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Chapter 4

Chapter 4. Safety, transfer and positioning. FIRE PREVENTION. Fire prevention electrical failure Code for fire Electrical shock. FALLS, COLLISION.SPILLS. MOBILE X-RAY UNITS C-ARMS OTHER EQUIPMENT DARKROOM CHEMICALS. Anything that is ferromagnetic can be a danger in the MRI room

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Chapter 4

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  1. Chapter 4 Safety, transfer and positioning

  2. FIRE PREVENTION • Fire prevention • electrical failure • Code for fire • Electrical shock

  3. FALLS, COLLISION.SPILLS • MOBILE X-RAY UNITS • C-ARMS • OTHER EQUIPMENT • DARKROOM CHEMICALS

  4. Anything that is ferromagnetic can be a danger in the MRI room pacemakers ferromagnetic aneurysm clips metallic fragment in eye cochlear implants makeup oxygen tanks credit cards jewelry MRI SAFETY Pg. 773, Bontrager

  5. Head Injuries • Appropriate to have head elevated 30 degrees to facilitate drainage. • Do not reduce elevation without permission from appropriate health care team member

  6. BODY MECHANICS

  7. Minimizing injury • Radiographers lift, move and transfer patients daily • Proper body mechanics will prevent injury esp. to lower back

  8. Ergonomics or biomechanics: branch of science which applies the laws of physics regarding the action of forces on our bodies.

  9. BASE OF SUPPORT

  10. CENTER OF GRAVITY

  11. CENTER OF GRAVITY OVER BASE OF SUPPORT

  12. MUSCLES • Mobility: in limbs • long white tendons • cross two or more joints (biceps) • Stability: in torso • red muscle • provide postural support (latissimus dorsi)

  13. USE MOBILITY MUSCLES FOR LIFTING; STABILITY MUSCLES FORSUPPORT.

  14. Recumbent supine prone lateral recumbent (rt or lt) Sims Fowlers Trendelenberg Knee to chest lithotomy decubitus ulcer More terms to learn

  15. ORTHOSTATIC HYPOTENSION • Drop in BP when standing up • More prevalent in bedridden patients • Symptoms: • dizziness • fainting • blurred vision • slurred speech • NEVER SEND A SYMPTOMATIC PATIENT ON THEIR WAY!!!!!

  16. Inquire Check chart “transferer” should establish good (wide) base of support “Transferer’s” and patient’s center of gravity should be close together Keep back stationary Do all lifting with legs Be close to area where patient is being placed pivot On stretcher..use sheet See mummy technique,pg 121 Hints for effective, safetransfer

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