RAD-128 Ch.4 Patient Care & Safety

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Author:
anatomy12
ID:
238620
Filename:
RAD-128 Ch.4 Patient Care & Safety
Updated:
2013-10-26 15:03:47
Tags:
safety
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Description:
patient
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  1. what are the basic duties of the radiography
    • safe transfers via wheelchair and gurneys
    • patient assistance with bed pans or urinals
    • patient assistance to restroom
    • radiation protection
    • preventing injuries to self
    • patient assistance with changing into a gown and security of belongings
  2. List the following criteria for the patients belongings
    • show the patient the location of the changing room
    • give proper dressing instructions
    • lockers for clothing or a dressing room tochange
    • personal items - jewelry, money, wallet, purses
  3. what is the leading injury to health care personnel due to abuse from moving and/or lifting patients
    spine injuries
  4. what is the center of gravity
    point at which the mass of any body is centered
  5. what do safe body mechanics require
    good posture and body in alignment
  6. what are the rules for correct posture
    • Hold chest up and shoulders back
    • Hold head erect with chin in
    • Stand with feet 4 to 8 inches apart and keep body weight equally distributed on both feet
    • Keep knees slightly bent
    • Keep the abdomen sucked in
    • Keep the buttocks tucked up and in
  7. when picking up items what do we do with our knees
    bend at knees not with at waist
  8. Isntead of pushing an object we do what
    pull it
  9. when moving and transferring a patient
    • request the form from RN
    • verify the patients ability to move
    • id patients first and introduce yourself
    • obtain adequate help if needed
  10. what do steps do follow when returning the patient
    • return chart to nurse and tell them that they have been returned
    • return patient to room, help patient into the bed, make them comfortable, lower the bed, put the side rails up
    • and give the patient the call button in case needed
  11. What things do we look for when assessing the patients ability to walk
    • Deviations from correct body alignment
    • Immobility or limitations in range of joint motion
    • The ability to walk
    • Respiratory, cardiovascular, metabolic, and musculoskeletal problems
    • Attached equipment such as IV pump, urinary catheter
  12. what are three methods of moving patients
    • Gurney - sheet transfer, sliding board transfer, log roll
    • wheelchair
    • ambulation
  13. what is the important reason for a log roll
    what is the difference in a sheet transfer and this?
    • it used to keep the patients body in perfect alignment
    • one person must maintain at the patients head and neck to maintain alignment
  14. when can we use immoblilzers
    must be ordered by the physician in charge of the patients care and aookied in compliance with institutional policy
  15. what does the joint comission state about immobilizers
    they should only be used after less restrictive measure have been attempted and have been proved ineffective in protecting the patient
  16. what are immobilizers
    any manual method or physical mechanical device material or equipment attached or adjacent to the persons body that the person cannot remove easily that resitricts the freedom of movement or normal acess to ones body
  17. what are the reasons for applying immobilizers
    • control movement when an IV or catheter is in jeopordy of being dislodged
    • sedated patients who might forget to remain still
    • unconsciousness confused or delirious patients (prevents them from falling or hurting themselves
  18. what is the most effective method to avoid the use of immobilzers
    communication
  19. what are the types of immobilizers
    • limb holders (4 point restraint)
    • ankle or wrist
    • waist immobilizer
  20. what kind of patients do we have assist when dressing them
    • disabled patients
    • elderly patients
    • pathologic conditions
    • patients with an IV - allow enough material to work with by removing the unaffected side first or by placing the gown on the effected side first
  21. what people are more prone to skin breakdown
    why does this happen to their skin
    malnourished, elderly, and chronically ill

    due to immobilizing a patient in one position for an extended period of time creates pressure onthe skin that bears weight, causing restriction of capillary blood flow, whichcan result in tissue necrosis
  22. what happens when a cast is too tight
    can cause circulatory problems and nerve compressions
  23. how do we move joints that are fragile in cast
    • put it your hands around the joints
    • ex. forearm with two hands hold the elbow joint and the wrist joint
  24. what are positioning tools
    • tools that aid in postioning
    • sponge, sand bag and pillows for positioning
  25. should we ever move any weights ofrom traction
    no
  26. what do we use when a patient cannot use the restroom and is on a gurney
    bedpans
  27. what are the three bedpans
    • standard bed pan
    • fracture bed pan
    • male urinal
  28. what are the departmental safety categories
    • fire safety
    • fall prevention
    • posioning and disposal hazardous waste materials
    • radiation safety: ALARA
    • Time:  Shortest exposure time
    • Distance:  Increase distance from the source
    • Shielding: Shield patient and use collimation

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