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301 MEDIMAGE > 9. Operating Theatre Imaging > Flashcards

9. Operating Theatre Imaging Flashcards

1
Q

what are the 4 features of theatre central

A

audio-visuals

acute list

staff allocation

receptionists

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2
Q

what are the 3 pods for in the theatre layout

A

pod 1 = theatre 1-6 general and O&G and burns
pod 2 = theatres 7-12 plastic, hands and ortho
pod 3 = theatre 13 and 14 large flaps, multitrauma etc

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3
Q

what is TADU

A

theatre admission and discharge unit

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4
Q

what 3 things happens when a patient arrives to TADU

A

arrive to theater waiting room and are greeted by reception and TADU staff are advised of their arrival

seen by team (surgeon/anesthetic/nursing) in one of the 9 consult rooms

change into theater attire ready to go in for surgery

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5
Q

what is PACU

A

post anaesthesia care unit

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6
Q

what is the hold bay

A

pre op room

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7
Q

what is done in the hold bay

A

sign consent forms

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8
Q

what should you never do when a surgery is still ongoing in terms of doors

A

never open doors to exit bay

enter/exit through hold bay and open one door after the first door has closed (can also go in through the scrub doors)

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9
Q

where is the bed in the surgery room

A

in the centre

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10
Q

what is the area of positive pressure

A

area where operation should happen in a specific area of ventilation system where it blows out from site rather than in

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11
Q

what are 3 things that need to be worn as part of perioperative practice

A

blue scrubs
head covering
shoes

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12
Q

what are the 5 rules to wearing blue scrubs as part of perioperative practice

A

change if contaminated

not to be taken home to be washed

can only be worn inside and not outside hospital

no long sleeved tops underneath scrubs

warm up jacket avail

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13
Q

what must your head covering do as part of perioperative practice

A

cover all hair

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14
Q

3 things must the shoes be as part of perioperative practice

A

non slip
protect feet
easy to clean

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15
Q

what are the 2 standard personal hygiene measures

A

washing hands

sanitizing

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16
Q

can you wear nail polish in theatre

A

no

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17
Q

can food or drink be taken into the perioperative suite

A

not into the semi or full restrictive areas of the perioperative suite

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18
Q

where should food and drink never be kept

A

must not be kept on counter tops or work spaces where blood and other potentially infectious materials are present

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19
Q

can cell phones be carried in theartre

A

yes can be carried but not to be accessed in theatre while you are working, only access them during break times

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20
Q

what should you always wear in terms of PPE

A

gloves

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21
Q

what should you ideally wear in terms of PPE

A

mask and goggles/visor

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22
Q

how should you use vikron

A

carefully pour onto cloth then wipe surfaces

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23
Q

how should blood covered areas be cleaned

A

first with soap and water

then use vikron

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24
Q

what are white rubbish bags for

A

relatively clean rubbish

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25
what are yellow rubbish bags for
blood soaked rubbish
26
what bins should sharp instruments be discarded into
sharps bin
27
what is something you should never touch in a operating theartre
sterile trolley
28
what is something you should never reach over in a operating theartre
sterile fields
29
where should you never walk through in a operating theater
between sterile fields
30
how should contaminated items be picked up in an operative theater
only if your wearing gloves
31
what should you be careful about in terms of positioning over sterile field in an operative theater
never position over sterile field without sterile II cover
32
what should you be mindful of around the patient in terms of equipment in an operative theater
lines and tubes
33
what should you never adjust in a operative theater
never adjust the ventilator or bed heigh/position
34
who is the captain of the ship in an operative theater
the anesthetist
35
how is radiation protection managed in an operative theater - 5 things
understand collimation communicate protect everyone in room use filter factors like metal correction dose monitoring badges
36
what should you do to pulse rate if live screening in terms of radiation protection
reduce pulse rate if live screening
37
where should the II be in terms of radiation protection
II always close to subject
38
having the II close to the subject is a radiation protection measure in what 4 ways
increases FOV reduces dose reduces scatter image quality
39
what is the default position of the II and tube
default is II on top and tube at bottom
40
if II is on top what is the buttons on/off
either both on or both off
41
when ever the tube is on top how many Rs need to be on
one
42
If tube on top, why don’t want to screen anything that is dense such as chest or abdomen area (extremities are fine)
due to dose (only time you do that is when you need to go over the patient rather than under the patient to give lateral
43
If II is on top what kind of hori ray can be done
under the table hori ray
44
if you go over the field, what kind of view can you take
only go 45 degrees and can only do obliques
45
if you want a lateral view going over the top they what component of the tube needs to be ontop
tube needs to be ontop
46
what is panning movement of the C arm
whole C arm moves side to side horizontally
47
what is the continuous pulse fluoroscopy button used for
activates continuous pulse fluro mode and displays the pulse rate setting controls in the dynamic control area
48
what is the high quality button used for
activates the high quality supplementary function
49
what is the caution of using the high quality button
reduce the radiation time
50
what is the snapshot button used for
activates the snapshot mode
51
what is the bones button used for
activates the anatomical program for visualizing the heart and thorax region
52
what is the heart button used for
activates the anatomical program for visualising the heart and thorax region
53
what is the abdomen button used for
activates the anatomical program for visualising the abdominal region
54
what is the metal button used for
activates the metal artifact correction supplementary function tells II there is metal present so needs to increase exposures to avoid giving extra dose
55
do high quality and single shot have the same exposure and what is the difference between the 2
High quality and single shot have same exposure but high quality can livestream while single shot is just a photo
56
what does the save button do
saves the active image to the hard disk
57
what does the laser button do
activates or deactivates the laser positioning devices
58
what does the magnify button do
shows or hides the controls for setting the image intensifiers electronic magnification in the dynamic control area the buttons always show the current image magnification level
59
what does the text button do
activates the text mode
60
what does the greyscale inversion button do
displays the active positive image with a negative grayscale or vice versa
61
when are the text and greyscale inversion buttons used
in post processing
62
what is the manual exposure rate setting button used for
enables manual setting of tube voltage and tube current
63
what is the large patient button used for
activates the large patient supplementary function to adjust to patient body size and habitus
64
what is the cine button used for
activates or deactivates the cine loop mode
65
what is the image swapping button used for
swaps the images between the live and reference monitors
66
what is the rotate image CW button used for
rotates the image in a clockwise direction
67
what is the rotate image CCW button used for
rotates the image in a counter clockwise direction
68
what happens in a ziehm vision FD machine to the image when it is rotated
image assumes a circular shape when rotated
69
what is the rotate image to 0 degrees button used for
resets the angle of rotation of the image in one step to 0 degrees
70
what is the reverse up/down button used for
mirrors the image vertically around the horizontal axis
71
what is the reverse left/right button used for
mirrors the image horizontally around the vertical axis
72
what is the close iris collimator used for
closes the iris collimator
73
what imaging procedures is cine usually used for
operative cholangiograms as it allows it to run without any suppression
74
what are the R buttons used for
Rs are arm movements

301 MEDIMAGE (18 decks)

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