OR/C-arm
Surgical attire for radiologic technologists?
scrubs, head cover, shoe covers, shoes, masks, eyewear, nonsterile gloves, dosimeter, lead aprons
Which side does the surgeon stay on and which side does the c-arm stay on?
surgeon = sterile
c-arm= non sterile
Stays at the head of the exam table and monitors the physiologic functions and fluid levels during surgery
anesthesiologist
3 cardinal rules? Which is most important?
time
distance
shielding
Cholangiograms are performed to look at ____________________?
biliary calculi (bile ducts) and gallbladder
How often do we change our masks while in the OR?
between procedures or if the outside gets dirty during a case
OR tables are considered sterile at what level?
Only at the level of tabletop
Who prepares the OR by supplying it with appropriate supplies and instruments?
certified surgical tech, scrub tech
If the sterile field has been accidentally touched what should the technologist do?
notify a surgical team member immediately
The abbreviation ORIF refers to:
open reduction internal fixation
using intermittent fluoroscopy reduces exposure. What mode is this called on the c-arm?
pulse mode
Sterile gowns are considered sterile in what area
the shoulder to the level of the sterile field and at the sleeve from the cuff to elbow
Essential Attributes of the Radiologic Technologist in Surgery
Confidence
communication
problem solving skills
mastery
How often should stored equipment be cleaned?
Weekly
What device is used to stabilize fractures within a long bone?
Intramedullary rods
Which position of the c-arm creates more exposure and which creates less exposure?
Most exposure = c-arm is in the vertical AP (x-ray tube on top)
Least exposure= c-arm vertical PA (II on top)
What is used during hip pinnings to maintain a sterile field?
shower curtain
Performing the surgery
surgeon
Where should the surgeon stand when using fluoro with the c-arm?
intensifier end (II)
Vertebroplasty vs. Kyphoplasty
Vertebroplasty corrects vertebral compression fractures by using cement
Kyphoplasty corrects by first inserting a balloon and then injecting cement to stabilize
Which mode increases dose and brightness in the image?
boost mode
When performing a portable x-ray in the OR we must use ______ to keep the IR sterile.
Only the _____ surface of the ____ is sterile
plastic cover
only the outer surface of the plastic cover is sterile
The only person to use the c arm
radiologic technologist
Where should we wear our dosimeters in the OR?
On the collar, outside of the lead apron
________________ is performed to alleviate pain caused by neural impingement by removing an aspect of the lamina in the vertebral arch
Laminectomy