RTE 1000 Chapter 18

If you suspect the radiologist has contaminated his or her glove, what should you do?

Make the radiologist aware of the possible contamination immediately

The goal of aseptic technique is to

protect the patient from pathogenic microbes

Two people in sterile attire should pass each other in which of the following ways?

Back to back

When performing portable radiography on neonatal infants, why are aseptic techniques important?

Aseptic techniques are especially important because of the infants weak immune system

If the sterility of an object is unknown, which of the following should be done?

Consider the object unsterile and do not use it

What is the appropriate technique when opening a sterile tray?

Hold package in one hand w/the flap opening away from the person, pull the top flap well back and hold it away from both the free hand and to hold the flap against the wrist, drop contents gently onto sterile field from about 6" above at a slight angle

What is the most important item to be examined prior to a sterile package is used?

Expiration date

When putting on a pair of sterile gloves using the self-gloving, open technique, how is the 1st glove supposed to be picked up?

Grasp the cuff of the glove and bring it over the open cuff of the sleeve, unroll the glove cuff so that it covers the sleeve cuff.

You are about to assist with a sterile procedure. What are the steps involved in the scrubbing procedure?

Remove all jewelry, wash hands and arms w/antiseptic soap, clean subungual areas with nail file, scrub sides of each finger and back and front of hand for 3 mins, scrub arm with the hands higher than elbows, each side is washed 3 inches above the elbow for 1 min, repeat process for other hand and arm, dry starting with hand and moving to elbow

When opening and pouring sterile solutions, how should you hold the bottles?

Remove lid and place topside down on unsterile field, hold bottle w/label uppermost so when poured the solution cannot stain the label, sterile basin should be at the end of the table, hold bottle 1-2" over bowl, with most of bottle not over the sterile field and pour slowly, splashing of liquids can contaminate a sterile field, close the bottle with cap

When using a portable C-arm for a surgical hip pinning, one should use a ______approach

Shower curtain

The inflatable balloon portion of the Foley catheter is typically filled with what substance?

Sterile water

You are working as a radiographer in a busy imaging department, late into the evening. You receive a request for a portable chest radiograph on a cardiac patient in the ICU. Your coworker comments that he just did a portable chest procedure on the same patient approximately 15 minutes earlier and questions why they are ordering another one so soon. The rationale for this next chest image would most likely be?

The patient has a central venous line and the physician wants to check the repositioning

When creating a sterile field, it is important for the imaging professional to

Use sterile gloves and keep hands above the waist

What are the appropriate steps when performing dressing changes?

Wash hands, get consent, remove adhesive tape around the dressing, remove dressing w/forceps or gloved hands and place in plastic bag, if it doesn't come off easily contact your supervisor, follow sterile technique for reapplication, tape is cut and placed near but not on b/c its not sterile, gloves are put on and dressing reapplied, remove gloves, secure dressing with tape and discard of all waste

When handling a patient with a Foley catheter in place, one should remember to

avoid kinks in the tubing and keep the drainage bag lower than the bladder

When opening and pouring sterile solutions, one should remember to

begin w/verifying the contents, strength and exp date on the solution bottle

During surgical procedures using a portable C-arm, it is important to remember that:

communication with the surgeon is critical for examination success, no two cases are ever the same and routine surgical fluoroscopy is unlikely, technologist must be prepared for a stressful environment and using their highest critical thinking skills

When using a portable fluoroscopy C-arm in surgery, the image receptor and C-arm should be

draped with a snap cover for sterility

List the steps involved when establishing a sterile field using a sterile drape

hold drape w/one hand by the corner, folding back the top to lift the cover and laying the drape on a clean dry surface with the bottom farthest from the person establishing the field

The purpose of the inflatable balloon portion at the tip of the Foley catheter is to

hold the catheter within the bladder

The role of the imaging technologist during cardiac pacemaker studies is to

operate fluoroscopy for the physician as he or she guides the pacemaker into position

When performing radiologic examinations on patients with chest tubes, one should remember that

the chest drainage system has 3 compartments: collection chamber, water seal chamber, and suction control chamber.....check for the color of the drainage and report any dark red color......the exterior chamber of the assembly must remain lower than the patients chest color

A common neonatal chest disorder requiring portable radiography in the neonatal unit is transient tachypnea of the newborn (TTN). Radiographs are taken to visualize the chest for respiratory distress, and in doing so, the imaging professional must

use lead protection when possible and sterilize after each use, use contact or shadow shielding