Ward and Theatre Radiography

Question 1

What properties are needed for a mobile x-ray

Answer 1

• Wireless Connection
• Motorised
• Easy to Clean
• Stimulated Grid
• Long Battery Life
• Able to Rotate and Move into any Position

Question 2

What properties do we need for an II or ‘C-Arm’

Answer 2

• Wireless Common
• Robust
• Simple Controls
• Easy to Clean
• Able to Rotate in Two Planes
• High-definition Surgeon Monitors

Question 3

Which areas of the hospital do we visit on mobiles?

Answer 3

ANYWHERE!!!
e.g. Resus, Trauma, ITU ,ITC, SCCU, SCBU

Question 4

When should we provide a Bed Side Mobile X-ray

Answer 4

When the patient is…
- In critical condition / Time Sensitive Situations
- In Continuous Observations / Monitoring / Ventilated
- Contagious or Dangerous Infectious Disease
- Immunosuppressed
- Significantly low oxygen saturation levels

Question 5

What does a radiographer need before they can go perform a mobile radiograph?

Answer 5

• A request form
• Full ID (Name, CHI Number, Address, DOB)
• Body part to be Imaged
• Clinical History and Indications
• Relevant Information e.g. Patient size
• Name and Signature of Clinician
• Date of Referral
• Location of Patient
• Timing of Radiograph

Question 6

What factors does the radiographer need to consider before doing an x-ray?

Answer 6

Preparation - What equipment do you need? Pillows? Foam Pads?
Technique - AP/ PA? Erect / Supine?
Radiation Protection - Time, Distance, Shielding, Observation, WARNINGS!
Infection Control - PPE?
Communication - Nursing / Ward Staff (Moving and Handling)

Question 7

Describe AP Chest for mobile x-ray

Answer 7

SID = 180cm
Tube should match the angle of the sternum

Question 8

Why is patient positioning important for an AP Mobile Chest X-ray

Answer 8

• Condition may not be adequately demonstrated if the positioning is incorrect
• There are many structures superimposed from anterior to posterior in the mediastinum
• The clavicles can be used to help asses correct position

Question 9

State ways the Radiographer can be more helpful in Theatre

Answer 9

• Help put the sterile screen up
• Hold a kidney dish for the surgeon or scrub nurse
• Help move a patient from their bed to the operating table (PAT Slide)
• Help by putting Floor mats for blood and fluids
• Clean down the II for blood and fluids

Question 10

What Procedures may you see in theatre?

Answer 10

• Laparoscopic Cholangiogram
• ORIF Ankle
• ORIF Elbow
• Cannulated Screws
• DHS
• K Wires
• Gamma Nail
• Ureteric Stents

Question 11

State radiation Protection for theatre

Answer 11

• You need to cover from thyroid to below knees
• No one is allowed to stand behind another member of staff as “Lead protection
• No making up a drip stand with lead hung over it as a ‘Lead Wall’
• No hands in the primary beam