Patients Care In Radiography Chapter 7 Flashcards Preview

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Flashcards in Patients Care In Radiography Chapter 7 Deck (27)
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1
Q

What is RACE?

A

In Case of Fire
Remain calm and remember the acronym RACE.
R—Rescue
• Coordinate with nursing staff and remove patients from danger by moving them past at least two fire doors within the facility. For larger fires, follow the instructions of coordinating personnel.
A—Alarm
• Activate the alarm system directly or use the hospital call code for fire.
• Make sure that all personnel in the area are aware of the fire, being careful not to alarm patients.
C—Contain
• Close any open doors to limit the oxygen supply to the fire and to prevent the spread of smoke and heat.
• Ensure that electrical circuit breakers are turned off.
• Close the doors to patient rooms. If a patient is still in a room, place the room’s trashcan in front of the door.
E—Extinguish/Evacuate
• For small fires, use the available fire extinguisher to put out the fire or smother the fire with a blanket.
• For larger fires, evacuate the area and wait for fire personnel.

2
Q

What are the classifications for fires?

A

• Class A fires involve solid common combustibles, such as paper or wood.
• Class B fires involve flammable liquids or gases.
• Class C fires involve electrical equipment or wiring.
• Class D fires involve certain combustible solids, such as metal alloys.
• Class K fires involve cooking media, for example oils and animal fats.
Fire extinguishers are marked to indicate the class or classes of fire for which their use is appropriate. A multipurpose, dry chemical extinguisher is suitable for Classes A, B, and C, and is the type most often found in hospitals and other public buildings.

3
Q

What steps help insure safety with a spill?

A

Limit access to the area.
• Evaluate the risks involved.
• Determine whether you have both the equipment and the expertise to clean up the spill safely.
• If you can proceed safely, clean up the spill immediately.
• If you lack the necessary skill or equipment, call your supervisor or the appropriate department.

4
Q

The most common injuries reported by health care workers are?

A

musculoskeletal disorders (MSDs). Subcategories of MSDs as classified by OSHA include repetitive motion injuries (RMIs), repetitive strain injuries (RSIs), and cumulative trauma disorders (CTDs). RMIs and RSIs, as their names suggest, are the result of performing repeated motions or applying pressure extensively. Stress caused by repetitive motion, overreaching, or maintaining the same positions for long periods causes microtrauma to muscle tissue.

5
Q

Three concepts are essential to understanding the principles of body mechanics

A
  1. Base of Support—This is the portion of the body in contact with the floor or other horizontal surface. It may be represented by a horizontal line linking the points of contact, such as between the feet when the body is erect. A broad base of support provides stability for body position and movement.
  2. Center of Gravity (Center of Body Weight)—This is the point around which body weight is balanced. It is usually located in the midportion of the pelvis or lower abdomen, but the location can vary 129somewhat depending on build. Any object you hold adds to the weight on the base of support; therefore, the size and position of a load affect the location of your center of gravity. The body is most stable when the center of gravity is nearest the center of the base of support.
  3. Line of Gravity—This is an imaginary vertical line passing through the center of gravity. The body is most stable when the line of gravity bisects the base of support.
6
Q
1. The most likely cause of a fire in an imaging department is:
A. spontaneous combustion
B. open flames
C. cigarette smoking
D. an electrical problem
A

D. An electrical problem

7
Q
2. The federal agency governing workplace safety in the United States is:
A. OSHA
B. ARRT
C. FDA
D. CCD
A

A. OSHA

8
Q
Which of the following is not a typical component of a spill kit?
A. nitrile gloves
B. mop
C. kitty litter
D. plastic bags
A

B. Mop

9
Q

Which of the following is not a responsibility of the radiographer in case of fire?
A. Assess the situation and direct the activities of others.
B. Evacuate the immediate area.
C. Report the fire using the proper procedure.
D. Reassure patients so that they do not become alarmed.

A

A. Assess the situation and direct the activities of others

10
Q
The most common types of workplace disabilities reported by health care workers are:
A. vision problems
B. respiratory disorders
C. musculoskeletal disorders
D. allergies
A

C. Musculoskeletal disorders

11
Q
MSDS documents are likely to be needed in the event of:
A. a fall
B. a fire
C. a chemical spill
D. an electrical problem
A

C. A chemical spill

12
Q
The study of workplace injury prevention is called:
A. body mechanics
B. ergonomics
C. environmental protection
D. material data safety
A

B. Ergonomics

13
Q
Fires start when three elements occur in the same place at the same time. These three elements are oxygen, excessive heat, and:
A. electricity
B. water
C. fuel
D. smoke
A

C. Fuel

14
Q
Eighty percent of imaging technologists experience some form of work-related injury, usually in the form of RMIs and RSIs affecting the shoulder, arm, or wrist, if their area of specialization is:
A. sonography
B. radiography
C. computed tomography
D. magnetic resonance imaging
A

A. Sonography

15
Q
Stress due to repetitive motion, overreaching, or maintaining the same positions for long periods causes:
A. back strain
B. vision problems
C. carpal tunnel syndrome
D. microtrauma to muscle tissue
A

D. Microtrauma to muscle tissue

16
Q

Fire prevention

A
• awareness of potential hazards
• fire requires oxygen, fuel and heat
• most hospital fires are caused by:  
-spontaneous combustion
-open flames
-cigarette smokers
-electricity
  • oxygen supports combustion
  • use extreme care when in use
  • know location of the shut-off valve
  • know the fire plan of your facility
  • know evacuation route and alternative
  • locate fore alarms, extinguishers, and fire doors
17
Q

In case of fire

A

• RACE

  • Rescue
  • Alarm
  • Contain
  • Extinguish

• PASS

  • Pull
  • Aim
  • Squeeze
  • Sweep
18
Q

Horizontal or vertical patient evacuation?

A

Horizontal. In the case of a fire you do not want to take an elevator. Moving a patient down stairs can be difficult.

19
Q

What is PPE?

A

Personal protective equipment

20
Q

What is ergonomics?

A

The study of how a workplace and the equipment used there can best be designed for comfort, safety, efficiency, and productivity.

21
Q

Terminology

Base of Support

A

The portion of the body in contact with the floor

22
Q

Terminology

Center of Gravity

A

The point at which the mass of any body is centered

23
Q

Terminology

Line of gravity

A

An imaginary vertical line passing through the center of gravity

24
Q

What are the rules of good body mechanics?

A

• provide a wide and stable base of support
• keep the load well balanced
• keep the load close to your center of gravity
• keep your back straight (bend knees)
• use muscles of legs arms and abdomen, not back
• lift smoothly, no jerking
• pivot and shift weight to change position
• pull instead of push to reduce friction
• let your legs do the work
- e.g. Portable x-ray

25
Q

What is hypotension?

A

Low blood pressure

26
Q

What is orthostatic hypotension

A

Caused by standing up or sitting up too quickly

27
Q

What are decubitus ulcers?

A

Bed sores and pressure sores

Caused by prolonged pressure in one area, resulting in decreased circulation to the tissue