OR

• wear the OSL badge outside the lead at collar level
• everyone in the OR has to be wearing lead when you are taking the images
• the C arm has to be draped
• definition of sterile

  free from living organisms including microorganisms
• JHH was the first school to use rubber gloves during surgery
• dont touch anything that has blue drapes
• have to have a plastic cover for lateral projections to prevent the c arm from touching the sterile field
• what do you need before entering the OR

  OR scrubs

  hairnet

  booties

  mask
• who gives directions and performs the surgery?

  residents

  doctors
• who keeps the patient under and knows their weight and position?

  anesthesiologist
• who keeps track of information and gets any needed supplies?

  Circulator (RN)
• who manages the sterile table and instruments and drapes the c arm?

  scrub tech (RN)
• who is an expert on the instruments being used?

  surgical rep
• always face the field when moving around the room
• if you pass a sterile person pass face to face
• if you pass a non sterile person turn your back to them
• who has the right of way in the room?

  sterile staff
• are open wounds covered when we take the image?

  yes
• xray taken without a grid

  CW
• xray taken with a grid


  LW
• confirm that there are no artifacts in the image before taking it like instruments and ask the scrub tech to remove them if possible
• if you feel any resistance with the c arm then stop moving
• where should the c arm be located

  perpendicular to the table
• You should always go to the OR first for images rather than do other exams
• what tube or line placements do we assist with?

  central lines

  ET / airway

  scope localization
• what contrast studies to we do?

  cholangiogram (liver)

  cystogram (bladder)

  arteriogram (artery)
• what localizations do we do?

  spine level

  screw placement

  stimulator placement
• what are foreign bodies that could be found?

  sponges

  surgical tools

  packing material
• what should you know before the and during the exam?

  exam type and projections

  room number

  patients age

  patient information

  proper equipment to use

  keep responses to a minimum
• dont run over padding or wires with the c arm