e. Performing the Examination. As with bedside radiography, it is difficult to
establish set procedures for radiographic work in surgery. Different surgeons require
different projections, variation in numbers of film, and so forth. The requirements also
vary with identical examinations, depending upon the suspected pathology. The x-ray
specialist, therefore, must vary his procedure according to the desires of the surgeon.
Some of the following principles will apply in certain cases.
(1) Offer lead aprons to all members of the surgical team. If the team
member must work under sterile conditions, it will be necessary for him to remove his
apron before putting on the sterile gown. Some members of the team may not want a
protective apron, but each person should be offered one.
(2) Make a scout film whenever possible. This will help to ensure that the
patient is properly positioned and that the exposure factors are correct.
(3) Coordinate the exposure with the anesthetist. Remember, he controls
the patient's breathing, so he must stop the breathing before the exposure.
Process the films as quickly as possible and return them to the surgeon.