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Chapter 14: Immobilization

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Question
Answer
Decreases radiographs and exposure   Proper Immobilization  
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One of the many factors that affect diagnostic quality   Motion  
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One of the simpliest techniques of immobilization is?   Positioning sponges  
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Completely wrapping an infant or small child in a sheet   Mummy wrap  
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The movement controlled by the patient   Voluntary Movement  
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The most effective means of reducing motion   Communication  
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The relation of harmany and accord between two persons   Rapport  
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Recognition of the feelings of another person   Empathy  
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The most important communication in the radiology department is between these two people   Technologist and patient  
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Effective as restraining or positioning devices   Velcro straps  
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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  
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Get permission before using these devices.   Velcro straps  
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Can also be used for compression   Velcro straps  
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Radiopaque position devices   Sandbags  
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Must be placed adjacent to the anatomical area of interest   Sandbags  
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Common positioning device used in performing examinations of a lateral cervical spine or of the acromioclavicular joints   Sandbags  
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These devices only hold the head, not the spine; more of a positioning device instead of an immobilization device.   Head clamps  
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These techniques are often required for use with trauma, pediatric and geriatric patients.   Immobilization  
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Only remove immobilization devices after approval has been given by whom?   The Radiologist or attending physician  
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The most common spinal trauma traction device encountered by a technologist is what?   Cervical collar  
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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  
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These devices are used to immobilize the patients entire body (including the cervical spine)   Backboards or spineboards  
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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  
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Backboards are typically made of which type of material?   Wood, plastic....Radiolucent  
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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  
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Extremity trauma may involve the use of these types of immobilization devices   Traction devices  
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Usually in the form of splints, most often inflatable or traction splints   Tractions devices  
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Devices designed for use on the lower extremities   Traction splints  
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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  
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A pair of inflatable trousers   Antishock garment  
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This is established with kindness, patience, honesty and understanding   Rapport  
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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  
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This is often difficult for parents when they observe their children being placed in a pediatric immobilization device.   Objective  
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One of the most effective, simple, inexpensive, and reliable methods of restraining or immobilizing a child is what?   Mummification using sheet restraints  
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Commercial restraints often take one of these two forms:   Upright restraint devices or restraint boards  
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Most common upright restraint device for small children:   Pigg-O-Stat  
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a contour fitted pad, mold or sponge with attached velcro straps used for securing infants:   Restraint Boards  
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A modification of the Velcro strap restraint board commonly used for barium enemas is called what?   Octostop Boards  
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Octostop and regular restraint boards can typically only be used on infants up to what age?   Small children up to 1 year of age  
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A clever means of immobilizing hands, fingers, feet and toes of young patients is the use of what radiolucent device?   Plexiglass paddles  
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Pigg-O-Stats can be used on children up to approximately what age?   3 years of age  
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One of the disadvantages of a Pigg-O-Stat device is?   Artifacts caused by the plastic sides  
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Sheet restraints can be used on children who are still too young to understand cooperation up to about what age?   4 or 5  
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This should be used more as a reminder to the patient to hold still rather than as a restraining device   Tape  
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A stretchable cotton fabric in the shape of a sleeve that is pulled over a fractured extremity before a plaster cast is applied.   Stockinette  
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The greatest concern for an older person is the fear of.....?   Falling  
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In addition to communication and rapport, the radiographer must take extra care to make the geriatric patient feel what?   Secure  
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An often overlooked consideration of geriatric radiology that goes along with security is keeping the patient what?   Warm  
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How can a radiographer keep a geriatric patient comfortable while on a radiographic table?   Using a radiolucent pad on the table.  
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What device can be used to reduce strain on the patient's back   A sponge or radiolucent pad beneath the patient's knees.  
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The 3 aspects that should be considered for all patients?   Security, Warmth and Comfort  
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The single most important technique in patient immobilization is?   High quality communication  
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Two key essentials for effective communication are   Explanation of the procedure and Rapport  
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Sheet restraints for mummification on infants should only be used for what 2 body parts?   Head and lower extremities  
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Sandbags and radiolucent sponges are what type of immobilization technique?   Simple  
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Proper ____________ will decrease radiographs and exposure to radiation.   Immobilization  
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