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RAD271-Patient Care

Physical Assistance/Monitoring

Describe AMBULATORY able to walk, not confined to bed
Describe good body mechanics 1. hold heavy objects close 2. Back straight 3. lifting - bend at knees to utilize knee and abdominal muscles 4. Push or roll heavy objects (no lifting/pulling)
Describe steps for patient transfer. 1. verify patient 2. explain procedure (gains cooperation and alleviates fear) 3. Use proper body mechanics 1. knees slightly bent 2. back straight 3. use legs to lift
Describe steps for transfer from wheelchair to x-ray table. 1. wheelchair parallel to table 2. apply brakes 3. use face-to-face method to assist to stand 4. pivot into back facing table, then sitting 5. One arm under shoulders, the other under knees to assist to supine position
Describe steps for transfer from table to wheelchair. AMBULATORY 1. wheelchair parallel to table 2. ensure brakes applied 3. Pt sits up ( reduces orthostatic hypotension) 4. Assist w/standing, pivoting. 5. Assist pt to reach behind and grasp arm rails, slowly lower to chair.
Describe steps for transfer from table to wheelchair. NONAMBULATORY 1. wheelchair 45' to table 2. brakes applied 3. Pt sits up ( reduces orthostatic hypotension) 4, Tech stands facing patient 5. reach behind, grasp scapulas, lift (knees bent) 6. Pivot w/pt-rear leg touches wheelchair seat 7. Ease pt to sitting
Describe steps for CART transfer. 1. Cart parallel to table 2. Wheels LOCKED 3. One person at head/shoulders One person lifts pelvis/knees Others support patient on sides 4. Use transfer or draw sheet, slide board 5. One fluid motion to transfer
Describe Patient Comfort and radiographer responsibility. 1. use pillows/sponges to support patient w/o interfering w/exam 2. Evaluate patient condition - ability to breathe, nausea 3. keep upright when possible 4. Special care with older (decubitus ulcers/sensitive skin
Guidelines for safety/comfort of patient during exam 1. secure belongings 2. remove hazards (avoid painful/unnecessary movement) 3. Proper use of equipment 4. Remove clothing first from uninjured side 5. Place clothing first on injured side
Describe radiographer responsibility regarding IVs. 1. keep tubing free and prevent kinking during transfer/exam 2. Keep IV 18-24" above level of vein
Describe modes of patient transportation. 1. ambulation 2. wheelchair 3. Stretcher
Discuss ramifications of leaving patient unattended in exam room. BEST PRACTICE - do not leave alone; patient may be sedated, senile, in shock, under the influence, cognitively impaired and do something that results in injury
Describe patient support equipment found in x-ray room 1. Oxygen 2. Suction 3. Tubes (chest tubes, GI tubes, PICC and CVC)
Describe the different equipment used with oxygen and how to ID low oxygen. wall outlet; NO SMOKING classified LOW or HIGH flow; nasal cannula (low); Masks - Venturi (high), simple (low), rebreather (low), mechanical ventilators (high)
Describe suction in x-ray room. occasionally required to maintain patient airway by aspirating secretions, blood, other fluids
Describe Tubing Chest tube - drainage GI tubes - NG nasogastric, NI nasointestinal, or NE nasoenteric - cDO NOT DISTURB Circulatory sys-CVP, CVC, PICC - have Urinary catheters - ALWAYS keep BELOW bladder
Describe Chest Tubes. Chest tube - treating PTX/HTX w/drainage system. Keep drainage system below patient's chest.
Describe GI tubes GI tubes - NG nasogastric, NI nasointestinal, or NE nasoenteric - can be used to feed patient or remove secretions or to admin contrast Never clamp double lumen tubes! DO NOT DISTURB!!!!
Describe circulatory system lines. CVC - central venous catheters used to monitor central venous pressure, dialysis, blood transfusion, admin drugs/parenteral nutrition PICC - peripherally inserted central catheter Radio-opaque distal tip to assist w/assessing placement in x-ray
Describe urinary catheters. ALWAYS KEEP BELOW BLADDER sterile catheterization procedure most common nosocomial infection - UTI
Describe the two types of physical signs in patient care. 1. Objective - patient appearance and condition (measurable) vital signs, patient motor control 2. Subjective - signs perceived by patient - how feel, level of pain
Describe vital signs 1. body temperature 2. pulse rate 3. respiratory rate 4. arterial blood pressure
What is standard body temperature? Adult oral - 98.6 rectal - 99.1-99.6 Axiallary - 97.6-98.1 Infants/children (4yo) rectal - 97.9-100.4 5+ 97.8-98.6
Five most common pulse points Radial - wrist (base thumb) Carotid - neck, just lateral to midline Temporal - front of upper ear Femoral - inguinal (groin) Popliteal - posterior knee
Describe normal resting pulse rates men 68-75 women 72-80 children 70-100 infants 100-160
Describe DYSPNEA difficulty breathing
List terms to describe respiration.
Created by: Larobbins