review worksheet

steps to power on and off the c-arm

1. plug in interconnect cable

2. plug in power cord

3. press green button on

4. park c-arm

5. press green button off

6. disconnect from wall

7. disconnect interconnect cable

horizontal cross arm

extends c-arm a max of 8 inches

wig wag

moves c-arm side to side

column lift

raises and lowers c-arm

lateral rotation

rotates intensifier up to 90 degrees in both directions

canting/oblique

rotates the intensifier up to 115 degrees

locked

pedal down

steer

pedal up

free

pedal in the middle

x-ray generator

produces electrical energy, allows selection of kVp and mA

x-ray tube

converts electrical energy of generator to beam

collimator

contains multiple sets of shutters that refine the beam

image intensifier

converts x-rays to photoelectric energy

video camera

captures the image and displays it on a video monitor

orientation

rotate clockwise and counterclockwise

flip image

press “R” buttons

magnification

use for desired field size - normal, mag 1, mag 2

mode

button to toggle between standard and high level fluoro

workstation

allows for transfer of images from the left and right screen

save

select button during or after fluoro to store image

iris collimation

collimation that will give a circular presentation

rotate collimation

collimation that will give side to side

linear collimation

collimation that is linear only

auto contrast

active when LED light is solid

manual contrast

active when LED light is off

auto techniques

default setting

system will adjust for optimal imaging

manual kVp and mAs

manually adjust by using the arrows

alarm reset

flashes at 5 minute intervals

pulsed fluoro

allows for dose reduction while keeping technique

patient information

displays patient information and can add/edit patients here

image directory

reviews, copies, and archives images

image annotation

displays annotation screen, comments, and cropping

surgeon

a physician licensed and trained in general surgery or a specialty

anesthesiologist

a physician that specializes in administering anesthetic drugs to the patient during surgery

surgical assistant

an individual who assists the surgeon throughout the surgery

scrub

a CST or RN who prepares the sterile field and sterilizes the instruments before the surgical procedure begins

circulator

a nonsterile CST or RN who assists in the OR by responding to the needs of the scrubbed members in the sterile field

confidence

is judged by the technologist’s level of comfort and ease in the OR

communication

clear communication between the radiologic technologist, surgeon, and anesthesiologist is very important

problem solving

it is difficult to predict every situation that may occur in the OR

mastery

of all aspects of radiology - including use of the c-arm and mobile equipment is essential

retrograde urography

a nonfunctional examination of the urinary system during which contrast medium is introduced directly retrograde

percutaneous necrolithotomy

a minimally invasive procedure to remove kidney stones from the kidney that are too large for the body to pass

operative cholangiogram

performed during surgery to demonstrate anatomy of the biliary ductal system, drainage into the duodenum, and residual biliary stones

laparoscopic cholangiogram

provides a less invasive approach for the removal of diseased gallbladder

orthopedic procedures

intended to reestablish the length, shape, and alignment of fractured bones and joints

closed reduction

a nonsurgical procedure where the fracture fragments are realigned by manipulation and are immobilized by a cast or splint

open reduction

a surgical procedure for sever fractures with significant displacement or fragmentation

internal fixation

during an open reduction, a variety of compression plates, screws, pins, intermedullary rods, nails, and wires are inserted

external fixation

the use of an external fracture stabilizing device permits bone healing without immediate requirements of internal fixation

intramedullary fixation

intermedullary rods and nails are inserted within the shaft of long bones to stabilize fractures

open reduction internal fixation (ORIF)

a surgical procedure with a goal to reduce and stabilize the fracture all while restoring use to the limb with minimal blood loss

total joint arthroplasty

a surgical procedure in which parts of an arthritic or damaged joint are removed and replaced with a device called a prosthesis

laminectomy

a surgical procedure performed to alleviate pain caused by natural impingement

spinal fusion

a surgical procedure which uses rods, plates, and screws to stabilize the altered vertebrae

pacemaker insertion

the implantation of a small electronic device that is usually placed in the chest to help regulate slow electrical problems with the heart

bladder stimulator insertion

an implantable device used to send mild electrical pulses to the sacral nerves

intraoperative closing chest

portable imaging done post cardiac surgery to verify the placement of ETT< chest tube and other lines inserted during surgery