Mobile and Theatre Radiography Flashcards
Why Mobile X-Ray
Used for those who are unable to be transported to general/A&E safely.
‘Mobile’- can be moved.
X-ray on wheels… with brakes!
Where do we do mobiles?
‘Resus’
NICU/SCBU
ITU/ICU
HDU
CCU
Wards/Theatre
Common Mobile Requirements
CXR- common
Should be erect
Check with nursing staff prior to moving.
Try to remove wires from FOV.
Use a cassette cover
Common Mobile Requirements
Landscape orientation…
Straighter the patient=reduced angle
Inspiration still required
If patient is unconscious, check breathing pattern.
Mobile AP Chest X-Ray Considerations
Non ambulant patients.
Status of patient, careers or acute staffing needs
Safety regarding medical equipment
Trauma patients
Mobile AP Chest X-Ray Considerations
Patient comfort
Post surgery?
Infection control – barrier nursing
Staffing numbers or resources, night shift?
Impact of SID on Dose (Moonkum et al., 2022)
Impact of SID on Dose (Moonkum et al., 2022
Considerations- Inspiration v Expiration
Considerations- PA v AP
Considerations- Supine v Erect
Considerations- Markers
AP / PA
Erect / Sitting or Supine or Decubitus
Left / Right
Location, eg MOBILE ICU
Exposure factors
Time of day
Mobile Trauma Series- C-Spine, Chest, Pelvis…CT?
Mobiles- Radiation Protection
Controlled Area
Lead aprons
2m from patient where practicable
Primary beam
Check area- you are responsible!
Mobiles in NICU/SCBU- Risks
Infection Control
Exposure Factors
Identification
Lead aprons
Movement
Leads
NICU Imaging
NICU Imaging
NGT
Used to confirm the tip is correctly in place
Tip is usually lowest point required to be included… check!
Rotation?
NICU Imaging
Chest drain insertion
Helps drain blood/air/fluid from the pleural cavity
Digital Mobiles
Advantages and Disadvantages?
Theatre Imaging- Where?
Orthopaedics
Interventional Radiology
Cardiac Cath Lab
Urology
Theatre Radiography
Write down as many examples as possible of types of procedures/specialisms that may use radiographic guidance.
FOR EXAMPLE- ORIF
Theatre Imaging- Where?
General
Spinal
Pain Clinic
Breast Biopsies
Theatre Equipment- ‘C-Arm’
Consists of the c-arm and independent monitor set.
Can be moved in many planes.
Usually kept near theatres
Requires PACS access.
Theatre Equipment- Fixed Equipment
c-arm
xray source
image intensifier
monitors
xray table
Theatre Roles and Responsibilities
Appropriate attire!
Be aware of theatre lists
Early set-up and ID
Infection control
Radiation protection
Communication
Theatre Roles and Responsibilities
Teamwork
Storing images
Recording doses
Keeping things sterile
Know your capabilities!
Change!
Challenges to Radiographer’s role in Theatre (Naylor and Foulkes, 2017
Communication errors
Patient safety (WHO surgical safety checklist)
Preparation of equipment
“Hierarchy”
Conflict
Theatre- Radiation Protection
Lead protection
Time and Distance
Patient ID- Pregnancy?
Keep records
Transferring images
Inverse square law
Theatre- Radiation Protection
Radiation Protection in Theatre (Dorman et al., 2023)
Common Orthopaedic- ORI
Common Orthopaedic- DHS
Session Aims
By the end of this session, students should:
Be familiar with some of the common reasons radiological imaging might be implemented in a theatre or mobile setting.
Start to recognise some of the differences in equipment types and techniques in the mobile and theatre settings.
Gain an implementable knowledge and understanding of radiation protection as applied to the mobile and theatre setting.
Gain awareness of some of the differences from the general department
