, Modesto, CA 95354 Phone (209) 525-6341 Fax (209) 525-4056 Chief Executive Office Risk Management Division
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: Not Required Page 2
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. Page 3
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: Association of Federal, State, County and Municipal Employees, Optional Page 4
ENVIRONMENTAL FACTORS The following percentages are given in terms of an eight-hour workday: Seldom = Less than 1% Frequent = 34% - 66% = 1% - 33% Continuous = 67% - 100% ENVIRONMENTAL FACTORS 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 Closely with others - Day shift Frequent Continuous 16. Working inside: Continuous 17. Working outside: Not Applicable Page 5
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% = 1% - 33% Continuous = 67% - 100% 1) PUSH: Pushing activities may require use of the back flexors and extensors in conjunction with bicep/tricep musculature. REQUIREMENT 0-10 Pounds: 11-25 Pounds: 26-35 Pounds: 36-50 Pounds: Not Required 51-75 Pounds: Not Required 76-100 Pounds: Not Required 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. REQUIREMENT 0-10 Pounds: 11-25 Pounds: 26-35 Pounds: 36-50 Pounds: Not Required 51-75 Pounds: Not Required 76-100 Pounds: Not Required 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. Page 6
3) STAND-UP LIFT: Lifting from/to floor and waist height level. 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 FORCE: Assistive Devices: Not Required. Comments: A stand-up lift is not required to perform job tasks. 0 Pounds 4) LEVEL LIFT: Lifting weight from between waist height level and chest height level for a maximum horizontal distance of four feet. REQUIREMENT 0-10 Pounds: Frequent 11-25 Pounds: 26-35 Pounds: Seldom 36-50 Pounds: Seldom 51-75 Pounds: Not Required 76-100 Pounds: Not Required 40 Pounds FORCE: 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. REQUIREMENT 0-10 Pounds: 11-25 Pounds: 26-35 Pounds: Seldom 36-50 Pounds: Seldom 51-75 Pounds: Not Required 76-100 Pounds: Not Required 40 Pounds FORCE: 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 Page 7
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 REQUIREMENT 0-10 Pounds: 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 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: 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: 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: Comments: Stooping is performed when retrieving, returning, storing, adjusting, moving, and/or transporting equipment and supplies (e.g. stoop to reach below waist height for assisting patients with positioning and transfers; Page 8
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) 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: 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: 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: 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: Not Required Comments: Kneeling is not required to perform job tasks. Kneeling may be minimized or avoided by substituting alternate positions of bending, squatting, or half kneeling. Page 9
15) CRAWL: Not Required Comments: Crawling is not required to perform job tasks. 16) STAIR CLIMB: Not Required Comments: Stair climb is not required in order to go to/from the basement or 2 nd story. Elevators are available. Maximum number of 42 steps may be climbed. 17) LADDER CLIMB: 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: 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: 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) 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). 21) BALANCE: Page 10
Continuous Comments: Good balance is required for safe walking, standing, climbing and lifting. Page 11
22) OPERATING HAND/FOOT CONTROLS: REQUIREMENT HAND: Right: Not Required Left: Not Required Both: Either: FOOT: Right: Not Required Left: Not Required Both: Not Required Either: 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: REQUIREMENT Simple Grasping: Frequent Firm Grasping: 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. Page 12
24) NECK RANGE OF MOTION: REQUIREMENT Static neutral position: Frequent Flexing: Rotating: 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. END OF REPORT Page 13
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 Push (Force) 1 Pull (Force) 1 Stand Up Lift Level Lift 1 Weight Carry 1 Overhead Lift/Pull Down 1 Overhead Reach 1 Forward Reach 1 Stooping 1 Squatting (Unloaded) 1 Repetitive Bending 1 Twisting 1 Turning 1 Kneeling Crawl Stair Climb Maximum Requirements 35 pounds 35 pounds 0 pounds 40 pounds 40 pounds 5 pounds Frequent Seldom Not Required Not Required Not Required Page 14
1 Essential functions required while performing the critical demands of the job. Page 15