Safety, Transfer and Positioning

1
Safety, Transfer and Positioning

• Chapter 4

2
Fire Hazards

• Fire Prevention
• Chemistry of fire
• Causes of fire
• Spontaneous combustion
• Open flames
• Smoking
• Electrical failures

3
Preparedness for Fire

• Know the fire plan- what doors to close, where to
  exit, where to get patients
• Know the code for fire (some will use Code Red,
  Dr Red, etc.)
• Hallways should not be blocked with x-ray
  equipment so that in the event of fire, its clear

4
In Case of Fire

• Close all doors
• Shut off electrical equipment
• Prepare patients for evacuation while awaiting
  instructions
• REMAIN CALM

5
PASS

• This is an acronym for using a fire extinguisher
  correctly
• Pull
• Aim
• Squeeze
• Sweep

6
Common Hazards

• Electric shock
• Falls and collisions
• Spills
• Darkroom chemicals
• Eyesplashes and Eyewash protocol

7
Ergonomics and Proper Body Mechanics

• Must have a base of support (this is marked by
  the horizontal line between the feet broad base
  provides stability)
• Center of gravity center of body weight
  usually located in the midportion of the pelvis
  or lower abdomen
• Line of gravity imaginary vertical line through
  the center of gravity

8
Body Positions

• Supine
• Prone
• Lateral recumbent
• Sims
• Fowlers
• Semi-Fowlers
• Trendelenburg
• Knee-chest
• lithotomy

9
Patient Issues on the X-ray Table

• Those who are kyphotic
• Elevate the head of those who are nauseous
• Debilitated patients decubitus ulcers
• Thin skin

10
Patient Transfer

• Be prepared
• Use a wheelchair if possible
• Beware of orthostatic hypotension
• Assist the patient

11
Bed to Wheelchair, wheelchair to table and table
to wheelchair
12
Bed to stretcher, stretcher to table and table to
stretcher
13
Restraints and Immobilization

• Restraints require a doctors order
• Compression bands, tape and sandbags may be
  utilized in the department explain their use to
  the patient
• Infants can be immobilized by wrapping,
  restraints with velcro, papoose boards and also
  the pigg-o-stat

14

• Do the objectives for test day which will be
  Monday, September 19
• Test will cover chapters 3 and 4
• We will have lab during class time on Wednesday
  to practice transfer techniques everyone will
  participate so dress accordingly