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What is the first step in the radiographic procedure evaluation?
Evaluates requisition for examination/procedure. To get exam room ready for patient.
How should the room be prepared for the exam?
Prepares room for exam and patient comfort. (pillow, sheet, wedge for under the knees, sheet to pull over, gown ready for patient to use depending on x-ray being performed)
What method is used to identify the correct patient?
Identifies correct patient by using two (2) identifiers. (Name, DOB)
What should the radiographer do upon meeting the patient?
Introduces self to patient.
How should the patient be prepared for the procedure?
Properly prepares patient for procedure (take off jewelry, clothes, hair pins, gown, etc.).
What is important to explain to the patient before the exam?
Explains exam to patient by using age-appropriate communication.
What specific information must be documented for female patients?
Documents LMC (last menstrual cycle) and assures no chance of being pregnant.
What should be documented regarding the patient's clinical history?
Documents appropriate clinical patient history (LMC) and modifies exam as needed.
What is the significance of selecting the appropriate IR (image receptor)?
Selects appropriate IR (image receptor) (tabletop/Bucky/grid/nongrid) and orientation.
What does SID stand for in radiographic procedures?
Source-to-Image Distance.
What does CR (central ray) alignment refer to in radiographic procedures?
CR (central ray) aligned to IR (image receptor) and part correctly.
Why is proper CR (central ray) angling important?
CR (central ray) angled properly to ensure accurate imaging.
What is optimal collimation?
Use optimal collimation to limit radiation exposure and improve image quality.
What is the purpose of lead marker placement?
Demonstrates proper radiographic lead marker placement. (LEGAL DOCUMENT)
What are the exposure factors that need to be selected?
Selects proper exposure factors:
CHEST-
(14x17-(LW)Lenghwise)
(17x14-(CW)Crosswise) Chest at 90*.
ABDOMEN- (KUB-Kidneys, Ureter, Bladder)tabletop is 48, bucky is 40.
What instructions should be given to the patient during the procedure?
Gives proper breathing instructions.
CHEST-Take a deep breath in, let it out, Take a deep breath in and HOLD
ABDOMINAL- Take a deep breath, let it out and HOLD
What is the importance of completing the procedure in a logical sequence?
Completes procedure in reasonable time and logical sequence.
What happens if a gross error is not fixed during a 'Time Out'?
10 points each deducted from final score if error not fixed.
What happens if a gross error is fixed during a 'Time Out'?
5 points each deducted from final score if error is fixed.
What if your patient is a pediatric patient, and their mother goes back to X-ray with them?
ALWAYS ask when LMC (last menstrual cycle) for all women even if they aren't the patient but going into x-ray to ensure no chance of being pregnant!