4: Patient preparation Flashcards
Who can request an xray examination?
Medical doctors
Dentists
Nurse prescribers / practitioners
Radiographers
Request Card minimum requirements
Patient’s name
DOB
Address
Area to be image
Side to be imaged
Justified clinical indication or relevant patient history
Requesting doctor’s signature
Requesting doctor’s contact details
Request card procedure
- Review referral prior to calling patient into the room
- Confirm all the info required is available
- Note any documented priority request
- Accept the request - confirm patient details and complete examination
HBL
Horizontal beam lateral view
PFA
Plain film abdominal (radiographs)
THR/ TKR
Total hip replacement/ total knee replacement
Hx or H/O
History or history of
C/O
Complaining of
F/U
Follow up
SOB
Shortness of Breath
C. Diff
Clostridiodides difficile
MRSA
Methicillin - resistant staphylococcus aureus
ESBL
extended-spectrum beta-lactamase
VRE
vancomycin-resistant enterococcus
CPE
Carbapenem -producing endobacteriaceae
Patient identification.
3 point ID check
Open ended questions
Confidentiality +gdpr
Minors - confirm ID with parent guardian
Justification of examinations
Benefit of diagnosis must outweigh risks associated with radiation exposure
Must be most appropriate exam
Check iRefer guidelines
When checking previous imaging
Have you had this ROl x-rayed before?
Eliminate risk of duplicate requests
Flag any errors
Review what was done previously (for comparison)
When preparing the patient physically
Remove patient clothing from ROI- to prevent artefacts
Give patient gown
Maintain patient dignity + respect
Remain professional
General inquiry
Variations for pediatrics
Child under 16 needs parental consent
Apply radiation protection to comforter/ carer
Comforter/ carer may need to hold the child in the correct position or radiolucent foam pads may be used
Minimize persons present in the room
Do not use adult exposure parameter settings on a ped patient
Bones have higher cartilaginous content
Higher radiation sensitivity
