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Patient Care

Chapter 14: Immobilization

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
Created by: foster1317