For this project, I chose to create a technique chart for the U-Arm room at McHenry County Orthopedics. This room is equipped with a Sedecal X Plus LP direct digital radiographic unit. In order to create a technique chart for this equipment, myself, Amber, and Garrett began by gathering kVp, mAs, the exposure indices, patient thickness, SID, grid ratio, focal spot size, and whether or not automatic exposure control (AEC) was utilized for all exams. In a perfect world, I would be able to use a caliper to measure the body part of each patient in order to determine patient thickness, but instead I improvised with patient’s body habitus (asthenic, hyposthenic, stenic, or hypersthenic). There is no technique posted in the room to be able to go …show more content…
I believe any patient will have a different thickness of their finger compared to their elbow. The kVp should start at a low 50 kVp for the fingers then increase to 65 kVp for the elbow. Another thing technologist’s do here is reprocess almost every image. They will post-process and crop their images, then click on the re-process button because they believe that makes the image look better. Although, their radiation protection is not so good when it comes to techniques, they do a great job of shielding all patients, whether they’re of reproductive age or not. My data has shown that technologist’s at MCO are consistently overexposing their patients when it comes to extremities. To prove whether or not they are overexposing patients, I have gathered the exposure indices for all exams. The exposure meter points to the red for the majority of extremity exams. As pointed out before, red on the exposure meter indicates overexposure. I have also found that they never remove the grid for exams, even for extremity work. This results in overexposing the patient by having to increase technique, specifically kVp to compensate for the grid. As stated in Radiographic Imaging and Exposure, “grids are typically used only when the antomic part is 10 cm or greater in thickness, and more than 60 kVp is need for the examination” (Fauber 188). I have also noticed that the
The scope of practice for RTs includes the following specialties: (i) bone mineral density technologists, who specialize in obtaining x-ray images that depict bone mineral density; (ii) cardiovascular-intervention technologists, who assist physicians with guiding catheters into vessels such as the inferior vena cava so that patients may avoid open surgery; (iii) computed tomography technicians, who utilize rotating x-rays to build an image of internal organs; (iv) magnetic resonance imaging (“MRI”) technologists, who specialize in utilizing MRI machines to produce a strong magnetic field and radiofrequency pulse thus moving atoms out of alignment to produce an image; (v) mammography technicians, who utilize specialized x-ray machines to produce
Two other procedural factors, one being patient preparation, which there was, no preparation needed for the lumbar exam. The other being radiation protection. The image receptor size was a 16x16 collimated to an 8x14 for each image other than the L5-S1, which was approximately 7x7 and unfortunately shielding was not placed on the patient.
The importance of these measurements is that this machine is most likely keep your patient alive. Historically keeping track of the ventilator has been done by doing ventilator checks every couple hours. Keeping a clipboard on top of the ventilator to monitor the data on the machine then but that data into the chart. Can this system be improved? I think so, the problem is too many people are making changes on the machine. Only one person should make these changes in the ICU. I think the respiratory therapist should be that person. Already the therapist is writing down information and is responsible for that data. If the physician or nurse comes in between the therapist and makes detrimental changes, the therapist will be to blame. The physician should create an order explaining the changes then only have the therapist make the change. We have too many people making changes without consulting the person responsible for the ventilator. I also think we should monitor closely HME changes and circuit changes. Just simply writing the day they were placed on the patient can help aid with the prevention of
The disadvantage of compression in mammography is that it can cause some discomfort for the client. GE has addressed this by designing the compression paddles with a rounded bucky shape to increase comfort (GE Healthcare 2016). The compression plates of the GE Essential are motorised, but can also be operated manually (GE Healthcare 2016). They have an automatic stop when compression reaches 200 Newtons (Hogg, Kelly and Mercer 2015, 128). The benefits of compression in mammography include: Better spatial resolution as magnification and focal spot blurring is reduced, reduced motion blur, less scattered radiation due to the shorter beam path length, improved image uniformity and less exposure time due to the smaller anatomy (Hogg, Kelly and Mercer 2015, 128). These benefits maximise clinical utilisation by decreasing patient radiation dose and making the pathology easier to detect. Radiation dose is reduced as the reduced beam path length allows lower energy x-rays to be utilised. This means that there is greater subject contrast and pathology buried in glandular tissues can be better visualized, particularly for malignant tissues (Hogg, Kelly and Mercer 2015, 128). Compression is important for efficient image acquisition and the GE Essential features an ergonomic design to allow for
Creating an efficient exam lane, first and foremost, is vital to providing professionals with a workstation that is conducive to good health for the professional as well as the patient. Rather than hunching over a slit lamp, stretching to reach an ophthalmoscope or visual acuity tool, or contorting your body to fit the demands of using a manual refractor, newer exam lanes include automated equipment that alleviates pain. The exam chair and slit lamp are set to an optimal height that helps to reduce the risk of severe discomfort and later physical conditions.
Orthopedic surgeons are experts who diagnose and treat multiple problems that affect the bones, muscles and body tissues. Individuals may get injuries or fractures in their musculoskeletal system. In this case, they require orthopedic procedures to fix these deformities. Some of the common orthopedic procedures include the following:
The main strength of the chart was that the clinician had very thorough and well-thought documentation. The clinician had taken radiographs on the patient, and all the correct forms were completed. Additionally, all the forms that needed to physically be in the paper chart were there and on the correct side. The EagleSoft documents and chart notes were filled out correctly, signed by the patient, and
In radiological protection it is important to shield areas that are susceptible to radiation with lead shielding, use of proper collimation, limiting time of exposure, keep the time of exposure as short as possible, increasing the distance of the source of radiation and the pregnant patient, using the ALARA principle (As low as reasonably achievable) and if possible the physician should determine if the examination can be delayed until after pregnancy. Also, proper equipment performance and calibration must be tested
Training requirements for dental office personnel typically are found in state dental practice acts or dental board regulations. It is important that all personnel performing dental radiographs stay updated on safety protocol, safety equipment, supplies, and techniques. Being updated can improve the diagnostic capabilities, increase quality of the radiographs and lower the radiation exposure to the patient. The International Atomic Energy agency offers free training information about lowering radiation for
we employ the latest versions of medical devices as 2D Digital Imaging (X-rays), roots measurement devices (apex
The total assessment includes the anthropometric data, biochemical data, clinical data and the dietary data. Firstly, the anthropometric data consists of the height, weight, ideal body weight and body mass index. Perform a skinfold measurement to determine fat stores. You can measure the most common site (triceps) skinfold by utilizing a special caliper that measures in millimeters. First, locate the midpoint which is halfway between the acromion process and the olecranon process, then pinch the skin vertically along the axis of the humerus. Place the caliper 1 cm below your finger to measure the thickness of the fold in millimeters. For male clients this should be equivalent
The elbow (ulnohumeral) joint is a hinge joint, and, permits motion in only one plane.,the sagittal plane, and the only motions that occur in the sagittal plane are flexion and extension.
When a patient is released from the facility, the physicians create discharge instructions and it is left at the nurse’s station along with any information of the patient during this visit. If this is done one paper, it is picked up by a HIM clerk. All of the papers are organized in a specific order to complete the chart assembly process. All forms and instructions are scanned into the imaging system. If the instructions are entered into the system by the physicians and nurses the record is reviewed for completeness and accuracy. HIM team members will also review the system to make sure they are not
The image captured was clear, and with slight alterations with the contrast between the phantom and the background the image was visible and to a high quality standard. The s-value used was 70, ensuring the highest quality photo was taken, whilst ensuring the lowest possible dose to the patient. The phantom was placed slightly towards the top of the image receptor however the hand was still entirely visible in the final image.
The doctor's order portable C-spine and left shoulder. I have to careful to not to move the patient’s cervical when I’m positioning the patient. I set the technique first and then get cassettes in handy. Get ready the equipment that I need a head and I don’t waste my time.