MICU
Medical Intensive Care Unit
SICU
Surgical Intensive Care Unit
PACU
Post Anesthesia Care Unit
NICU
Neonatal Intensive Care Unit
When using calipers, where do you measure?
Central ray
Variable kVp
+/- 2 kVp for every 1 cm difference in body thickness
What SID is 1 M?
39.4 in
What SID is 1.5 M?
59 in
What SID is 2 M?
78.7 in
When do you use a grid for a chest?
30 cm or more
When do you use a grid for extremities?
10 cm or more with minimum 60 kVp
When do you use a grid for an abdomen?
Always (unless pediatric)
What should you do to technique with use of a grid?
Increase
A grid must be __________ to the primary beam in order to prevent grid cutoff and elongation/distortion.
Perpendicular
What type of generator does portables use?
High frequency
T/F: Mobile radiography produces some of the highest occupational radiation exposures for radiographers.
True
Where should a technologist stand during portables?
Minimum 6 ft (2m) away and 90 degrees from patient/primary beam
What is the minimum source-to-skin distance for patients on portables?
12 in (30 cm)
Lead Apron/Thyroid Shields minimum
0.5 mm Pb
T/F: You can remove splints/immobilizers prior to imaging.
False
A patient is collared. In order to move them, what do you do?
Nurse or physician to hold patient’s head and log roll
When do you disconnect or remove any wires?
MRI screening and stone protocol
Automatic verbal reports
PICC placement, NG tube placement, NICU new central line, MD requests verbal on order or bedside
Where does the tip of a central line or PICC line sit?
SVC
Where does the tip of an ET tube sit?
1 in above carina
PICC line patient position
RPO 15 degrees
What is the SID for PICC line placement?
45 in
What marker do you use for PICC line placement?
Side down (right)
What must you include on PICC line placement image?
Shoulder of insertion site and at least all of mediastinum
Why are patients in RPO for PICC line placement?
Visualization of PICC line away from spine
Other name for NG tube?
Keofeed
Large bore NG tube portable chest
Most of the image should be chest with feeding tube visualized
Large bore NG tube portable abdomen
Include more of the abdomen with feeding tube visualized; CR 2 in above crest
Foreign body abdomen
Skin to skin, diaphragm to symph
All hospital staff must scrub their hands for __________ before caring for a NICU patient
30 seconds
What detector is used for NICU?
9×11
How do we set technique in NICU?
By weight
NICU arm position
45 degrees by side
AP erect/supine chest (24 cm)
90 kVp @ 1.4 mAs
AP supine abdomen (24 cm)
80 kVp @ 16 mAs
Decubitus or transabdominal abdomen (30 cm)
80 kVp @ 25 mAs
How many ribs above diaphragm show a good inspiration?
10