UNIT 2: Surgical Radiology Flashcards
Who are the personnel that don sterile gowns and gloves and work within and around the sterile field?
-Surgeon
-Surgical Assistant (often a surgeon or surgical resident)
-Physician assistant
-Scrub nurse
-Certified surgical technologist (CST)
Which personnel do not enter the sterile area but perform vital tasks within the operating room?
-Anesthesiologist or CRNA
-Circulator nurse
-Radiographers
-Biomedical technicians
-Monitoring techs
-Equipment specialists
Operating room- Restricted Attire
-Street clothes should never be worn
-Clean scrubs should be donned at the beginning of each shift in the OR suite
-Soiled attire must be changed immediately and NEVER worn outside the OR
-Protective eyewear must be worn when contamination is possible
-Shoe covers should be worn in the OR suite
-Masks should be worn at all times in the OR
-Caps need to cover and contain hair at all times
-Gloves should be worn when contact with blood or body fluids is anticipated
Operating room: Semi-restricted Attire
-Street clothes should NEVER be worn
-Clean scrubs should be donned at the beginning of each shift
-Wet or soiled scrubs need to be changed immediately and NEVER worn outside the OR
-Scrubs should never be worn more than once before washing
-Shoe covers should be worn upon entering the non-restricted area and removed before exiting the department
-Caps should be worn to cover all hair
-Mask is NOT necessary outside the OR suite and should never be worn around the neck
Maintaining the Sterile Field
-Non-sterile team members should NEVER reach over a sterile field
-Sterile fields should be covered with a sterile drape if not in use
-C-arms and mobile x-ray units should NEVER be positioned over an unprotected sterile field
-ANY break in sterility needs to be communicated with the surgical staff immediately
Principles of Aseptic Technique
-Only sterile items are used within the sterile field
-Only sterile persons handle sterile items
-Nonsterile persons touch only nonsterile items
-Movement around a sterile field must not contaminate it
-Items of doubtful sterility must be considered nonsterile
-When a sterile barrier is permeated it is considered contaminated
-Sterile gowns are sterile in front from the shoulder to the level of the sterile field and at the sleeves from the elbow to the cuff
-Tables are sterile only at table level
T or F: Radiographers should not walk between two sterile fields (the sterile corridor)
True
T or F: Always turn your back toward the sterile field
False, never turn your back to the sterile field
T or F: Radiographer should not lift the sterile drapes above the table level
True
T or F: You can position the tube over a sterile field even if the field isn’t covered
False, it must be covered
Cleaning the Equipment
-Should be cleaned after each use and before leaving the OR suite if possible
-Cleaning solution should be approved by both the hospital AND the equipment manufacturer
-Cleaning solution should NEVER be sprayed in the OR
-Underside of c-arm should be inspected for blood or fluid that may have dripped underneath or splashed up from the floor
-Equipment that is not used often should be cleaned once a week AND prior to a surgical case
How far away from the patient should you be in the OR?
Minimum of 6 ft
Radiographers should wear an apron with at least ____ lead equivalent
0.5mm
The greatest amount of scatter occurs on the _____ side of the fluoroscopic machine which is usually located ____ the table
Tube, Under
The least amount of scatter occurs at ___ degrees to the primary beam
90
It is the responsibility of the ____________ to provide or ensure protection of all personnel in the room
radiographer
T or F: Patient’s gonads should be shielded when possible
True
SSD for c-arm procedures should NEVER be less than ___ inches
12
Surgical Discectomy and Fusion
Hip Pinning
Femur Nailing
Tibial Nail
Humerus
Femoral/Tibial Arteriogram
-Patient is supine with affected leg exposed from hip to toe
-The c-arm should have free movement along the entire length of the leg
-C-arm enters perpendicular to the patient
-Mask image: first image taken with bones displayed
-Subtraction or road-mapping feature used to remove all structures except the contrast
Kyphoplasty
