Patient Care in Radiography: With an Introduction to Medical Imaging PDF
Preview Patient Care in Radiography: With an Introduction to Medical Imaging
Patient C - Patient Care in Radiography WITH AN INTRODUCTION TO MEDICAL IMAGING SEVENTH EDITION To access your Student Resources, visit: http:llevolve.elsevier.comlEhrlichlradiographyl Diagnostic ECC Content Patient Care Procedure Checklists WebLinks Patient Care in Radiography WITH AN INTRODUCTION TO MEDICAL IMAGING SEVENTH EDITION RUTH ANN EHRLICH, RT(R) ~ d b n cFfa culty Portland Community College Portland, Oregon JOAN A. DALY, RT(R), MBA Facu/p/C!ini col Coordinator Radiography Program Portland Communiv College Portland, Oregon 11830 Westline Industrial Drive St. Louis, Missouri 63146 PATIENT CARE IN RADIOGRAPHY, WITH AN INTRODUCIION ISBN: 978-0-323-05178-1 TO MEDICAL IMAGING, SEVENTH EDITION Copyright O 2009,2004,1999,1993,1989,1985,1981 by Mosby, Inc., an affiliate of Elsevier Inc. AU rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Permissions may be sought directly from Elsevier's Rights Department: phone: (+I) 215 239 3804 (US) or (+44) 1865 843830 (UK); fax: (+44) 1865 853333; e-mail: [email protected] ou may also complete your request on-line via the Elsevier website at http://www.elsevier.com/permissions. Notice Neither the Publisher nor the Authors assume any responsibility for any loss or injury andlor damage to persons or property arising out of or related to any use of the material contained in this book. It is the responsibility of the treating practitioner, relying on independent expertise and knowledge of the patient, to determine the best treatment and method of application for the patient. The Publisher Library of Congress Control Number 2007936331 Vice President and Publisher: Andrew Allen Publisher: Jeanne Wilke Associate Developmental Editor: Luke Held Publishing Services Manager: Melissa Lastarria Project Manager: Mary Pohlman Book Designer: Kim Denando Working together to grow libraries in developing countries I I www.eIsevier.com www.bookaid.org www.sabre.org Printed in Canada Last digit is the print number: 9 8 7 6 5 4 3 2 1 Anne Mulligan, BSN, MS Practical Nursing Program Faculty Olympic College Poulsbo, Washington Rose M. Aehle, RT(R)(M), MS Suzanne M. Kelley, MEd, BSN, RN, RVT Program Coordinator Assistant Professor Radiologic Technology Department Health Care Sciences Department Montgomery College The George Washington University Takoma Park, Maryland Washington, D.C. Joseph R. Bittengle, MEd, RT(R)(ARRT) Starla L. Mason, MS, RT(R)(QM) Division Director Program Director Imaging and Radiation Sciences Department Radiography Department University of Arkansas for Medical Sciences Laramie County Community College Little Rock, Arkansas Cheyenne, Wyoming Christi Carter, MSRS, RT(R) Christy Moriarty, MEd, RT(R)(M) Faculty Director Department Chair Radiologic Science Department Radiologic Technology Department Brookhaven College Delaware Technical and Community College Farmers Branch, Texas Georgetown, Delaware Ellen Colbeck-Taylor, BA, RT(R) Selina Mclntire Muccio, MEd, BA, RT(R) Radiography Program Director Educational Course Developer Health Professions Department Radiology Department Richland Community College University of Colorado at Denver and Decatur, Illinois Health Sciences Center Denver, Colorado M. Elia Flores, MEd, RT(R) Program Director Francis Ozor, EdD, MPH, MEd, BS, AAS, Radiology Department RT(R)(ARRT) Blinn College Program Director, Associate Professor Bryan, Texas Radiologic Technology Department Bacone College Robert F. George, MA, CNMT, RT(N) Muskogee, Oklahoma Faculty Radiology Department Christine E. Salvanelli, AS, RT(R) University of New Mexico Clinical Coordinator, Professor Albuquerque, New Mexico Radiologic Technology Department North Shore Community College Melissa 0. Haye, MS, RT(R) Danvers. Massachusetts Director, Assistant Professor School of Nursing and Allied Health Bluefield State College Bluefield, West Virginia vi REVIEWERS Lucy M. Smythe, AS, BS, JD, RT(R) Renee F. Tossell, PhD, RT(R)(M)(CV) Clinical Coordinator, Radiologic Technology Program Clinical Coordinator, Instructional Faculty Health & Human Service Careers Radiologic Technology Department Lansing Community College Pima Community College Lansing, Michigan Tucson, Arizona Jeffrey E. Stiles Jayne L. Wisniewski, BS, RT(R) Program Director Clinical Coordinator Radiologic Technology Department Columbia St. Mary's School of Radiologic Technology St. Johns River Community College Milwaukee, Wisconsin St. Augustine, Florida Nancy W. Zekos, AS, RT(R)(M)(CT) Kimberly R. Todd, BS, RT(R) Clinical Coordinator, Faculty Assistant Professor of Radiography Radiologic Technology Department Allied Health, Radiography Department Lebanon College Jackson State Community College Lebanon, New Hampshire Jackson. Tennessee During the past 27 years, Patient Care in Radiography Content has been updated to reflect current informa- has expanded to meet the changing needs of students tion and infection control guidelines from the CDC and technologists in radiography and other medical im- and to be consistent with Occupational Safety and aging modalities. It is a resource that provides an intro- Health Administration (OSHA) recommendations. duction to these professions and an orientation to the This information will help to ensure the well-being hospital environment. First and foremost, however, it is of radiographers by raising ergonomic standards in a fundamental text on patient care, designed and writ- the workplace and by minimizing risks of exposure ten to help radiographers meet patient needs. The reader to bloodborne pathogens. learns to care for the patient effectively while function- The discussions of medicolegal issues and important ing as a responsible and valuable member of the health procedures needed to comply with the Health Insur- care team, from the introduction to the patient, through ance Portability and Accountability Act (HIPAA) routine procedures and emergency situations, to the have been expanded in Chapter 2. final recording of events in the medical record. More information on human diversity and cultural While the primary goal is centered on patient care, attitudes toward health care, plus a completely re- concern for those who provide that care is also an es- vised and expanded section on age-specific commu- sential focus in this text. Discussions of significant nication and care, has been added in Chapter 3. aspects of self-care and professional development are Additional information on ergonomic safety of included in the following chapters: particular interest to sonographers is included in Chapter 1 incorporates important self-care concepts Chapter 4. into the section on radiation safety. Chapters 5 and 7 contain the latest information from Chapter 2 contains discussions on career planning, both the CDC and OSHA with respect to infection malpractice prevention, and legal considerations. control and bloodborne pathogen safety. Chapter 3 describes professional attitudes and strat- The information on patient assessment in Chapter 6 egies for dealing with burnout and grief. is improved with enhancement of the discussion on Chapter 4 includes sections on environmental and talung a clinical history and streamlining of the sec- ergonomic safety. tion on electrocardiography (ECG). The ECG con- Chapter 5 provides Standard Precautions and ad- tent from the sixth edition is available online at the ditional guidelines for infection control as recom- Evolve site, which is described in a following section. mended by The Centers for Disease Control and The number of Spanish phrases in Appendix C has Prevention (CDC). been greatly increased to help radiographers com- Applying these principles is critical to your well- municate more effectively with non-English-speak- being and your ability to provide good care to others. ing patients. NEW TO THIS EDITION LEARNING ENHANCEMENTS As in previous editions, the seventh edition of Patient If you have used the sixth edition of this text, you Care in Radiography contains updated and new infor- will note that its organizational structure and chapter mation designed to keep students and practicing ra- sequence are retained in this edition. The reading level diographers up to date in this rapidly changing field: is comfortable for the student radiographer without Every effort has been made to address the content being overly simplistic. Again, we have done our best of the American Society of Radiologic Technologists to retain those features that readers have appreciated (ASRT) curriculum for radiography that falls within in previous editions: the general scope of the text and to provide both Step-by-step procedures are shown in photo content and learning tools that will aid in imple- essays, and patient care is integrated with proce- menting the ASRT curriculum guidelines. dural skills. viii PREFACE Additional pedagogical elements, such as learn- participation through chat rooms and discussion ing objectives, key terms lists, illustrations, tables, boards. Evolve allows instructors to post exams and boxes, comprehensive bulleted summaries, review manage their grade books online. questions, and critical thinking exercises, have been The instructor resources for Patient Care in Radi- retained and improved. ography are available online on Evolve and consist of Outlines have been added to each chapter. the following: These features can be incorporated into classroom An instructor's resource manual, which is a guide objectives and activities and will also enhance the ef- for the instructor to be used in the development of fectiveness of individual study. class presentations, clinical experiences, and evalu- The chapters of this text were designed to be used ations of student learning. Included in this manual consecutively; each section builds on the preceding in- are course design, classroom activities, chapter sum- formation. A basic glossary is included for quick refer- maries and outlines, audiovisual supplements, plus ence, but please bear in mind that it is not meant to answers and key concepts to support the study ques- replace the more detailed definitions and discussions tions and critical thinking exercises in the text. found in a good encyclopedic medical dictionary. A test bank that offers more than 450 multiple-choice We hope this book proves to be a valuable resource questions that can be sorted by subject matter. to you as you care for patients in the challenging field An image collection that includes all the images from of medical imaging. the text, and each can be printed out or transferred to other files as presentation graphics. The student Evolve site includes an in-depth dis- t-v.11~v.4 ONLINE RESOURCES cussion of ECG, as well as Patient Care Procedure Evolve is an interactive learning environment designed Checklists for documenting that objectives related to to work in coordination with Patient Care in Radiogra- specific patient care procedures have been met, either phy. Instructors may use Evolve to provide an Internet- in the laboratory or in the clinical setting. based course component that reinforces and expands For more information, visit http://evolve.elsevier. the concepts presented in class. Evolve may be used to com/Ehrlich/radiography/ or contact an Elsevier sales publish the class syllabus, outlines, and lecture notes; representative. set up "virtual office hours" and e-mail communica- Ruth Ann Ehrlich tion; share important dates and information through Joan A. Daly the online class calendar; and encourage student
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