Outpatient Surgery Magazine

Manager's Guide to Orthopedic Surgery - August 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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3 9 A U G U S T 2 0 1 4 | S U P P L E M E N T T O O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E 3. Reduced radiation expo- sure We're also seeing man- ufacturers make impressive strides in reducing the radiation doses their machines produce. Newer mod- els are able to provide good pictures with less radiation. You want to be able to assure patients that their exposure levels will be "as low as reasonably achievable" (ALARA). That's an increasing concern on the minds of outpatients and something we've been incorporating into our imaging protocols for years. Along with easy mobility and a small footprint, the radiation dosage mini C-arms give off is so low, you typically don't have to line procedure room walls with lead the way you do with larger C-arm units. The amount of radia- tion produced by super (larger) C-arms is as minimal as that of mini C-arms at the low end of the spectrum. Super C-arms also have a much higher range and greater potential for radiation scatter. Still, settings that enable pulsed images instead of continuous live imaging, the use of shutters to focus the beam on the area of the body being imaged and proper positioning of the unit's image intensifier can help to reduce the dose of radiation delivered. We consider it our responsibility and are required by law to make every effort to lower the dosage that our patients, providers, staff and especially our radio- logic technicians, are exposed to. High-definition digital technology is promising in that regard, too, with improved sensitivity to X-rays allowing for a further reduction in radiation. That's something we can look forward to. I N T R A O P I M A G I N G VERSATILE SIZE Super C-arms can be used for spinal injection procedures and for radiofrequency ablation. Pamela Bevelhymer, RN, BSN When a C-arm goes down, we go from 100% capacity to 0%. Reliability is huge.

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