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mobility muscles
called white muscles; are found in limbs
have long, white tendons and cross 2 or more joins
stability muscles
called red muscles, are found in the torso
large expanses of red belly muscles and provide postural support
biomechanics
a branch of physics that applies the laws of mechanics to living creatures; examines the action of forces on bodies at rest or in motion and can be used to design safer work environments
base of support
the base of support is the foundation on which the body rests; it is important to have a good base of support (wider stance, more support)
center of gravity
a hypothetical point at which all the mass appears to be concentrated; gravitational forces appear to act on the entire body from this specific point
in humans, the COG is at the sacral level 2
to be safe
the center of gravity must always be over the base of support
effective transfers
should use white mobility muscles for lifting and red postural muscles for support
lift with legs, keep your back straight, bend and straighten at the knees
principles of lifting
let, ask, inform, apply, keep, never
orthostatic hypotension
is a condition caused by a drop in blood pressure that occurs when a person stands too quickly from a recumbent to an upright position
wheelchair transfer
standby assist
assisted standing pivot
two-person lift
hydraulic lift
standby assist
simply assist patient from chair to table
place the wheelchair at a 45-degrees angle to the table; stand near patient
assisted standing pivot transfer
transfer with or without galt belt
block knees and feet
stand patient and pivot to table
two-person lift
stronger person lifts torso and other lifts the feet
stronger person verbally coordinates counting out loud
hydraulic lift
hydraulic lift transfers have multiple steps and require some skill
never use alone, without assistance
utilizes a swing type of apparatus
cart transfers
to move patient from cart to to radiographic table and back again
3 people usually perform a cart-to-table transfer
use slider board and thin plastic sheets overbroad, called patrons
log rolling
logrolling is a technique used to turn a patient whose body must always be kept in a straight alignment
this technique is used for the patient who has a spinal injury
used for the patient, who must be turned in one movement, without twisting
commonly attached medical equipment
patient may arrive in the radiology department with items clipped or affixed to their bodies to deliver or drain away fluids
include: oxy tubing, intravenous lines, central lines, post surgical drains, urine bags
patient position
for a desired body part to be examined, patients need to be moved into a variety of different positions
patient must be transferred as a single unit, placed on the table in a safe and secure position, and than moved segmentally into the desired body position
supine
patient lying flat on back
prone
patient lying face down
lateral
patient lying on their side
sims’
patient lying obliquely on their side with knee drawn upward
treneleburg
lying with head lower than feet
fowler
lying head higher than feet
immobilization
act of rendering immoveable; reduce patient motion
restraint
hindrance of an action or movement
WE IMMOBILIZE, NOT RESTRAINT
simple immobilization techniques
involved the use of a positioning sponge to support the anatomic area of interest or gently laying a sandbag across a patient
involved immobilization techniques
more complex techniques might involved completely wrapping an infant in a sheet or securing an infant to an immobilizer board
voluntary motion
can be controlled by the patient and most results from inadequate communication
involuntary motion
cannot be controlled by the patient; heart beating
rapport
a relationship of harmony and accord between 2 persons, rad tech and patient
positioning sponges
comes in a variety of shapes and sizes and are designed to support the patient or anatomic area
stability bar
located on most upright Bucky units to assist patients when performing lateral chest x-ray
velcro strap
can be effective as an immobilization or positioning device
sandbag
extremely helpful in reducing voluntary motion
common use is an aid in lateral cervical spine exams and AC joints; depress the shoulders
head clamps
can be attached to imaging devices and are designed strictly for use in positioning various projections of the skull
cervical collar
applied in cases of suspected neck/head trauma
backboard
spine board; used to immobilize and support entire body
air splint
used for extremity trauma; inflated cuff that is slipped over the affected limb and inflated to provide stability
traction splint
used for lower extremities; exert steady force on the affected limb by applying pressure against the pelvis and groin area
anti-shock garment
pair of inflatable trousers
sheet immbolization
mummy-wrap
pig-o-stat
useful for upright chest and abdominal images
octostop board
modification of velcro strap immobilizer board
geriatric patients
security
warmth
comfort