Operation Theatre

Description

Our services cover also the operation theatre (OT). We have two radiographers working in OT daily from Saturday to Wednesday 7 a.m. to 2 p.m. and on call service around the clock the rest of the day and in the weekend. SMC has a fully equipped operation theatre for major operations. We have four mobile C-arm Fluoroscopy and radiographic imaging or mobile X-Ray units. There are 12 theater rooms in SMC and one plaster room.
Most of our work is with the orthopedic surgeons. Orthopedic surgeons need to use mobile X-rays or mobile C-arm Fluoroscopy to check for proper reduction of fractures in OT.
Although the majority of X-Rays and Fluoroscopy in OT are taken for orthopedic cases there are some imaging needs for the general surgeons, neurosurgeons, ENT doctors, urology surgeons and some times post operative chest X-Rays ordered by anesthetists.

One C-arm fluoroscopy has been purchased for cardiac cases such as for pace maker. It is available in ward 208.

Procedure

We can perform most plain radiography such as hands, legs, feet, femurs, hips, chest, abdomen etc. and some special radiography procedures such as angiograms, urethrograms, cystograms, retrograde pyelography, cholangiography, venography IVP, etc. The patient is lying down on the OT table at the time of imaging. Some of the OT tables have been designed in such a way that they can use X-Ray or mobile C-arm fluoroscopy during the operation procedure. The C-arm has to be covered with a sterile sheet as do the X-Ray cassettes. The radiographers do not handle the sterile objects, the surgeon or the scrubbed nurse does the positioning. The radiographers role in OT is to bring the mobile X-Ray system, do the exposures and process the films inside the OT darkroom. After film processing, the film is brought back to the surgeon to evaluate the operation.

Precautions

Scanning is NOT allowed for pregnant women.
(X-Ray carries risks of ionizing radiation exposure to the fetus, but if the X-Ray is really needed, a lead apron is used to protect the woman's abdomen)

Location

All the Operating Theatre rooms located at the SMC OLD and New Buildings - 2nd Floor.

Tel. No.: 17284265

Ext. No. : 4265.

Equipment

4 mobile C-arm Fluoroscopy and Radiographic Imaging (or Mobile X-Ray unit).
1 C-arm mobile image intensifier and Television monitor Fluoroscopy manufactured by Siemens (Sirmobile) Unit. Additional three c-arm mobile image intensifiers and Television monitor Fluoroscopy (BV 300) and one mobile X-Ray unit for Operation Theater manufactured by Philips (Practice 300).
1 small darkroom tabletop processor and one chemical mixer manufactured by Agfa.

One of c-arm fluoroscopy is connected to dry printer.

Available Staff

There are no fixed staff for this unit. All radiographers can perform these examinations

2 Radiographers are allocated to OT daily Sunday. to Thursday. from 7-to 2 pm.

Timing

24 Hours

Mobile or Portable Radiologic Examination

Description

Usually the patient attends the radiology department to preform a radiologic procedure. In mobile/portable examinations we go to the patient in the ward to perform the requested examinations.

Mobile systems are used only for very sick patients since the cost of mobile X-Ray examination is higher than routine X-Ray examinations. It is also time consuming, image quality is at times poor, and the radiation dose to patients, ward staff as well as the radiographers is also higher.

Medical physicians are instructed to minimize requests for mobile examinations as much as possible except for very sick patients. Shortage of nursing staff to shift the patient to the radiology department should not be a reason for requesting mobile X-Ray examinations.

Procedure

No preparation is required.
The majority of requests are for chest X-Rays, however, all forms of plain radiography as well as some special studies can be done.

Precautions

Scanning is NOT allowed for pregnant women.
(X-Ray carries risks of ionizing radiation exposure to the fetus, but if the X-Ray is really needed, a lead apron is used to protect the woman's abdomen)

Location

Some of the main locations for the mobile systems are ward 307, OT, ICU, CCU, ward 54, ward 33, ward 12, A/E and Burn unit. The rest are not fixed in one place.

Tel. No.: 17284084

Bleep No. : 4084.

Equipment