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Published on October 23, 2014

Author: andrea10

Source: authorstream.com

Safety in the Sonography Field : Safety in the Sonography Field Andrea Eichenlaub Safety Issues: Safety Issues Safety in the health Care field is an important issues among all fields in the industry Today we will look into all of the possible safety issues a Ultrasound technician may encounter Work Related Injuries : Work Related Injuries Carpal tunnel De Quervain disease Epicondylitis Low back Pain Planter fasciitis Rotator cuff Syndrome Sciatica Work Related Injuries continued : Work Related Injuries continued Shoulder Bursitis Tarsal Tunnel Syndrome Tendonitis Tension neck syndrome Trigger finger Musculoskeletal Injuries : Musculoskeletal Injuries Causes of musculoskeletal injuries Repetitive strain Poorly designed ultrasound equipment Crowded scanning areas Poorly designed stretchers Use of awkward positions while scanning Awkward static and dynamic arm position Use of excessive force when grasping the transducer Day long repetition of the same types of scans Reaching injuries Prolonged standing Frequency and duration Insufficient rest/breaks during workday Signs and Symptoms of Musculoskeletal Injury : Signs and Symptoms of Musculoskeletal Injury Cramping Decreased grip strength Decreased range of motion Loss of muscle function Numbness Pain Stiffness Tingling/Burning Postures Associated with Injury : Postures Associated with Injury Neck Flexion/extension Tilting head to see monitor Side bending while performing scan Shoulder Abduction/flexion The way your upper arm is positioned while doing a scan should be no more than 30 degrees Postures Associated with Injury Continued : Postures Associated with Injury Continued Wrist Flexion/extension Can be caused when manipulating the transducer when trying to get the perfect image Ulnar/radial deviation Lower Back Twisting in awkward positions and static positions Tendon Inflammation : Tendon Inflammation Upper Extremities Shoulder Rotator Cuff Biceps Elbow Wrist Fingers Lower Extremitie Leg Knee Ankle Foot Carpal Tunnel Syndrome: Carpal Tunnel Syndrome Repetitive motion injury Females 30-60 years of age are the most at risk Symptoms Numbness burning./tingling Pricking sensation Pain radiating from the wrist to the upper arm or down into the fingers Untreated will result in muscle weakness and atrophy of the muscles Diagnosis Determining whether symptoms can be elicited by holding the hand in a position with the wrist bent for 1 minute De Quervain Disease: De Quervain Disease Painful inflammation of the tendons on the thumb side of the wrist. Cause is unknown Symptoms Discomfort when turning the wrist, grasping anything or making a fist Radiating pain into the forearm and distally into the thumb Diagnosis Based on location of pain Presences of swelling Decreased hand function Plantar Fasciitis: Plantar Fasciitis Broad flat ligament on the bottom of the foot extending from the front of the heel to the base of the toes Helps to maintain the arch of the foot Result of over use and the repeated stress of using the foot Causes Activities that increase weight and stress on the foot when working on hard floors Being overweight Most common in ages between 40-60, more common in women than in men Traetment includes Rest Ice Taping strengthen and flexibility exercises Tarsal Tunnel Syndrome: Tarsal Tunnel Syndrome Compression or squeezing on the posterior tibial nerve that produces symptoms anywhere along the path of the nerve Causes Individuals with flat feet Varicose veins Ganglion cysts Swollen tendon Arthritic bone spurs occupying space with the tunnel Injury can produce inflammation Systematic disease causing swelling such as diabetes Tarsal Tunnel Syndrome continued : Tarsal Tunnel Syndrome continued Treatment Rest Ice Immobilization Cortisone Ultrasound and physical therapy Eliminating the Risk of Injury : Eliminating the Risk of Injury Steps to avoid injury Awareness Behavior modifications Mandatory frequent breaks during the workday Modification of scan techniques Evaluation by a physical therapist Eliminating the risk of Injury : Eliminating the risk of Injury Way to avoid injury Position equipment as close as possible Positioning patient as close as possible Reduce reach to 30 cm or less Avoid extending arms over control panel Distribute weight evenly on both feet when standing Use abdominal muscles to support torso when sitting Position display screen and control panel in direct view Avoid twisting positions Hold wrists straight Only hold transducer tight enough to maintain control References : References Craig, M., & Craig, M. (2006). Essentials of Sonography and Patient Care (3rd ed., pp. 65-78). St. Louis: Saunders.

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