The four case scenarios found in this section will help you examine your clinical skills and knowledge. Consider how you might approach each case as a practising Canadian radiological technologist.
Mrs. Lise Gagnon, a 40 year old female, has come by ambulance to the emergency department after being involved in a car accident. She presents with right sided scalp hematoma and is disoriented. A CT of the head was ordered and the following image acquired.
Mr. Chan, a 65 year old man with flu and cold symptoms arrives in the X-ray department sitting in a wheelchair. He has suffered from a productive cough for the past 4 weeks. His anxious daughter informs you that he is a chronic smoker and is at present experiencing chest pain and shortness of breath. He needs help to get in and out of wheelchair. The ordering physician has requested a chest X-ray to rule out pneumothorax. The patient prefers to stay in the wheelchair for the examination.
You work in a busy teaching hospital. Your patients may be outpatients, inpatients, intensive care patients or emergency cases. These include traumatic injuries and postoperative patients. You are responsible for the safety of your patients.
You also teach students and other staff about your profession.
While you are working in the Emergency Room, you receive a requisition for Cervical, Thoracic and Lumbar spine X-rays, upright, to rule out a fracture. The patient history states “Fall from 10 foot ladder onto back and shoulders, pain on palpation”. You notice that the requisition was written by an orthopaedic resident. When you meet the patient, she is lying supine on a spine board with a C-spine collar.
You are called to the operating room during your shift to start a hip pinning procedure for an elderly patient. You set up your C-arm for the initial traction images before the patient is draped. You notice that the unaffected leg is very close to the image receptor and this leaves you little room to move from AP to lateral view. One of the surgeons is wearing only a lead skirt and a thyroid collar when he asks you to image the hip.
During the case, the circulating nurse walks past your C-arm and brushes the non-sterile cover over the C-arm with her sleeve. She does not notice that she has touched the drape.