4: Patient preparation

Question 1

Who can request an xray examination?

Answer 1

Medical doctors
Dentists
Nurse prescribers / practitioners
Radiographers

Question 2

Request Card minimum requirements

Answer 2

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

Question 3

Request card procedure

Answer 3

• 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

Question 4

HBL

Answer 4

Horizontal beam lateral view

Question 5

PFA

Answer 5

Plain film abdominal (radiographs)

Question 6

THR/ TKR

Answer 6

Total hip replacement/ total knee replacement

Question 7

Hx or H/O

Answer 7

History or history of

Question 8

C/O

Answer 8

Complaining of

Question 9

F/U

Answer 9

Follow up

Question 10

SOB

Answer 10

Shortness of Breath

Question 11

C. Diff

Answer 11

Clostridiodides difficile

Question 12

MRSA

Answer 12

Methicillin - resistant staphylococcus aureus

Question 13

ESBL

Answer 13

extended-spectrum beta-lactamase

Question 14

VRE

Answer 14

vancomycin-resistant enterococcus

Question 15

CPE

Answer 15

Carbapenem -producing endobacteriaceae

Question 16

Patient identification.

Answer 16

3 point ID check
Open ended questions
Confidentiality +gdpr
Minors - confirm ID with parent guardian

Question 17

Justification of examinations

Answer 17

Benefit of diagnosis must outweigh risks associated with radiation exposure
Must be most appropriate exam
Check iRefer guidelines

Question 18

When checking previous imaging

Answer 18

Have you had this ROl x-rayed before?
Eliminate risk of duplicate requests
Flag any errors
Review what was done previously (for comparison)

Question 19

When preparing the patient physically

Answer 19

Remove patient clothing from ROI- to prevent artefacts
Give patient gown
Maintain patient dignity + respect
Remain professional
General inquiry

Question 20

Variations for pediatrics

Answer 20

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