Chest X-ray Positioning and Preparation
Category: Diagnostic Procedures
Overview
Proper patient positioning and preparation for chest radiographic examinations to ensure optimal image quality and accurate diagnosis.
Indications
Respiratory symptoms, cardiac assessment, pre-operative screening, follow-up of pulmonary conditions, trauma evaluation.
Contraindications
Pregnancy (unless benefits outweigh risks), inability to cooperate with positioning, severe respiratory distress.
Equipment Needed
X-ray machine, lead aprons, positioning aids, patient gowns, removal containers for metal objects.
Procedure Steps
1. Verify patient identity and x-ray order
2. Explain procedure to patient
3. Ensure female patients are not pregnant
4. Provide patient gown and remove metal objects
5. Position patient upright facing x-ray plate
6. Ensure proper alignment and posture
7. Instruct patient to take deep breath and hold
8. Take posteroanterior (PA) view
9. Reposition for lateral view if ordered
10. Ensure adequate inspiration on images
11. Assist patient back to comfortable position
12. Document procedure completion
Safety Considerations
Screen for pregnancy before procedure. Use lead shielding when appropriate. Ensure patient stability during positioning. Follow radiation safety protocols.
Potential Complications
Radiation exposure, falls during positioning, inadequate image quality requiring repeat, patient discomfort.
Documentation
Record procedure completion, patient cooperation, any difficulties encountered, and images obtained.
References
American College of Radiology. (2019). Practice Parameters for Chest Radiography. Radiologic Technology Practice Standards.