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37 Cards in this Set

  • Front
  • Back
By the age of _ or _ years, most children can be talked through a diagnostic radiogrphic study without immobilization or parental aid
2 or 3 years
Most important is a sense of ______ which begins at the first meeting between the patient and the tech.
Trust
What two things are successful radiographic studies dependent on?
1st Technologist's attitude and approach to a child
2nd The technical preparation in the room
What three main areas should things should be focused on when giving an self-introduction?
1 Introduce yourself as the tech whom will be working with the child.
2 Find out who info the attending physician has given to tthe parent and patient
3. Explain what you are going to do and what your needs will be.
What three possibilities may the parent be included in?
1. Parent serve as an observer
2. Parent serves as a participator
3. Parent asked to remain in the waiting area
True or false: Parents generally wish to assist in immobilizing the child
True
If the parent wishes to assist in immobilizing the child, what steps should the tech take?
Ask if parent is pregnant,
explain the procedures to botht the parent and the patient.
True or false: Cooperation and the parent's effectiveness in assisting tend to increase with understanding how proper but firm immobilization will improve the image and reduce rad exposure.
True
What does old term BCS stand for?
Battered child syndrome
What is the new term for BCS?
Nonaccidental trauma (NAT)
True or false: Generally. it is the respondsibility of the tech to make judgement as to whether child absue has occurred.
False; generally it is not
What should a tech do if they susspect child abuse?
If NAT is seen or suspected, report the facts. Discuss this with the Radiologist or other supervisor as determined by department protocol.
True or false: It is most important that all techs know what their responsibilities are concerning this in the state or province om which they are working.
True
Who are classified as a pediatric?
0-16 yrs of age
Pediatrict radiogrpahy should always use as _____ exposure time and as ____ mA as possible to minimize image blurring.
Shortest exposure time; high mA as possible
Names some examples of immobilization devices.
Pigg-O-Stat, Posi-Tot, Tam-em board, ect
Of what age must the child be in order to use a Pig-O-Stat?
Of two years of age
Name some type of simple and unexpensive immobilization devices.
Tape, sheets, towels, snadbags, radiolucemt sponge blocks, compression bands, stockinettes, and ace bandages.
What type of sandbag is recomended to use with peds?
Strong canvas-type matrerial and children's coarse sterilized playing sand should be used, because if it were to break open, it is easily cleaned up and less chance of artifacts are shown
What type of tape should be used to immobilize ped patients?
Gentle tape
If stockinettes are used, what type should they be, and how long?
They should be tubular, and 3-4 '' fdfrom infant to larger children.
When using an ace bandage what length should it be?
4'' for small infants, 6'' for older children
What is a very effective tool used to immobilize peds?
Compression bands with a combo of sandbags
What addition is used a lot with the head clamp for immobilization?
mummifying
The primary center of bones become....?
Diaphysis
Each secondary center of ossification involves the end of long bones and is termed an _________.
Epiphysis
The space between the diaphysis and the epiphysis is made up of cartilage and is termed an ________ ________
Epophyseal plate
What three radiation procautions must be taken when working with a ped?
Minimal repeats
Gonadal Protection
Parent protection
Accurate manual tech charts with patient body ______ should be used
weights
Gonads of the child should ______ be sheilded with contact-type sheilds, unless such shield obcures the essential anatomy of the lower abdomen or pelvic area.
Always
What three other factors could assist in lowering of gonadal dose to the patient?
Close collimation, low dosage techs, and a minimim number of exposures taken,
If the parents are to be in the room, they must be supplied with _____ _______.
Lead aprons
If the parent is immobilizing the child and their hands are in or near the primary beam, they should be given ______ ______.
Lead gloves
What should we tell the mother if she is pregnant?
She is not allowed in the room and must stay in the waiting area.
What should be completed before the patient is brought into the room?
1. Sheilding and immobilization tools ready]
2. IR, markers, and tech should be set up
3. Determine specific prohections
4. If two techs working togeather, determine who will take on which role
Should clothing, bandages, and or diapers be removed from the patient before the exam?
Yes, otherwise it may create an artifiact
What permits faster scanning without respiratory motion, and is especially advantageous for an image of the chest in peds?
Spiral/Helical CT