Patient Care Test 2J

Front 1

Clean/Contaminated Technique
*Requires 2 people

Back 1

“Contaminated” :
 handles patient items, bed, and positioning
 covered cassette
“Clean”:
 handles the machine, technique, and collimation
 uncovered cassette

Front 2

Preparation

Back 2

Before entering isolation room, place each
cassette into clean cassette bag.
Put on lead apron and remove jewelry.
At the front of the patient’s door you will find necessary supplies for the required precautionary measures (disposable gloves, gowns, masks, etc..).

Put on protective gear and use the posted isolation guidelines for the designated type of isolation before entering.
Don cap and tuck all hair inside
 Don mask and cover mouth and nose completely: pinch mask at the bridge of nose to ensure snug fit
 Put on gown; fasten securely and make sure uniform is completely covered
 Put on gloves and pull gloves OVER the sleeves of the gown
Dirty member: positions patient & cassette
Clean member: makes exposure

Front 3

After Examination

Back 3

 Dirty member: Pull back contaminated cover without touching cassette, offering “clean” cassette to team-mate.
 Clean member pulls cassette away from the cover.
 Dirty member places contaminated cover into the proper disposal container.
 Clean member: stores clean cassette into the machine compartment.
 After examination is completed, remove isolation attire before leaving the room.

Front 4

Why should you take a patients history?

Back 4

 Answers received from the patient may influence how the examination is conducted
 helps the radiologist focus the interpretation to meet the referring physician’s needs.
 NOT a detailed medical history, but a determination of why this study is being done.
 Be realistic in scope of your questions and focus on expanding the information provided on the requisition.
 Information should be recorded in some manner. (paper, electronically)
 Tact and caution are required when obtaining a history, since anxious patients may read too much into your questions.

Front 5

Simple guidelines for taking a history: specifics to the exam itself

Back 5

 Past history: Any surgeries? What type? When performed?
 Onset of pain: When did it start? Have you ever had it before? Does it come and go or is it continuous?
 Specific location: Where does it hurt? Can you point to where it hurts the most. Does it hurt anywhere else?
 Quality of pain: What does it feel like? Sharp, stabbing, dull ache, throbbing? Is it mild, moderate, severe? Does it wake you up at night?
 What aggravates: When is it worse: after meals, before meals, when you stand, when you sit, when you lie down?

Front 6

Why should you check the chart before doing and X-ray?

Back 6

 Often the requisition will NOT have enough specific information
 For inpatients: access chart and verify both the order for the procedure and the accuracy of the requisition
 Note the admitting diagnosis and the most recent progress notes
 Nurses’ notes may also be helpful.
 Has the exam prep been completed?
 Allergies are usually noted in red on the outside of the chart
 Complete account of allergies MUST be reported to the radiologist before contrast is given

Front 7

What are the Cardinal vital signs?

Back 7

- body temperature , varies- low morning - high evening, oral, rectal (+1), tympanic , axillary.(-1)
- pulse rate
- respiratory rate
- blood pressure

Front 8

Pyrexia / hyperthermia

Back 8

 elevated temperature
 sign of increased body metabolism (energy use), usually a response to an infection
Adults: fever commonly refers to any temperature of 100 F or above (oral)

Front 9

Name the kinds of thermometers

Back 9

Tympanic- Disposable thermometers- Glass thermometers (against OSHA regulations) Temporal Artery Thermometer

Front 10

What is the pulse rate- What is normal?

Back 10

 Pressure in artery caused by blood leaving the left ventricle of the heart when it contracts. Adult 60 – 100 Child 75-90 Infant up to 125