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Patient Care
Chapter 14: Immobilization
| Question | Answer |
|---|---|
| Decreases radiographs and exposure | Proper Immobilization |
| One of the many factors that affect diagnostic quality | Motion |
| One of the simpliest techniques of immobilization is? | Positioning sponges |
| Completely wrapping an infant or small child in a sheet | Mummy wrap |
| The movement controlled by the patient | Voluntary Movement |
| The most effective means of reducing motion | Communication |
| The relation of harmany and accord between two persons | Rapport |
| Recognition of the feelings of another person | Empathy |
| The most important communication in the radiology department is between these two people | Technologist and patient |
| Effective as restraining or positioning devices | Velcro straps |
| This device can serve as a safety precaution when performing a a procedure on a patient who is not completely cognizant or may be heavily medicated or intoxicated | Velcro straps |
| Get permission before using these devices. | Velcro straps |
| Can also be used for compression | Velcro straps |
| Radiopaque position devices | Sandbags |
| Must be placed adjacent to the anatomical area of interest | Sandbags |
| Common positioning device used in performing examinations of a lateral cervical spine or of the acromioclavicular joints | Sandbags |
| These devices only hold the head, not the spine; more of a positioning device instead of an immobilization device. | Head clamps |
| These techniques are often required for use with trauma, pediatric and geriatric patients. | Immobilization |
| Only remove immobilization devices after approval has been given by whom? | The Radiologist or attending physician |
| The most common spinal trauma traction device encountered by a technologist is what? | Cervical collar |
| Name the 3 positions that can be used to evaluate a patient with a cervical collar | Cross-table lateral, (AP) Anteroposterior, and AP open-mouth |
| These devices are used to immobilize the patients entire body (including the cervical spine) | Backboards or spineboards |
| An immobilization device used in injuries to the pelvis, hips and lower extremities and when multiple injuries in addition to spinal trauma are present. | Backboards |
| Backboards are typically made of which type of material? | Wood, plastic....Radiolucent |
| When this is present on the patient, the radiographer must be able to manipulate the radiographic equipment to compensate for the patients lack of mobility. | Cervical Collar |
| Extremity trauma may involve the use of these types of immobilization devices | Traction devices |
| Usually in the form of splints, most often inflatable or traction splints | Tractions devices |
| Devices designed for use on the lower extremities | Traction splints |
| If a patient has sustained trauma to the abdomen, pelvis or lower extremities and internal hemorrhage is suggested these devices may be used: | Antishock garment |
| A pair of inflatable trousers | Antishock garment |
| This is established with kindness, patience, honesty and understanding | Rapport |
| Patients as young as this age can be convinced to hold still without immobilization when communication is well done. | 3 or 4 years of age |
| This is often difficult for parents when they observe their children being placed in a pediatric immobilization device. | Objective |
| One of the most effective, simple, inexpensive, and reliable methods of restraining or immobilizing a child is what? | Mummification using sheet restraints |
| Commercial restraints often take one of these two forms: | Upright restraint devices or restraint boards |
| Most common upright restraint device for small children: | Pigg-O-Stat |
| a contour fitted pad, mold or sponge with attached velcro straps used for securing infants: | Restraint Boards |
| A modification of the Velcro strap restraint board commonly used for barium enemas is called what? | Octostop Boards |
| Octostop and regular restraint boards can typically only be used on infants up to what age? | Small children up to 1 year of age |
| A clever means of immobilizing hands, fingers, feet and toes of young patients is the use of what radiolucent device? | Plexiglass paddles |
| Pigg-O-Stats can be used on children up to approximately what age? | 3 years of age |
| One of the disadvantages of a Pigg-O-Stat device is? | Artifacts caused by the plastic sides |
| Sheet restraints can be used on children who are still too young to understand cooperation up to about what age? | 4 or 5 |
| This should be used more as a reminder to the patient to hold still rather than as a restraining device | Tape |
| A stretchable cotton fabric in the shape of a sleeve that is pulled over a fractured extremity before a plaster cast is applied. | Stockinette |
| The greatest concern for an older person is the fear of.....? | Falling |
| In addition to communication and rapport, the radiographer must take extra care to make the geriatric patient feel what? | Secure |
| An often overlooked consideration of geriatric radiology that goes along with security is keeping the patient what? | Warm |
| How can a radiographer keep a geriatric patient comfortable while on a radiographic table? | Using a radiolucent pad on the table. |
| What device can be used to reduce strain on the patient's back | A sponge or radiolucent pad beneath the patient's knees. |
| The 3 aspects that should be considered for all patients? | Security, Warmth and Comfort |
| The single most important technique in patient immobilization is? | High quality communication |
| Two key essentials for effective communication are | Explanation of the procedure and Rapport |
| Sheet restraints for mummification on infants should only be used for what 2 body parts? | Head and lower extremities |
| Sandbags and radiolucent sponges are what type of immobilization technique? | Simple |
| Proper ____________ will decrease radiographs and exposure to radiation. | Immobilization |
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foster1317
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