Procedure Folder 18. February 2010
What we want you to do? • Make procedures that you can use in your daily work as a radiographer • Use references for everything you write • Hand it in to us before the 8th of March • Work in groups of 3 or 4 people
What is a procedure? “recipe on how to take a good image” • Includes picture quality, positioning and a picture/illustration on the anatomy • When is it most normal to take this picture? (for example fracture or check up)
What have to be a part of the procedure folder? • Front page. Included: Title, name, place, date and name of institution. • Index: list that show where in the folder you can find what you looking for. (With page numbers) • Procedures. One/two pages per procedure • Reference list
Why do we use referances? • Give credit to the writer • Show that you know the literature • Gives your work more reliability • Gives the reader the chance to identify the references you have used • Shows your thoughts and meanings and conclusions
What is a reference? • Almost everything we write has been written before us somewhere. • Books, internet and articles can be references, just remember were you found it. • Use of Harvard or Vancouver style (If it is something you think/ have a meaning about you have to inform clearly about this)
Vancouver Style • List all the references chronologic with numbers from 1.. • Connect the numbers to the reference list on the back of the folder in an own page • If it is more then 6 writes, write the 6 first and write et.al.
Books • Last name, first name initial. Title of book. Which edition. Where it is published: who published it; year. Bjørkås T, Rindahl J. Radiation safety in Nepal. 2. eddition. Kathmandu: Gyldendal forlag; 2010.
Internet • Title [page on internet]. Place: responsible organisation; last updated [when you found it. Available from: http:// 101 Thing You Need to Know about Internet Law [elektronisk bok]. New York: Three Rivers Press; 2000 [found 30. mars, 2004]. Available from: http://site.ebrary.com/lib/ntnu/.
Articles • Last name of writer, initials. Title of article. Name of magazine. Year; volume (number): Pages Bjørkås T. Radiation protection. Medical journal of radiology. 2010;(3):35-56.
Example of Vancouver style 1. Bjørkås T, Rindahl J. Radiation safety in Nepal. 2. eddition. Kathmandu: Gyldendal forlag; 2010. 2. 101 Thing You Need to Know about Internet Law [elektronisk bok]. New York: Three Rivers Press; 2000 [found 30. mars, 2004]. Available from: http://site.ebrary.com/lib/ntnu/. 3. Bjørkås T. Radiation protection. Medical journal of radiology. 2010;(3):35-56.
What do you need procedure for? • Upper and lower extremity • Body • Spine • Caput • IVU and Barium procedures
Upper extremity • Shoulder 4 pictures/procedures • Clavicla 2 pictures/procedures • Scapula 2 pictures/procedures • Humerus 2 pictures/procedures • Elbow 2 pictures/procedures • Under arm 2 pictures/procedures • Wrist 3 pictures/procedures • Scapiod views 4 pictures/procedures • Hand 3 pictures/procedures
Lower extremity • Hip 3 pictures/procedures • Femur 2 pictures/procedures • Knee 3 pictures/procedures • Leg 2 pictures/procedures • Ankle 3 pictures/procedures • Foot 3 pictures/procedures • Calaneus 2 pictures/procedures
Body • Thorax 2 pictures/procedures • Sternum 2 pictures/procedures • Abdomen 3 pictures/procedures • Pelvis 1 pictures/procedures
Spine • In total 13 pictures/procedures • Where 7 are of the cervical coulumna
Caput • There are 10 pictures that should be included in the folder. For example - frontal, orbita, zygomaticum and jaw bone. There is comming one lecture about the caput if you want to.
I.V.U and barium • These are special procedures that we will explain more about when we have had some hours in this theme.
A procedure should include.. • Settings of equipment • Positioning of patient • Position of radiation beam • Picture criteria • Indication • Picture/illustration
Settings of equipment Elbow - lateral
Positioning of patient Wrist – PA • Patient sits at the end of the table (legs on the side of table) • Forearm and arm resting on the table in a straight line • Volar surface of the wrist joint extended and level, resting on the centre of the cassette. • Have the patient to make a flat wrist
Position of radiation beam Hand- PA • Collimate to correct field size to get all the picture critierias • Place the beam in a 90 degree angle to the table. • Beam center on the third metacarpal bone and the middle of the film • Remember to use side identification
Picture criteria Knee AP • No rotation • Joint space clearly defined • Planar projection of the tibia plateau • Tibia superimposed on the medial aspect of the fibular head only • Distal femur & Proximal tibia and fibula • Patella in midline • Trabecle
Indications Ankle lateral • Possibel fracture • Trauma • Check up • Artrosis
Choose a picture that includes all the picture criteria. If you use an illustration it can be a good idea to show the position of patient. If possible use both Picture/illustration
Remember • This is for use in the daily work in your life as a radiographer • Make an easy, but correct recipe • The more you work with this, the better can the result be • We will give a price to the best quality folder group • The presentation of this work will be in late March for all the groups
Tips to literature • You have some books • We have some books • Libary has some books/ Magazines • Internett has a lot of pictures
www.neprad.com • The new e-learning web side for students and staff at the TUTH. • Not finished but will be up running in a couple of weeks.
Picture database http://wo.uio.no/as/WebObjects/medark.woa/wa/searchPage?lang=eng&arkiv=1