Lesson 1Injection technique fi minimize extravasation: vein selection, tourniquet use, aspiration check, flushin', an' securin' injection siteDis section cover intravenous injection techniques dat minimize extravasation, includin' vein selection, tourniquet use, aspiration, flushin', an' site stabilization, an' explain recognition, documentation, an' management a infiltration events.
Patient assessment an' vein selection criteriaTourniquet placement an' vein visualizationAspiration check an' slow, steady injectionSaline flush technique an' line patency checksSecurin' de injection site an' patient positionin'Recognizin' an' documentin' infiltrationsLesson 2Contamination control an' surveys: wipe tests, use a survey meters, frequency, acceptable limits, an' action levelsDis section address contamination control in nuclear medicine, includin' routine surveys, wipe tests, acceptable limits, an' response actions, wid emphasis pon documentation, decontamination methods, an' prevention strategies.
Types a contamination an' common sourcesUse an' limitations a survey metersPerformin' an' interpretin' wipe testsSurvey frequency an' regulatory expectationsAction levels, decontamination, an' re-surveyRecordkeepin' an' trend analysis fi hotspotsLesson 3Dose calculations usin' time, activity, an' patient weight: weight-based adjustments, decay correction, an' pediatric/obese considerationsDis section review dose calculation methods usin' time, activity, an' patient weight, includin' weight-based dosin', decay correction, an' adjustments fi pediatric an' obese patients while respectin' protocol an' regulatory limits.
Basic activity, time, an' decay relationshipsUsin' decay factors an' half-life tablesWeight-based adult dosin' calculationsPediatric dosin' an' minimum activity limitsAdjustments fi obese or very small adultsCheckin' calculations against protocol rangesLesson 4Common radiopharmaceuticals an' administration routes: Tc-99m sestamibi/tetrofosmin fi myocardial perfusion (IV), Tc-99m MDP fi bone scan (IV); typical adult activity rangesDis section review commonly used technetium-99m radiopharmaceuticals, dem indications, administration routes, an' typical adult activity ranges, emphasizin' correct selection, labelin', an' documentation fi myocardial an' skeletal imagi'.
Tc-99m sestamibi: indications an' adult dose rangeTc-99m tetrofosmin: indications an' adult dose rangeTc-99m MDP: indications an' adult dose rangeIntravenous administration steps an' checksContraindications an' common adverse reactionsDocumentation a product, lot, an' administered doseLesson 5Dose calibrator operation: daily background check, constancy test, geometry considerations, settin' correct isotope an' time-of-measurement correctionsDis section detail routine dose calibrator operation, includin' background checks, constancy testin', geometry effects, isotope settin', an' time-of-measurement corrections, wid emphasis pon quality control records an' troubleshootin'.
Daily background an' constancy proceduresQuarterly accuracy an' linearity testin' basicsGeometry dependence an' volume considerationsSelectin' correct isotope an' calibration factorTime-of-measurement an' decay correctionsQC documentation, trends, an' troubleshootin'Lesson 6Activity verification steps: measurin' drawn an' administered activity, syringe technique, tare weight method, an' documentationDis section explain how fi verifify activity before an' after administration usin' a dose calibrator, includin' syringe technique, residual activity measurement, tare methods, an' accurate documentation in de patient record.
Pre-injection activity measurement in calibratorSyringe positionin' an' reproducible geometryMeasurin' residual activity after injectionTare method fi syringe an' shield correctionsCalculatin' net administered activityRecordin' activity, time, an' technologist IDLesson 7Post-injection precautions fi patients: restroom use, hydration, discharge instructions, an' breastfeedin' guidanceDis section explain essential post-injection instructions, includin' restroom use, hydration, contact restrictions, an' breastfeedin' guidance, fi reduce radiation exposure to family, public, an' staff while preservin' image quality.
Immediate restroom use an' bladder emptyin'Hydration strategies fi enhance tracer clearanceLimitin' close contact wid infants an' pregnant womenWritten discharge instructions an' key counselin' pointsBreastfeedin' interruption an' milk storage guidanceWhen fi escalate concerns to de nuclear medicine physicianLesson 8Safe handlin' an' transport a radiopharmaceuticals: vial handlin', needle/syringe best practices, use a lead shieldin' an' dose traysDis section detail safe handlin', packagin', an' transport a radiopharmaceuticals, focusin' pon vial management, syringe preparation, shieldin', labelin', an' regulatory requirements fi minimize exposure an' prevent loss or misadministration.
Receivin', unpackin', an' inspectin' shipmentsVial handlin', ventin', an' aseptic techniqueNeedle an' syringe selection an' secure assemblyUse a lead pigs, syringe shields, an' dose traysLabelin', transport containers, an' DOT categoriesSpill prevention durin' preparation an' transportLesson 9Radiation protection principles (ALARA): time, distance, shieldin' applied to technologist workflow an' room layoutDis section apply ALARA principles a time, distance, an' shieldin' to technologist workflow, room layout, an' patient schedulin', highlightin' practical strategies fi reduce occupational dose an' monitor compliance wid regulatory limits.
Time minimization durin' high-exposure tasksMaximizin' distance usin' layout an' toolsOptimizin' shieldin' fi staff an' public areasRoom design, hot lab zonin', an' traffic flowUse a dosimeters an' review a exposure reportsPregnant worker considerations an' declarations
