portable fluro screens

[facets]

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Do you guys stand behind X ray screens during procedures? I have always thought them to be cumbersome and expensive but between my 2 offices, about 200 cases, my badge readings came back at about 600. So, I'm considering getting a screen to stand behind. Logistically, I don't know how I will stay behind it and stay sterile, walk around adjust the needle, walk back etc, I do a lot of RF and every time I move the needle I check all 3 views. I have started walking back from the laterals, kicked the peddle back I step, and using pulsed mode (my bad my patients are ancient and the views are bad enough because of their age) do you think the screen will make enough of a difference to bother? I only have a few more years left to practice, but ever since I saw those readings I have nausea, fatigue, hair loss and wait-hypochondrosis

 

[PMR 4 MSK]

Better to use collomation, foot pedal pulses, extension tubing, better lead vest, lead glasses, etc.

I would only use a screen if I stood on the pedal continuously.

 

[lobelsteve]

http://www.bar-ray.com/products/barriers-shields-curtains/1064/Table-Drape

This will help except on laterals.

Make sure your peddle is easily movable so you can slide back 6 feet to shoot the lateral.

 

[PinchandBurn]

i thought of buying lead forearm shields. Anyone else doing this? I never stick my hands in the beam, but perhaps i'm just a little hypochondriatic 😀

 

[mille125]

i thought of buying lead forearm shields. Anyone else doing this? I never stick my hands in the beam, but perhaps i'm just a little hypochondriatic 😀

You could get a ring badge and see if the ring badge exposure was much higher when compared to your regular badge. I did this several years ago.

 

[PinchandBurn]

You could get a ring badge and see if the ring badge exposure was much higher when compared to your regular badge. I did this several years ago.

hospital provides these ring badges. I typically dont use them cuz i feel as though my hands wont be 'aseptic' (its why we shouldnt wear wedding rings under our gloves right)?

I generallly do the purell right before gloving for each injection. If i put the ring on, it's almost pointless i take it.

 

[mille125]

hospital provides these ring badges. I typically dont use them cuz i feel as though my hands wont be 'aseptic' (its why we shouldnt wear wedding rings under our gloves right)?

I generallly do the purell right before gloving for each injection. If i put the ring on, it's almost pointless i take it.

Based on your technique the ring badge would not work. I dont typical do a scrub prior to gloving for ESIs, etc. Stims are obviously a different story. Out of curiousity do you mask, gown, etc. for ESIs? I wear a mask but do not gown.

 

[PinchandBurn]

Based on your technique the ring badge would not work. I dont typical do a scrub prior to gloving for ESIs, etc. Stims are obviously a different story. Out of curiousity do you mask, gown, etc. for ESIs? I wear a mask but do not gown.

No I dont gown.

I do wear a mask, a cap, then I do purrell (not scrub) my hands then air dry and put on sterile gloves. THis is for MBBs, ESIs, basic blocks.

For RFA I do gown in addition.

For SCS, discos, Vert Aug, MILD, etc. Of course I do a full surgical scrub for this , gone glove, masks, the whole 9 yards..

 

[facets]

I used to wear lead gloves but now I don't because I don't put my hands under the beam. I put the needle in shoot, adjust, shoot, never at the same time. I don't think that's paranoid it's good sense. I use alcohol before sterile gloves and a mask. I agree that the ring is a source of infection. I don't wear a hat or gown unless it's an SCS.

 

[bedrock]

No I dont gown.

I do wear a mask, a cap, then I do purrell (not scrub) my hands then air dry and put on sterile gloves. THis is for MBBs, ESIs, basic blocks.

For RFA I do gown in addition.

For SCS, discos, Vert Aug, MILD, etc. Of course I do a full surgical scrub for this , gone glove, masks, the whole 9 yards..

I see where you're coming from with most of these, but I don't understand why you gown for RFA. Is there a paper on this I don't know about?

I don't see why there would be an increased infection risk with RFA as you're still relatively superficial like a MBB, and then you cauterize the primary wound with the procedure.

 

[mille125]

I used to wear lead gloves but now I don't because I don't put my hands under the beam. I put the needle in shoot, adjust, shoot, never at the same time. I don't think that's paranoid it's good sense. I use alcohol before sterile gloves and a mask. I agree that the ring is a source of infection. I don't wear a hat or gown unless it's an SCS.

Lead gloves only help with scatter. If you put your hand under the beam and you are wearing lead gloves it actually increases your exposure.

 

[mille125]

I see where you're coming from with most of these, but I don't understand why you gown for RFA. Is there a paper on this I don't know about?

I don't see why there would be an increased infection risk with RFA as you're still relatively superficial like a MBB, and then you cauterize the primary wound with the procedure.

i agree

 

[Jcm800]

Lead gloves only help with scatter. If you put your hand under the beam and you are wearing lead gloves it actually increases your exposure.

I second this. I went to lead gloves only to learn it was worse for me...

 

[facets]

They are also are PIA, one more thing to put on. I use them for SCS for scatter and to double glove. For eoidurals a lot of time I don't even put my collar on