Patient Care in Imaging Technology, 8Th Edition

Patient Care in Imaging Technology, 8th Edition

Chapter 4 – Patient Care and Safety

Patient Care in Imaging Technology, 8th Edition

Lesson Plans

Chapter4 — Patient Care and Safety

Goals of the Lesson:

Cognitive: The student will learn the correct process for protecting themselves and their patients, the correct method to immobilize a patient, and assist a patient with various needs.

Motor: The student will learn to assess the individual situation and determine the proper plan of action to perform the requested study.

Affective: The student will explore the various methods and techniques to assist the patient to complete the requested study.

Student Learning Outcomes:

Upon completion of this chapter, students will:

1.Be aware of proper body mechanics to protect themselves and their patient

2.Be able to assist the patient in preparing for the radiographic procedure

3.Be able to identify the proper use of immobilizers

Learning Objectives:

The lesson section for each objective starts on the page shown below.

4.1Explain the best methods for ensuring the care and safety of the patient's belongings while in the radiography department 3

4.2Describe how proper body mechanics will prevent injury to the technologist...... 4

4.3List the safety measures that must be taken when transferring a patient from a hospital room to the radiographic imaging department 5

4.4Describe steps that must be taken by the radiographer to protect the patient's integumentary system from injury...6

4.5Explain the criteria to be used when immobilization of a patient is necessary...... 7

4.6List the types of immobilizers available, and demonstrate the correct method of applying each one...... 8

4.7Demonstrate the correct method of moving and positioning a patient to prevent injury to the patient or the radiographer 9

4.8Correctly assess a patient's need for assistance to complete a radiographic procedure safely...... 10

4.9Give clear verbal instructions to an ambulatory patient concerning the correct manner of dressing and undressing for a radiographic procedure 11

4.10Demonstrate the correct method of assisting a disabled patient with dressing or undressing for a radiographic procedure 12

4.11List the precautions to be taken if a patient is in traction or wearing a cast...... 13

4.12Demonstrate the correct manner of assisting a patient with a bedpan or urinal...... 14

4.13Explain the responsibilities of a radiographer concerning radiation safety...... 15

4.14List the departmental safety measures that must be taken to prevent and control fires, patient falls, poisoning or injury from hazardous materials, and burns as well as the measures to evacuate patients in case of disaster 16

You Will Need:

Gather the following materials and teaching aids for the following lessons:

4.1Flashcards with various scenarios

4.2Items to pick up (boxes, books, etc)

4.3SR, gurney, wheelchair, sliding board, linens. Lab activity #1 and #2 checkoff sheets

4.4Poster board, colored markers, pictures.

4.5Internet access.

4.6Various types of immobilizers.

4.7Items to pick up (boxes, books, etc.)

4.8Situational Judgment sheets

4.9Situational Judgment sheets

4.10Hospital gowns, IV tubing, IV bag, tape

4.11Guest speaker

4.12Fraction bedpan, male urinal

4.13Lead aprons, gloves, gonad shields, etc.

4.14Guest speaker

Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.1

Explain the best methods for ensuring the care and safety of the patient's belongings while in the radiography department.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Care of Patient's Belongings / 68-69 / 3 / In-Class Activity
Divide the class into teams; instruct them to role play and give their "patient" instructions on how to prepare for the requested study.
Materials
Flashcards with various scenarios / Outside Assignment
Assign each student a specific radiographic procedure that will require the patient to undress for; instruct the student to write a brief description on how to advise the patient to undress.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.2

Describe how proper body mechanics will prevent injury to the technologist.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Body Mechanics / 69-70 / 4-9 / Figures
Fig. 4-1: Proper body mechanics, p. 70 / In-Class Activity
Allow the students to practice the correct methods for maintaining proper body mechanics.
Materials
Items to pick up (boxes, balls, books, etc.) / Outside Assignment
Instruct the students to create a poster demonstrating proper body mechanics that might hang on an office wall to remind all technicians of the correct method.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.3

List the safety measures that must be taken when transferring a patient from a hospital room to the radiographic imaging department.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Moving and Transferring Patients
Methods of Moving Patients
Sheet transfers
Log roll
Sliding board
Wheelchair / 70-76
72-73
73-74
74-75
75-76 / 10-18
14-18 / Figures
Fig. 4-2: Sheet transfer, p. 72-73
Fig. 4-3: Sliding board transfer, p. 74-75
Fig. 4-4: Wheelchair transfer, p. 75-76 / In-Class Activity
Instruct the students to complete Lab Activity #1, Gurney Transfers
Instruct the students to complete Lab Activity #2, Wheelchair Transfers. View instructional video on SR – “Geriatric Wheelchair Transfer”.
View instructional video on SR – “The Sliding Board Transfer”.
Materials
SR, gurney, wheelchair, sliding board, linens. Lab activity #1 and #2 checkoff sheets / Outside Assignments
View the instructional videos on SR: “Geriatric Wheelchair Transfer” and “The Sliding Board Transfer”. Instruct them to write a short paper describing the necessary steps to complete each process.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.4

Describe steps that must be taken as the radiographer to protect the patient’s integumentary system from injury.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Skin Care
Preventing Decubitus Ulcers / 82-83 / 28-29 / In-Class Activity
Divide the class into small groups. Instruct each group to create a poster describing skin injury prevention techniques that are important for a radiographer to remember while obtaining radiographic studies.
Invite a dermatologist to speak to the class about decubitus ulcers, their prevention, and treatment.
Materials
Poster board, colored markers, pictures. / Outside Assignment
Instruct the students to research and find at least three potential integument injuries that could occur during a radiographic procedure; include preventative measures that the radiographer will use to protect their patient.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.5

Explain the criteria to be used when immobilization of a patient is necessary.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Use of Immobilizers / 76-78 / 19-20, 22 / Figures
Fig. 4-5: Types of immobilizers, p. 77
Fig. 4-6: Tying a half-bow knot, p. 78 / In-Class Activity
Divide the class into groups; instruct each group to research the legal aspects of using immobilizers with their patients. Each group should report back to the rest of the class their findings.
Materials
Internet access / Outside Assignments
Instruct each student to devise a checklist to use to determine if immobilization is necessary for their patient.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.6

List the types of immobilizers available, and demonstrate the correct method of applying each one.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Types of Immobilizers / 76-78 / 21-22 / Figures
Fig. 4-5: Types ofImmobilizers, p. 77
Fig. 4-6: Tying a half-bow knot,p. 78
Fig. 4-7: Types of immobilization, p. 79 / In-Class Activity
Provide the class with various forms of immobilizers; allow them to practice on each other until proficient on their use.
Materials
Various types of immobilizers / Outside Assignments
Instruct each student to write a short paragraph on how they might feel if they were to be immobilized during a radiographic procedure.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.7

Demonstrate the correct method of moving and positioning a patient to prevent injury to the patient or the radiographer.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Body Mechanics
Positioning the Patient for Diagnostic Imaging Examinations / 69-70
78-79 / 4-9
23-25 / Figures
Fig. 4-1: Correct and Incorrect Body Mechanics, p. 70
Fig. 4-8: Examples of positions, p. 80 / In-Class Activity
Allow the students to practice the correct methods for maintaining proper body mechanics.
Divide the students into small groups; assign various positions for them to place their “patients” in.
Materials
Items to pick up (boxes, books, etc),x-ray table. / Outside Assignments
Instruct the students to create a poster demonstrating proper body mechanics that might hang on an office wall to remind all technicians of the correct method.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.8

Correctly assess a patient’s need for assistance to complete a radiographic procedure safely.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Assessing the Patient’s Mobility / 71 / 12-13 / In-Class Activity
Divide the class into small groups; provide each group with a specific scenario; instruct them to determine the assessment required to assist the patient. Allow time for each group to share with the rest of the class their findings.
Materials
Situational Judgment sheets with prepared scenarios. / Outside Assignment
Instruct the student to pick a major medical condition/ situation that will limit a patient’s mobility; write a short paper describing possible limitations and / or considerations that will be important to remember to complete the requested study.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.9

Give clear verbal instructions to an ambulatory patient concerning the correct manner of dressing and undressing for a radiographic procedure.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Assisting the patient to dress and undress
Disabled patient
Patient with IV infusion / 79-82 / 3 / In-Class Activity
Divide the class into teams; instruct them to role play and give their “patient” instructions on how to prepare for the requested study.
Materials
Situational Judgment sheets with various scenarios. / Outside Assignments
Assign each student a specific radiographic procedure that will require the patient to undress for; instruct the student to write a brief description on how to advise the patient to undress.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.10

Demonstrate the correct method of assisting a disabled patient with dressing or undressing for a radiographic procedure.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Assisting the Patient to Dress and Undress
The Disabled Patient
The Patient with an Intravenous Infusion / 79
81
82 / 26
27 / Figure
Fig. 4-9: Place IV container through the arm opening of the clean gown first, p. 82 / In-Class Activity
Divide the class into pair; provide oversized hospital gowns for the radiographer to “assist” the patient with dressing or undressing.
Provide an IV setup (tape end of tubing to clothes) and practice helping the patient with preparing for a radiographic study.
Materials
Hospital gowns, IV tubing, IV bag, tape. / Outside Assignments
Instruct the students to write a short paper describing how they would want to be treated by the radiographer, if they were the disabled patient and were needing a radiographic procedure.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.11

List the precautions to be taken if a patient is in traction or wearing a cast.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Cast Care and Traction / 83-87 / 30-32 / Figure
Fig.4-10: supporting a cast during movement, p. 84 / In-Class Activity
Invite a guest speaker to speak to the class and demonstrate various forms of cast material and traction devices. / Outside Assignments
Instruct each student to research cast care and write a short paragraph describing their findings.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.12

Demonstrate the correct manner of assisting a patient with a bedpan or urinal.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Assisting the Patient with a Bedpan or Urinal
The Bedpan
The Male Urinal / 84-86 / 33 / Figures
Fig.4-11: A fracture bedpan and urinal, p. 85
Fig.4-12: Placing a fracture bedpan, p. 85 / In-Class Activity
Demonstrate the correct procedure for assisting the patient.
Materials
Fraction bedpan, male urinal / Outside Assignments
Instruct the student to write a short paragraph describing how they will assist the patient.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.13

Explain the responsibilities of a radiographer concerning radiation safety.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Radiation Safety / 88-90 / Figure
Fig.4-13: Protective devices, p. 89 / In-Class Activity
Divide the class into small groups. Instruct each group to create a “commercial” that will instruct proper radiation safety techniques.
Demonstrate the various protective equipment and instruct in their proper use.
Material
Lead aprons, gloves, gonad shields, etc. / Outside Assignments
Instruct each student to create a poster detailing proper radiation safety procedures.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

Objective 4.14

List the departmental safety measures that must be taken to prevent and control fires, patient falls, poisoning or injury from hazardous materials, and burns as well as the measures to evacuate patients in case of a disaster.

Lecture Outline

Figures, Tables, and Features

Resources andIn-Class Activities

Outside Assignments/ Evaluation

Instructor’s Notes

Content / Text page / PPT slide
Departmental Safety
Fire Safety
Prevention of Falls
Poisoning and Disposition of
Hazardous Waste Materials / 86-88 / 34 / In-Class Activity
Divide the class into groups. Instruct each group to create their own Departmental Safety guidelines.
Invite a guest speaker from the local Haz-Mat company. / Outside Assignments
Divide the class into groups. Instruct each group to contact a local radiology department and request a copy of their departmental safety guidelines. Each group will report back to the class their findings.
Chapter Test
Instruct each student to complete Chapter 4 Test, pp. 91-92.
Legend: IB: Image Bank (IR); IR: Instructor’s Resource; PPT: PowerPoint (IR); SR: Student’s Resource; TG: Test Generator (IR)

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