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Merill 13,29,30
trauma, mobile, surgery
| Question | Answer |
|---|---|
| A sudden, unexpected, dramatic, forceful or violent event. | trauma |
| What modality has replaced regular x-ray films when it comes to imaging the skull, in trauma situations? | CT |
| What is one way to increase efficiency while minimizing patient movement? | take all AP projections, then all lateral projections |
| When an injury has occurred, what films must be taken of the injured part? | 2 films 90 degree from each other |
| What measures must be taken to reduce radiation exposure to a trauma patient and the staff helping with the exam? | close collimation, lead aprons, announce the x-ray is being taken, and short exposure times |
| _______ is(are) never to be removed without a Doctors order. | Splints |
| If a patient has on a C-Collar, what film must be done first? | lateral C-spine |
| What are considered some of the Best Practices in Radiography? | Speed, accuracy, quality, positioning, standard precautions, immobilization |
| If air fluid level are suspected on a CXR, what position will best demonstrate it? | A dorsal decubitus |
| Who was the first to use mobile radiography? | THE MILITARY |
| Where are some places mobile x-rays are taken? | surgery, patients rooms, ER dept., ICU, peds, and recovery rooms |
| What are the 2 types of mobile machines? | battery operated, capacitor discharge |
| How many exposures can be made on a full battery? | 10 to 15 |
| This is a type of break that stops the portable in its tracks? | dead man break |
| What are some advantages of a battery operated mobile unit? | cordless, provides constant kVp and mAs, can get multiple exposure out of the battery when fully charged |
| What are some advantages of the capacitor discharge mobile unit? | lightweight, smaller and easier to maneuver, Doesn't require much charging time in between exposures |
| What are the main disadvantages of a capacitor discharge unit? | kVp drops constantly during exposure, must be charged after every exposure |
| When is the anode heel effect more pronounced? | short SID, larger field sizes, smaller anode angles |
| What is the single most effective means of reducing radiation exposure when exposing a mobile x-ray? | Distance |
| What must be to ensure the grid to work properly for a mobile exam using a grid? | CR and Grid lined up and are perpendicular to one another, Center the CR to the mid line of the grid |
| ________ ________ produces some of the highest occupational radiation exposure for radiographers? | Mobile radiography |
| How can you reduce your radiation exposure during a mobile exam? | distance, lead aprons, stand at a 90 degree angle from the beam |
| What is the minimum source to skin distance? | 12 inches |
| What are the 2 types of isolation? | Those who are contagious, and those who are being protected from infections (reverse isolation) |
| To keep exposure time to a minimum, what is the recommended SID? | 40 in |
| What should be available on ever portable machine? | Lead aprons, technique chart, IR, calipers, and tape :) |
| What is the minimum distance a technologist should be from the portable when making an exposure? | 6 feet |
| What should you do before starting a mobile exam? | Introduce yourself to patient and family, explain procedure, ask family to step out of the room, check patients arm band to make sure you are imaging the correct patient! |
| What are some of the most important guidelines when imaging a trauma patient? | 1.Move patient as little as possible, 2.DO NOT remove splints unless directed by a physician, 3.move tube instead of injured body part, 4.obtain a minimum of 2 projection 90 degrees from each other |
| When doing a lateral decub for fluid in the chest region, what side will be the side down? | The affected side or the side suspected to have fluid in it! |
| When want to see air levels in the chest, what side must be in the down position? | The UNaffected side! Air rises :) |
| How long should a patient be in the lateral decub position when imaging the chest? | at least 5 min |
| What are the typical grid ratios for mobile radiography? | 6:1 or 8:1 |
| If the CR is off by ____ to ____ in, grid cut off will occur. | 1 to 1 1/2 in |
| What exam(s) will make use of the anode heel effect on a portable? | AP abdomen and AP and Lat Femur |
| What attire should be worn in a reverse isolation room? | mask, gowns, gloves |
| What attire should be worn for a wound or any type of drainage secretions? | gloves |
| What attire should be worn for strict isolation? | gown, gloves, mask |
| Who are considered sterile team members? | The Surgeon, physician assistants, Certified surgical tech, surgical assistant |
| Who are considered to part of the non sterile team members? | Anesthesia provider, rad tech, circulator, Or any bio med techs and Drug reps |
| How often should the surgical scrubs be changed? | at the start of a new shift or when they become soiled |
| What is considered to be the sterile field in the OR? | The area prepared for the patient |
| Who is allowed to reach over the sterile field? | Only the sterile team members |
| How often should the x-ray equipment be cleaned in the OR? | After each surgical case |
| How often should the less used equipment be cleaned in the OR? | Once a week |
| What part of the sterile gowns are really considered sterile? | From the shoulders down to the level of the sterile field |
| What is always considered dirty in the OR suite? | The floor! |
| After taking an image in the OR, what should you do with the film that is covered with a sterile bag? | WEAR GLOVES! Dispose of the contaminated cover, then remove the gloves before handling the film. NEVER PUT IT ON THE FLOOR! |
| When positioning the film under the sterile field, the tech should not lift the sterile drape _________________? | above the table level |
| What should the radiographer do when walking around sterile equipment or team members? | Avoid turning your back to them! The back of you is not sterile! |
| What is a safe distance to be from the radiation source in the OR suite? | 6 feet |
| When possible, try and stand at a __________ angle from the primary beam. | 90 degrees |
| What should you do if the sterile field is compromised? | Tell someone IMMEDIATELY! |
Created by:
radgirl37
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