Mobile, surgical
Hospital Level that is University based, has all specialties available 24/7.
Level 1 University Trauma Center
What are two drawbacks to using CT for imaging?
Cost & increased dose.
Give 3 examples of non-sterile team members in the OR.
Radiographer
Anesthesia
Circulating RN
If a series of Xrays are ordered on a trauma patient including chest, C-spine, and knee, what is the first view that should be performed by the radiographer?
x-table lat C-spine
If a patient is unresponsive, you should never attempt to communicate with them. T/F
False
A Level 4 Trauma Center is characterized by this.
Clinic outpatient setting for minor injuries but offer stabilization and transfer capabilities.
What is the focal range for a 6:1 or 8:1 grid?
36-44"
How far can you be centered from the midline of the grid (focal distance) during mobile radiography to avoid grid cut off?
1.5"
Cool, Clammy, Sweaty, Thirst, Lethargy
Imaging modality that is widely used in Trauma Centers first.
CT
If patient has immobilization device (C-collar, splint, etc), what is the best practice when imaging? (2 things you need to remember)
Increase technique to penetrate immobilization
Never remove without Dr consent.
If a trauma patient becomes lethargic/loses consciousness, what should the radiographer do?
Notify dr/nurse
The radiographer should be standing at one angle to the primary beam when exposing with the portable?
90 degrees (right angle)- least amount of scatter radiation at this angle
Surgical scrubs should be changed when?
Each day or when becomes soiled.
The sterile field is defined as this.
Area prepared for the patient
What is the biggest enemy to radiographers during trauma/mobile radiography?
Motion
As the radiographer, it is your responsibility to protect everyone in the area during mobile/trauma radiography from unnecessary radiation. What are 2 imaging practices that would support this.
Short exposure times
Collimation
Announce exposure/ask people to step out
Lead aprons for those who can't leave
The single best way to reduce your dose as a radiographer is this.
Distance- increase as much as possible
When using the C-arm for a port-a-cath placement, where should the C-arm be positioned?
90 degrees to the patient, Left Upper Shoulder area
Sterile gowns are considered sterile on what parts?
Level of the sterile field and up.
When imaging multiple exams, what is the most efficient practice?
Do all AP projections first (sup to inf), then all laterals (info to sup).
The minimum distance the technologist must be from the x-ray tube during mobile radiographic procedures.
6 feet (1.8 meters)
F- we are non-sterile team members. Never reach over a sterile field as non-sterile personnel.
Why are lap Cholangiograms done? What is the surgeon looking for?
Patency of the ducts
Look for stones
Visualize the biliary tree