Write a radiologic technologist documentation note for a routine imaging exam.

RT name and ARRT registration: [NAME, RT(R) or other designation]
Exam type: [RADIOGRAPH / CT / MRI / FLUOROSCOPY / ULTRASOUND / NUCLEAR MEDICINE]
Body part and laterality: [SPECIFIC — e.g., Left knee, AP and lateral / Chest PA and lateral]
Exam indication (from order): [CLINICAL INDICATION AS ORDERED]
Patient: [AGE, SEX — no PHI in prompt]
Patient cooperation: [FULLY COOPERATIVE / LIMITED COOPERATION DUE TO (PAIN, CONFUSION, PEDIATRIC AGE) / REQUIRED ASSISTANCE]
Patient positioning: [DESCRIBE — e.g., "Patient positioned supine with knees in 30-degree flexion using positioning sponge for bilateral PA knee views weight-bearing"]
Technical factors: [kVp, mAs, SID — or describe any technical challenges]
Repeat exposures (if any): [NUMBER AND REASON — or "none required"]
Images submitted for interpretation: [NUMBER AND VIEWS]

RT documentation note format. Under 200 words. Factual, clinical.

Write a CT examination documentation note for the PACS record.

RT: [NAME, RT(R)(CT)]
CT scanner: [EQUIPMENT NAME AND MODEL]
Exam: [ANATOMIC AREA — e.g., CT Abdomen and Pelvis with contrast]
Clinical indication: [REASON FOR EXAM]
Patient: [AGE, SEX]
Protocol applied: [NAME OF PROTOCOL — e.g., "Hepatic arterial phase protocol" or "Routine abdominal CT"]
Contrast administered: [NONE / YES — AGENT, DOSE, ROUTE, RATE]
Contrast pre-screening completed: [YES — DATE OF LAST eGFR, VALUE, THRESHOLD MET]
Patient positioning: [SUPINE/PRONE — and any positioning modifications]
Breath-hold instructions given: [YES / PATIENT UNABLE TO BREATH-HOLD — modification used]
Scan range: [ANATOMIC LANDMARKS — e.g., "Lung bases through symphysis pubis"]
DLP (dose length product): [VALUE] mGy·cm | CTDIvol: [VALUE] mGy
Any technical concerns for radiologist: [MOTION, METALLIC ARTIFACT, LIMITED BREATH-HOLD COMPLIANCE — or "none"]

Under 250 words. Technical accuracy is primary.

Write an MRI safety screening documentation note.

MRI technologist: [NAME, RT(R)(MR)]
Scanner field strength: [1.5T / 3T]
Exam: [BODY PART AND SEQUENCE PLAN]
Patient: [AGE, SEX]
MRI safety screening form completed: [YES — screening completed by [PERSON] on [DATE]]
Safety questionnaire responses (document positives):
  Cardiac pacemaker/ICD: [YES — device confirmed MRI conditional on [DATE] / NO]
  Cochlear implant: [YES — [DETAILS] / NO]
  Ferromagnetic implants/devices: [YES — [SPECIFIC DEVICE, MANUFACTURER, MODEL IF KNOWN] / NO]
  Shrapnel/fragments: [YES — [DETAILS] / NO]
  History of metal working: [YES — orbital X-rays required and [COMPLETED ON DATE / CLEARED BY] / NO]
  Pregnancy screening (applicable patients): [LMP: [DATE] / PREGNANCY CONFIRMED OR RULED OUT BY [METHOD] / NOT APPLICABLE]
All positive responses reviewed by: [RADIOLOGIST NAME — cleared / referred for evaluation before scan / scan cancelled]
IV access for contrast (if applicable): [SITE, GAUGE, FLOW TEST]

Under 250 words. MRI safety documentation is a hard compliance requirement. No screening positive should be undocumented.

Write a fluoroscopy procedure documentation note.

RT: [NAME, RT(R)(F)]
Radiologist or physician performing procedure: [NAME AND SPECIALTY]
Procedure: [SPECIFIC — e.g., Upper GI series / Barium enema / Arthrogram / Myelogram]
Contrast agent used: [AGENT, CONCENTRATION, VOLUME ADMINISTERED]
Patient: [AGE, SEX]
Patient preparation completed: [NPO STATUS, BOWEL PREP IF APPLICABLE, CONSENT SIGNED BY]
Patient positioning and modifications during procedure: [DESCRIBE KEY POSITIONS — e.g., "Patient repositioned from supine to right and left lateral decubitus and Trendelenburg during upper GI series"]
Fluoroscopy time: [MINUTES AND SECONDS]
DAP (Dose Area Product): [VALUE]
Images acquired: [NUMBER OF SPOT FILMS / CINE SEQUENCES — stored in PACS]
Contrast reaction: [NONE OBSERVED / DESCRIBE ANY REACTION AND RESPONSE]
Procedure completion: [COMPLETED WITHOUT COMPLICATION / COMPLICATIONS — describe]

Under 250 words. Fluoroscopy time and dose documentation is a regulatory requirement.

Write a portable/bedside radiograph documentation note for an ICU or bedside exam.

RT: [NAME, RT(R)]
Exam type: Portable [RADIOGRAPH TYPE — e.g., AP Chest]
Clinical indication: [URGENT INDICATION — e.g., post-intubation line placement check / respiratory deterioration]
Patient location: [ICU BED NUMBER / ROOM NUMBER]
Patient: [AGE, SEX — condition: [DESCRIPTION — e.g., intubated, restless, on ventilator]]
Positioning modifications required: [DESCRIBE — e.g., "Patient unable to sit upright; AP supine technique used. Right arm fixed with IV lines — detector positioned despite anatomic constraint"]
Technical factors: [kVp, mAs — and any exposure index/EI value]
Medical personnel present: [NURSE, RESPIRATORY THERAPIST — radiation safety precautions taken: [LEAD APRONS / DISTANCE / BARRIERS USED]]
Image quality assessment: [ACCEPTABLE FOR INTERPRETATION / REPEAT REQUIRED — reason]
Image immediately viewable in PACS: [YES — TIME]

Under 200 words. Portable exam documentation must capture technical challenges and positioning compromises.

Write an iodinated contrast administration pre-screening documentation note.

RT: [NAME, RT(R)]
Exam requiring contrast: [CT EXAM — body part and phase]
Patient: [AGE, SEX]
Contrast agent: [IOHEXOL / IOVERSOL / IOPAMIDOL / OTHER — brand name, concentration, planned dose]
Renal function screening:
  eGFR: [VALUE] mL/min/1.73m² | Creatinine: [VALUE] mg/dL | Date of lab: [DATE]
  eGFR threshold for this protocol: [VALUE] (per departmental contrast protocol version [DATE])
  eGFR meets threshold: [YES / NO — if NO, note radiologist notification]
Allergy history: [NO PRIOR CONTRAST REACTIONS / PRIOR REACTION — type, severity, premedication completed per [PROTOCOL]]
Metformin use: [YES — withheld per protocol / NO]
Thyroid condition (applicable for some patients): [NO KNOWN THYROID DISEASE / YES — endocrinology notification if indicated]
Contrast consent signed by patient: [YES — on [DATE]]
Radiologist notified of any risk factors: [NONE / YES — describe factors and radiologist name]

Under 250 words. Every element of iodinated contrast screening must be documented per ACR Manual on Contrast Media.

Write a gadolinium-based contrast agent pre-screening documentation note for MRI.

MRI technologist: [NAME, RT(R)(MR)]
Exam: [MRI — body part and contrast-enhanced sequences planned]
GBCA agent: [GADOBUTROL / GADOPENTETATE / GADOBENATE — brand name, planned dose]
Renal function:
  eGFR: [VALUE] mL/min/1.73m² | Date: [DATE]
  eGFR threshold for Group II (macrocyclic) GBCA per protocol: [VALUE]
  NSF risk assessment for Group I agents (if applicable): [NOT APPLICABLE — Group II agent / YES — radiologist approval obtained]
Pregnancy screening: [NOT APPLICABLE / LMP: [DATE] — pregnancy status confirmed by [PATIENT ATTESTATION / URINE TEST / BLOOD TEST] — GBCA risk discussed and [PATIENT CONSENTED / SCAN DEFERRED / EXAM MODIFIED]]
Prior GBCA reaction: [NONE / YES — type, severity, premedication protocol used]
GBCA retention disclosure: [ACR GBCA retention information provided to patient: YES / NO — reason if no]
Consent signed: [YES — on [DATE]]

Under 250 words. ACR 2023 GBCA guidelines require retention disclosure documentation.

Write a contrast reaction documentation note for an adverse event during or after injection.

RT documenting: [NAME, CREDENTIALS]
Radiologist on scene: [NAME]
Patient: [AGE, SEX]
Exam and contrast agent: [EXAM TYPE — AGENT NAME, DOSE ADMINISTERED, ROUTE]
Time of contrast injection: [TIME]
Time reaction first noted: [TIME]
Reaction description: [SPECIFIC SYMPTOMS AND SIGNS — e.g., "Patient reported generalized pruritus at 3 minutes post-injection. Urticaria noted on trunk and bilateral forearms. BP 110/72, HR 94, SpO2 98% on room air. No respiratory distress or facial swelling at time of initial assessment."]
Reaction classification: [MILD / MODERATE / SEVERE — per ACR categories]
Interventions:
  [TIME]: [INTERVENTION — e.g., "Exam suspended, radiologist called"]
  [TIME]: [INTERVENTION — e.g., "Diphenhydramine 25mg IV administered per radiologist order"]
  [TIME]: [INTERVENTION — e.g., "Patient monitored for 30 minutes post-intervention, symptoms resolved"]
Resolution: [COMPLETE / PARTIAL / ONGOING — disposition]
Incident report filed: [YES — report number / NO — reason if applicable]
Patient discharge instructions given: [YES — contrast reaction follow-up instructions / PATIENT ADMITTED FOR OBSERVATION]

Under 350 words. Exact times are essential for contrast reaction documentation.

Write an extravasation documentation note following IV contrast extravasation.

RT: [NAME, CREDENTIALS]
Exam: [CT OR FLUOROSCOPY EXAM]
Contrast agent: [NAME AND CONCENTRATION]
Volume extravasated (estimated): [ML — or "estimated, exact volume unknown"]
Injection site: [SPECIFIC — e.g., Right antecubital vein, 20G IV placed by nursing at 0800]
Time injection began: [TIME]
Time extravasation identified: [TIME]
How extravasation was identified: [RT OBSERVATION / PATIENT COMPLAINT / POWER INJECTOR PRESSURE ALARM]
Site assessment at time of identification: [SWELLING DIMENSIONS, SKIN APPEARANCE, PATIENT SYMPTOMS]
Radiologist notified: [NAME — TIME OF NOTIFICATION]
Interventions:
  [TIME]: [INTERVENTION — e.g., "Injection stopped, IV removed, site elevated"]
  [TIME]: [INTERVENTION — e.g., "Ice pack applied per department extravasation protocol"]
  [TIME]: [INTERVENTION — e.g., "Plastic surgery/wound care consulted per protocol for estimated extravasation >30mL"]
Patient instructions at discharge: [MONITORING INSTRUCTIONS, RETURN PRECAUTIONS, CONTACT INFORMATION]
Incident report filed: [REPORT NUMBER]
Follow-up contact scheduled: [YES — [DATE AND METHOD] / NO — reason]

Under 300 words. Iodinated contrast extravasation of large volumes (>30mL) requires surgical or wound care follow-up.

Write a patient verification and time-out documentation note for a fluoroscopy or interventional procedure.

RT: [NAME, CREDENTIALS]
Procedure: [SPECIFIC — e.g., Upper GI series with small bowel follow-through]
Procedure location: [FLUOROSCOPY SUITE NUMBER/NAME]
Pre-procedure verification:
  Patient ID confirmed by: [TWO IDENTIFIERS — e.g., "Name and date of birth verified verbally and with wristband"]
  Procedure ordered confirmed in system: [YES]
  Relevant allergies reviewed: [NONE / LISTED — specify]
  Consent verified: [YES — signed [DATE] by [PATIENT / GUARDIAN] / NO — not required for this procedure per protocol]
  Pregnancy screening: [NOT APPLICABLE / COMPLETED — result]
Time-out conducted:
  Participating: [RT NAME, PHYSICIAN NAME, NURSE NAME IF PRESENT]
  Confirmed: Patient identity, correct procedure, correct patient preparation (NPO/bowel prep)
  Concerns raised during time-out: [NONE / YES — describe and resolution]

Under 200 words. Joint Commission time-out documentation requirements apply to fluoroscopy procedures.

Write a daily QC phantom log entry for a CT scanner.

RT performing QC: [NAME, CREDENTIALS]
Date: [DATE]
Scanner: [MAKE, MODEL, SCANNER ID]
Phantom used: [MANUFACTURER AND MODEL — e.g., Catphan 500]
QC protocol: [ACR CT QC PROTOCOL / MANUFACTURER PROTOCOL / JOINT COMMISSION SCHEDULE]
Tests performed:
  CT number accuracy (water): [MEASURED VALUE] HU (acceptance range: -5 to +5 HU) — [PASS/FAIL]
  CT number uniformity: [CENTER AND PERIPHERAL VALUES] (acceptance: <5 HU difference) — [PASS/FAIL]
  Noise (standard deviation): [VALUE] HU (acceptance: [THRESHOLD]) — [PASS/FAIL]
  Slice thickness: [MEASURED VALUE] mm (prescribed: [VALUE] mm, acceptance: ±0.5mm) — [PASS/FAIL]
  Low-contrast detectability: [RESULT — e.g., "5mm diameter object visible at [mGy]"] — [PASS/FAIL]
Overall result: [PASS / FAIL]
Action taken for any failure: [DESCRIBE — repeat test, report to medical physicist, scanner taken offline]
Signature/attestation: [RT NAME — confirming results are accurately recorded]

Under 250 words. Daily CT QC documentation must meet ACR CT Accreditation Program requirements.

Write a QC documentation note for digital radiography (DR) or computed radiography (CR) equipment.

RT: [NAME, CREDENTIALS]
Date: [DATE]
Equipment: [MANUFACTURER, MODEL, ROOM/UNIT ID]
QC tests performed per [MANUFACTURER/ACR/AAPM PROTOCOL]:
  Flat-field uniformity: [RESULT] — [PASS/FAIL]
  Spatial resolution (bar pattern or MTF): [RESULT] — [PASS/FAIL]
  Low-contrast detectability: [RESULT] — [PASS/FAIL]
  Exposure index (EI) calibration check: [EI AT REFERENCE CONDITIONS — measured/expected] — [PASS/FAIL]
  Artifact survey: [ARTIFACT IDENTIFIED — describe / NONE IDENTIFIED] — [PASS/FAIL]
  Erasure cycle check (CR only): [PASS/FAIL — or N/A]
Overall QC status: [PASS — equipment cleared for patient use / FAIL — action taken: describe]
Next scheduled QC: [DATE AND FREQUENCY PER PROTOCOL]

Under 200 words. DR/CR QC documentation frequency per ACR Digital Radiography QC Program should be followed (daily/weekly/monthly as specified).

Write an equipment malfunction report for a radiology department.

RT reporting: [NAME, CREDENTIALS]
Date and time of malfunction: [DATE AND TIME]
Equipment: [MANUFACTURER, MODEL, ROOM/ID]
Malfunction description: [SPECIFIC — what failed, what error codes appeared, what patient or workflow impact occurred]
When malfunction first detected: [DURING QC / DURING PATIENT EXAM — patient impact description]
Immediate action taken: [EXAM SUSPENDED / PATIENT RESCHEDULED / ALTERNATIVE SCANNER USED — describe response]
Persons notified:
  Supervisor notified: [NAME — TIME]
  Biomedical engineering/service called: [TIME — ticket number if generated]
  Radiologist notified: [NAME — TIME — if patient care was affected]
Equipment status: [TAKEN OUT OF SERVICE PENDING REPAIR / CLEARED AFTER TROUBLESHOOTING — describe resolution]
Time returned to service: [TIME — if applicable]

Under 250 words. Equipment malfunction reports must be filed even for self-resolving errors if a patient exam was affected.

Write a radiation dose review note for a CT protocol optimization review.

Medical physicist or RT (performing review): [NAME, CREDENTIALS]
Review date: [DATE]
Scanner: [MAKE, MODEL]
Protocol reviewed: [PROTOCOL NAME — e.g., "Routine Chest CT without contrast"]
Current dose parameters:
  CTDIvol: [VALUE] mGy
  DLP: [VALUE] mGy·cm
  Effective dose estimate: [VALUE] mSv
Comparison benchmark: [ACR DOSE INDEX REGISTRY 50th PERCENTILE FOR THIS EXAM TYPE — or institutional reference]
Dose relative to benchmark: [ABOVE / AT / BELOW 50th PERCENTILE — and by how much]
Proposed optimization (if above benchmark):
  Parameter change: [SPECIFIC — e.g., "Reduce tube voltage from 120kVp to 100kVp for average-sized patients with mA auto-modulation maintained"]
  Estimated new CTDIvol: [VALUE]
  Image quality impact assessment: [ACCEPTABLE / REQUIRES FURTHER EVALUATION]
Implementation date: [DATE — or "pending medical physicist/radiologist review"]

Under 300 words. ALARA documentation supports ACR accreditation and Joint Commission review.

Write a mammography QC daily log entry for FDA MQSA compliance.

Mammography technologist: [NAME, ARRT (R)(M)]
Date: [DATE]
Equipment: [MANUFACTURER, MODEL, UNIT ID]
MQSA-required daily QC tests:
  Phantom image quality test:
    Phantom used: [ACR MAMMOGRAPHY PHANTOM]
    Fibers visible: [NUMBER OF 6] (minimum 4 required)
    Speck groups visible: [NUMBER OF 6] (minimum 3 required)
    Masses visible: [NUMBER OF 6] (minimum 3 required)
    Background optical density: [VALUE] (acceptable range: 1.20 to 1.60 OD for film / per PMMA standard for digital)
    Result: [PASS / FAIL]
  Flat-field image (digital systems):
    Artifact score: [PASS / FAIL — describe any artifact]
  SNR/CNR test (digital systems):
    SNR: [VALUE] — [PASS / FAIL]
    CNR: [VALUE] — [PASS / FAIL]
Overall daily QC result: [PASS / FAIL]
Action for any failure: [DESCRIBE — include notification to lead mammography technologist/medical physicist]
Technologist signature: [NAME — confirming log accuracy]

Under 250 words. MQSA requires daily QC records retained for 30 days minimum.

Write a STAT exam request justification note for an urgent imaging order.

RT or ordering coordinator: [NAME]
Requesting physician: [NAME AND SPECIALTY]
STAT exam requested: [MODALITY AND EXAM — e.g., STAT CT Head without contrast]
Clinical indication: [SPECIFIC URGENT REASON — e.g., "Patient presenting with acute onset severe headache rated 10/10, described as 'worst headache of life,' GCS 15, BP 188/102"]
Why STAT priority is clinically appropriate: [CLINICAL REASONING — e.g., "Clinical concern for subarachnoid hemorrhage requiring immediate imaging to guide emergent management"]
Current exam queue status: [WAIT TIME FOR STANDARD PRIORITY — e.g., "Standard CT queue: 45-minute wait"]
STAT priority approved by: [RADIOLOGIST NAME — or "ED attending order — STAT priority per ED protocol"]
Radiologist notified: [TIME AND NAME]

Under 200 words. STAT justification protects queue integrity and is required for documentation of priority escalation.

Write a documentation note for RT communication of a critical or unexpected finding to the ordering physician.

RT: [NAME, CREDENTIALS]
Exam: [MODALITY AND BODY PART]
Ordering physician: [NAME]
Unexpected or critical finding identified during exam performance: [DESCRIBE WHAT THE RT OBSERVED BEFORE RADIOLOGIST INTERPRETATION — e.g., "Patient became acutely short of breath and hypoxic during exam (SpO2 dropped from 98% to 89%); radiograph demonstrates new opacification of right hemithorax"]
Action taken: [EXAM SUSPENDED / RADIOLOGIST CALLED / CODE CALLED / PHYSICIAN NOTIFIED]
Physician notified: [NAME — TIME — by phone / in person]
Radiologist notified: [NAME — TIME]
Radiologist verbal report given to ordering physician: [YES — TIME / PENDING FORMAL READ]
Patient disposition: [RETURNED TO UNIT / REMAINED IN DEPARTMENT FOR OBSERVATION / CODE TEAM RESPONSE]

Under 200 words. RT documentation of critical finding communication is a patient safety and medical-legal requirement.

Write a downtime communication note when primary scanner is unavailable for a STAT case.

RT: [NAME, CREDENTIALS]
Scanner offline: [MAKE, MODEL — REASON FOR DOWNTIME: equipment failure / maintenance / QC failure]
Downtime began: [TIME]
Estimated return to service: [TIME — or "unknown"]
STAT cases affected:
  Patient 1: [EXAM TYPE — ORDER TIME — CLINICAL INDICATION — ALTERNATE ROUTING TO: backup scanner / sister facility / teleradiology queue]
  Patient 2: [IF APPLICABLE]
Physicians/ordering teams notified of downtime:
  [NAME, TIME, METHOD — e.g., "ED charge nurse notified by phone at 1432"]
Radiologist coverage: [RADIOLOGIST NAME — aware of downtime and backup routing as of TIME]
Backup imaging capacity: [AVAILABLE — backup scanner location and current wait time]

Under 200 words. Downtime documentation prevents patient care delays from becoming patient safety events.

Write a patient fall incident report following a fall in the imaging department.

Reporting RT: [NAME, CREDENTIALS]
Date and time of fall: [DATE AND TIME]
Location: [SPECIFIC — e.g., Changing room / Exam table / Hallway adjacent to scanner room]
Patient: [AGE, SEX — mobility status: ambulatory / assistive device / wheelchair / stretcher]
Fall circumstances: [SPECIFIC — e.g., "Patient was stepping off the exam table after completion of lumbar spine radiograph. RT was repositioning the X-ray detector when patient slipped. No assistive device in use at time of fall."]
Injuries observed: [NONE APPARENT / DESCRIBE — e.g., "Abrasion to right palm, no laceration, patient denies pain"]
Immediate actions taken:
  [TIME]: [ACTION — e.g., "Patient assisted to floor, did not attempt to lift"]
  [TIME]: [ACTION — e.g., "Charge nurse notified"]
  [TIME]: [ACTION — e.g., "Physician assessment requested — ordered X-ray of right wrist per fall protocol"]
Witnesses: [NAMES AND ROLES]
Prevention analysis: [WHAT FALL PREVENTION MEASURE WAS ABSENT OR FAILED — e.g., "Step stool not locked prior to patient use; standard for this exam requires RT to remain in direct contact with patient during dismount from exam table"]

Under 350 words. Accurate, factual. Do not admit fault; document facts.

Write a near-miss or safety event report for a radiology department safety database.

Reporting RT: [NAME, CREDENTIALS]
Date and time event identified: [DATE AND TIME]
Event type: [WRONG PATIENT / WRONG EXAM / WRONG SIDE / CONTRAST REACTION NEAR-MISS / RADIATION OVEREXPOSURE CONCERN / OTHER: describe]
Event description: [SPECIFIC — what happened, what was caught, at what point in the workflow it was caught]
How near-miss was caught: [RT SELF-CHECK / PEER REVIEW / BARCODE SCAN / RADIOLOGIST REVIEW / OTHER]
If caught before patient harm: [CONFIRM NO PATIENT HARM OCCURRED]
Immediate corrective action: [EXAM DELAYED / PATIENT CORRECTLY IDENTIFIED / PHYSICIAN NOTIFIED — describe]
Root cause analysis (preliminary): [WHAT SYSTEM OR WORKFLOW FAILURE ALLOWED THIS TO ALMOST HAPPEN — e.g., "Patient wristband not scanned before positioning; verbal confirmation only was used despite facility policy requiring barcode scan"]
Recommended system fix: [SPECIFIC PROCESS CHANGE — e.g., "Add barcode scan step to CT prep workflow checklist; require two-tech verification for same-name patients"]

Under 350 words. Near-miss reporting is a patient safety foundation. Non-punitive reporting culture depends on factual, non-defensive documentation.

Write patient preparation instructions for an imaging exam.

Exam type: [SPECIFIC — e.g., CT Abdomen and Pelvis with and without contrast / MRI Brain with gadolinium / Upper GI series]
Target reader: [PATIENT — plain language, no clinical jargon]
Preparation required:
  Food and drink restrictions: [SPECIFIC — e.g., "Nothing to eat or drink except plain water for 4 hours before your appointment"]
  Medication instructions: [IF APPLICABLE — e.g., "Continue all medications. If you take Metformin (glucophage), bring it with you — we will advise when to resume after your scan."]
  Clothing: [SPECIFIC — e.g., "Wear comfortable, loose clothing. Avoid metal fasteners, zippers, or underwire bra if possible. Metal jewelry, glasses, and hearing aids must be removed before the exam."]
  Contrast screening: [IF CONTRAST — "You will be asked about kidney function. If you have had recent lab work, bring the results."]
  Arrival time: [X MINUTES BEFORE APPOINTMENT]
What to expect during the exam: [3-4 SENTENCES — brief description of the exam process, duration, what they will see/hear/feel]
After the exam: [RELEVANT POST-EXAM INSTRUCTIONS — contrast hydration, activity restrictions if any, when to expect results]
Questions or concerns before your appointment: [CONTACT NUMBER]

Under 350 words. Plain language. Readable at 8th-grade level.

Write post-contrast discharge instructions for a patient after iodinated or gadolinium-based contrast administration.

Contrast type: [IODINATED (CT) / GADOLINIUM (MRI)]
Patient: [AGE, SEX]
Special circumstances: [RENAL FUNCTION CONCERN / PRIOR MILD REACTION / NONE]
Discharge instructions (plain language):
  Hydration: [SPECIFIC — e.g., "Drink at least 64 ounces of water over the next 8 hours"]
  Activity: [RETURN TO NORMAL ACTIVITY / ANY RESTRICTIONS]
  What to watch for: [DELAYED REACTION SYMPTOMS — specific, not vague]
  When to call us: [SPECIFIC SYMPTOMS PROMPTING SAME-DAY CALL]
  When to go to the ER: [EMERGENCY SYMPTOMS — e.g., "Difficulty breathing, throat swelling, chest pain, severe rash — go to the nearest emergency room immediately"]
  Breastfeeding (if applicable): [ACR GUIDANCE ON GBCA AND BREASTFEEDING — e.g., "ACR guidance states breastfeeding may safely continue after gadolinium administration; expressing milk for 24 hours is an option but is not required based on current evidence"]
  Results: [WHEN AND HOW RESULTS WILL BE COMMUNICATED]

Under 300 words. Patient-appropriate language. ACR contrast media guidelines compliant.

Write a patient-facing radiation safety Q&A for a CT exam.

Exam context: [TYPE OF CT AND INDICATION]
Patient concern: [COMMON CONCERN — e.g., "I'm worried about radiation from the CT scan"]
Q&A format (3-5 common questions):

Q: How much radiation does this CT scan involve?
A: [PLAIN LANGUAGE DOSE COMPARISON — e.g., "This CT delivers approximately X mSv of radiation. For comparison, background radiation from the environment is about 3 mSv per year in the United States. This scan is equivalent to roughly [X months/years] of background radiation."]

Q: Is this radiation level safe?
A: [FACTUAL AND NON-DISMISSIVE — e.g., "The dose from a single CT scan is in the low-to-moderate range. Our radiologists and technologists follow the ALARA principle — As Low As Reasonably Achievable — meaning we use the minimum dose needed to produce a diagnostic image."]

Q: Could I have this exam without radiation?
A: [HONEST COMPARISON — when MRI or ultrasound might be alternatives, when CT is the appropriate choice]

Q: What about my children? Is radiation different for them?
A: [PEDIATRIC CONTEXT — mention weight-based protocols and ACR pediatric dose optimization practices]

Empathetic, factual tone. No dismissal of patient concerns. Under 400 words.

Write a patient explanation script for the MRI safety screening process.

MRI technologist: [NAME]
Patient context: [FIRST MRI / PRIOR MRI — any known metal implants]
Script outline:
  Opening: [Introduce yourself and the purpose of the screening — 2 sentences]
  Why screening matters: [Plain language explanation of MRI magnetic field risks — why metal devices must be identified before entering the magnet room. Not fear-inducing — factual and reassuring.]
  Key questions to explain (not just ask):
    Pacemaker/ICD question: [Why this matters — what the patient should know to answer accurately]
    Prior surgeries/implants: [How to prompt complete recall — "think about any metal that might have been placed during a medical procedure"]
    Occupational metal exposure: [Why welders and machinists need orbital X-rays first]
    Pregnancy question: [Sensitively phrased — why it matters for the exam decision]
  What happens if they answer yes to anything: [Reassure — not automatic disqualification, additional steps taken]
  Closing: [What the exam will feel like, estimated duration, how to signal discomfort]

Under 350 words. Script format — actual language a technologist can use verbatim or adapt.

Write an ARRT continuing education documentation reflection.

CE activity: [TITLE, PROVIDER, CATEGORY — e.g., "ACR Webinar: Low-Dose CT Optimization for Chest Imaging — 1.5 ARRT Category A CE credits"]
Date completed: [DATE]
CE credit hours: [NUMBER] — Category [A / B / C] per ARRT
Key clinical takeaways:
  1. [SPECIFIC — e.g., "Iterative reconstruction algorithms (ASIR-V at 50%) allow a 40% dose reduction without diagnostic quality compromise for routine chest CT"]
  2. [SPECIFIC TECHNIQUE OR PROTOCOL CHANGE]
  3. [ADDITIONAL INSIGHT APPLICABLE TO DAILY PRACTICE]
How I will apply this in my current role: [SPECIFIC WORKFLOW CHANGE — e.g., "Will discuss ASIR-V parameter review with medical physicist at next quarterly CT protocol review"]
Documentation filed with: [ARRT CE Reporting Portal / My RState CME portfolio]

Under 250 words. ARRT requires 24 CE credits per 2-year biennium.

Write a study plan for an ARRT post-primary specialty certification.

RT: [NAME, CURRENT CREDENTIALS — e.g., RT(R)]
Target specialty: [CT / MRI / MAMMOGRAPHY / INTERVENTIONAL RADIOGRAPHY / CARDIAC-INTERVENTIONAL / BONE DENSITOMETRY — etc.]
Target exam date: [MONTH AND YEAR]
Study timeline: [NUMBER OF WEEKS/MONTHS AVAILABLE]
ARRT content specifications for this specialty: [KEY DOMAINS — from ARRT exam content specifications document]
Study resources:
  Primary resource: [TEXTBOOK OR COURSE NAME]
  Practice exams: [SOURCE — e.g., ARRT practice exam, ASRT review course, MedStudy]
  Clinical experience logging: [PROCEDURE REQUIREMENTS FOR THIS SPECIALTY — e.g., "CT requires 16 clinical competency categories documented in Trajecsys or equivalent"]
Weekly study schedule:
  Weeks 1-[X]: [CONTENT DOMAIN — e.g., "Patient Care and Safety — 4 hours/week"]
  Weeks [X]-[Y]: [NEXT DOMAIN]
  Final 4 weeks: [REVIEW AND PRACTICE EXAMS]
Exam logistics: [REGISTRATION DEADLINE, PEARSONVUE TEST CENTER SELECTION, SCORE REPORT TIMELINE]

Under 350 words. Actionable weekly plan with specific resources.

Write an annual performance self-evaluation for a radiologic technologist.

RT: [NAME AND CREDENTIALS]
Review period: [DATE RANGE]
Clinical productivity: [AVERAGE EXAMS PER SHIFT / CHARTS PER DAY — vs. department target]
QC compliance: [% OF REQUIRED QC TESTS COMPLETED ON TIME / ANY QC FAILURES OR CORRECTIVE ACTIONS]
Contrast safety: [NUMBER OF CONTRAST EXAMS PERFORMED / ANY ADVERSE EVENTS — if none, state]
Near-miss or incident rate: [NUMBER OF NEAR-MISSES DOCUMENTED / ANY PATIENT INCIDENTS]
Continuing education completed: [CE HOURS AND SPECIFIC TOPICS]
Special contributions: [STUDENT PRECEPTING, COMMITTEE PARTICIPATION, PROTOCOL DEVELOPMENT, QUALITY IMPROVEMENT PROJECT]
Areas for professional growth: [HONEST, SPECIFIC — a skill or knowledge gap you are actively addressing]
Goals for next review period: [3 SPECIFIC, MEASURABLE GOALS — e.g., "Complete CT post-primary certification by Q4, achieve zero QC documentation failures for 12 consecutive months, precept 2 student RTs"]

Self-evaluation format. Under 400 words. Use numbers — vague self-assessments don't advance careers.

Write a peer review critique note for a radiologic technologist quality improvement program.

Reviewer: [NAME AND CREDENTIALS]
RT reviewed: [NAME AND CREDENTIALS]
Review date: [DATE]
Sample reviewed: [NUMBER AND TYPE OF EXAMS — e.g., "10 portable AP chest radiographs from the past month"]
Assessment criteria:
  Patient positioning accuracy: [EXCELLENT / ACCEPTABLE / NEEDS IMPROVEMENT — specific observations]
  Image quality (exposure, contrast, sharpness): [RATING AND SPECIFIC OBSERVATION]
  Technical factor selection: [APPROPRIATE / SUBOPTIMAL — specific examples]
  Documentation completeness: [COMPLETE / MISSING ELEMENTS — specify]
  Radiation safety practices: [SHIELDING USED APPROPRIATELY / CONCERN — specify]
Strengths: [SPECIFIC POSITIVE OBSERVATIONS — at least 2]
Areas for improvement: [SPECIFIC, ACTIONABLE — at least 1 — e.g., "Portable AP chest exams show consistent under-rotation correction for ICU patients with ventilator tubing; recommend practicing 5-degree rotation correction technique on simulation phantom"]
Recommended follow-up: [SELF-PRACTICE / SHADOW SESSION / RE-REVIEW IN 60 DAYS]

Under 300 words. Specific and evidence-based. Peer review drives quality — generic feedback doesn't.

Write a cover letter for a radiologic technologist job application.

Applicant: [NAME, RT(R)(CT) or other credentials]
Years of experience: [NUMBER]
Primary modality experience: [E.g., "CT and general radiography with 5 years acute care hospital experience, 3 years trauma center"]
Target position: [JOB TITLE AND EMPLOYER]
Specific qualifications to highlight:
  1. [MEASURABLE — e.g., "Maintained 99.4% daily QC compliance rate across 4 years with zero QC-related Joint Commission findings during two triennial surveys"]
  2. [TECHNICAL SKILL — e.g., "Proficient in GE Revolution EVO CT, Siemens Naeotom Alpha photon-counting CT, and Agfa DR 600 digital radiography systems"]
  3. [PATIENT CARE — e.g., "Experienced with pediatric CT using weight-based dose optimization protocols per ACR and Image Gently guidelines"]
Why this position: [SPECIFIC REASON — what the employer offers that aligns with the applicant's goals]

Under 350 words. Lead with ARRT credentials and the most impressive measurable achievement.

Write a team debrief script for reviewing a safety event or near-miss with the radiology department.

Facilitator: [CHARGE RT / SUPERVISOR / SAFETY OFFICER]
Event reviewed: [BRIEF DESCRIPTION — no identifiable patient info]
Debrief format: [HUDDLE / STRUCTURED MEETING — 15-20 minutes]
Script outline:
  Opening (2 min): [Establish non-punitive tone — the goal is system improvement, not blame assignment]
  Event timeline review (5 min): [Walk through what happened and when — factual, sequential]
  What went right (3 min): [Identify what worked — catches, system checks that functioned]
  What could be improved (5 min): [Discussion — what process or system allowed this to happen?]
  Proposed action (3 min): [Specific process change proposed — who owns it, by when]
  Closing (2 min): [Thank team for participation — reinforce reporting culture value]

Under 300 words. Facilitator script format — actual language usable in the debrief session.

Write a radiation protection counseling note for a pregnant patient requiring necessary radiographic imaging.

RT and radiologist consulted: [NAMES AND CREDENTIALS]
Exam requested: [TYPE AND BODY PART]
Patient: [AGE — gestational age of pregnancy if known]
Clinical indication: [WHY THIS EXAM IS NECESSARY DESPITE PREGNANCY]
Fetal dose estimate (calculated or referenced): [mGy estimate — from NCRP Report No. 174 or AAPM reference table]
Threshold for deterministic effects: [50 mGy — confirm dose is below threshold]
Risk communication (plain language for documentation): [What was explained to the patient about estimated fetal risk at this dose level — factual, not dismissive or alarmist]
Lead shielding: [USED — area shielded / NOT APPLICABLE — explain why shielding was not used (exam of abdomen/pelvis where shield would obscure anatomy)]
Patient acknowledgment: [PATIENT INFORMED AND CONSENTED TO PROCEED / EXAM DEFERRED AT PATIENT REQUEST / ALTERNATIVE ORDERED — MRI/ULTRASOUND]

Under 250 words. Every pregnant patient radiation encounter must be documented. NCRP and ACR guidance should be referenced.

Write a protocol deviation documentation note for an imaging exam performed outside standard protocol.

RT: [NAME, CREDENTIALS]
Radiologist who authorized deviation: [NAME]
Standard protocol: [PROTOCOL NAME AND PARAMETERS]
Actual parameters used: [DEVIATION — specific description of what was different]
Reason for deviation: [CLINICAL RATIONALE — e.g., "Patient weight exceeded table limit for standard contrast volume calculation; reduced contrast volume of [X mL] used per radiologist order"]
Image quality impact: [DOCUMENTED — e.g., "Radiologist reviewed images in real time and confirmed diagnostic quality acceptable with modified protocol"]
Radiologist sign-off: [VERBAL ORDER — TIME / WRITTEN ORDER IN EHR — reference]

Under 200 words. Protocol deviations require documentation to protect the RT and create a quality improvement record.

Write a documentation note for a pediatric imaging exam.

RT: [NAME, CREDENTIALS]
Exam: [MODALITY AND BODY PART]
Patient: [AGE IN YEARS OR MONTHS, SEX]
Guardian present: [YES — NAME AND RELATIONSHIP / NO — reason]
Pediatric-specific considerations documented:
  Weight-based dose optimization: [CONFIRMED — pediatric protocol applied: [PROTOCOL NAME] per [ACR / IMAGE GENTLY GUIDELINES]]
  Patient cooperation: [FULLY COOPERATIVE / SEDATED — sedation type and monitoring documented / IMMOBILIZED — restraint type and guardian consent / REQUIRED DISTRACTION TECHNIQUES]
  Lead shielding: [APPLIED — specific shields used / NOT APPLIED — clinical reason]
  Guardian presence in room: [YES — with lead apron / NO — guardian in waiting area]
  Repeat exposures due to motion: [NUMBER AND REASON / NONE]
  Dose recorded: [EI / DLP / mAs — per pediatric dose index]

Under 200 words. Pediatric imaging documentation requires dose optimization confirmation per Image Gently and ACR guidelines.

Write a shift handoff communication note for the incoming RT.

Outgoing RT: [NAME, CREDENTIALS, SHIFT: AM/PM/NIGHT]
Handoff time: [TIME]
Equipment status:
  [SCANNER 1]: [OPERATIONAL / OFFLINE — reason and expected return]
  [SCANNER 2]: [OPERATIONAL / IN QC — estimated completion time]
Pending/in-progress patients:
  Patient 1: [EXAM TYPE — MRN or order reference — status: in exam / prepped / waiting for transport]
  Patient 2: [IF APPLICABLE]
STAT cases pending: [ANY OUTSTANDING STAT ORDERS — clinical urgency noted]
Open contrast reactions or incidents from this shift: [YES — brief description and status / NONE]
Important communications from this shift: [PHYSICIAN CALLS, RADIOLOGIST REQUESTS, EQUIPMENT CONCERNS]
Notes for incoming RT: [SPECIFIC ITEMS REQUIRING FOLLOW-UP]

Under 200 words. Handoff documentation prevents patient care gaps at shift change.

Write a technical tip for an imaging department knowledge base article.

RT author: [NAME, CREDENTIALS]
Topic: [SPECIFIC TECHNIQUE OR WORKFLOW — e.g., "Reducing motion artifact in abdominal CT for uncooperative patients" or "Optimizing knee radiograph positioning for accurate joint space measurement"]
Problem being solved: [WHAT CHALLENGE DOES THIS TIP ADDRESS]
Background: [WHY THIS CHALLENGE OCCURS — 2-3 sentences, no jargon]
Technique:
  Step 1: [SPECIFIC ACTION]
  Step 2: [SPECIFIC ACTION]
  Step 3: [SPECIFIC ACTION — add more steps as needed]
Result when applied correctly: [WHAT IMPROVEMENT THE RT SHOULD SEE]
When NOT to use this technique: [SPECIFIC CONTRAINDICATIONS OR PATIENT SCENARIOS WHERE THIS TIP DOESN'T APPLY]
Reference: [POSITIONING GUIDE, ACR PRACTICE PARAMETER, RSNA EDUCATION MODULE — or "departmental practice based on [NUMBER] years of experience"]

Under 300 words. Knowledge base articles should be short enough to use during a shift.