188 CARE OP PATIENT IN DIAGNOSTIC RADIOGRAPHY

Sterile: Lower shelf

(ix) A light.
treatment blanket with which to cover the patient.

(x)
A
(xi) A mackintosh sheet and dressing towel to put under the patient's
buttocks.
container for used swabs.
(xii) A
(xiii) Ajar for
used instruments.

by
These last two items may be replaced paper bags attached with
clips to the sides of the trolley, the one for used instruments on the left
side and the bag for soiled swabs on the right.

sterile specimen of urine for bacteriological

If

required to send
it
is

examination, screw top sterile specimen jar should be included in the

a

contents of the lower shelf.

should be recognized that the patient comes to the X-ray depart
if
It

ment with catheter in place, then all parts of the catheter which are in
a

allow entry to

is,
the urethra and bladder or the bladder (that all the
inside of the catheter and some parts of the outside as
well) are sterile

a
by
If

the catheter connected rubber tubing to drainage bottle

is

system.

a
or system of bottles, then the inside of the tubing and of any bottle are
included in the sterile system.
In handling and moving catheterized patient, the radiographer must
a

be careful at all times to see that the sterile system does not become open.
with
spigot and the patient asks for the catheter
If

the catheter closed

is

to be released, then the spigot must be set down with care in sterile a
by

container so that only its outer terminal contaminated the hands, or

is

must be replaced with fresh sterile one. The urine drained out of
it

else
a

the catheter must be kept in suitable container until the sister or staff
a

nurse in charge of the patient's ward can be notified of the amount and
character of the urine passed.
connected to tube and drainage bottle, and becomes
If

the catheter
is

it
is a

disconnected while the patient in the X-ray department, the catheter

should be clamped, and the tubing and bottle returned intact to the ward
with report being given of what has occurred.
If

the patient, the catheter

a

should come partly out, should not be back as this would mean
it

pushed
insertion into the sterile area of part of the catheter made unsterile by
a

its extrusion. For the same reason no attempt should be made to replace
a

catheter which has come out completely. The ward should be notified of
either of these occurrences.
Something has already been said of the patient who comes to the