JC CT Staff Questions

Question 1

How do you ensure that the patient receives the lowest dose of radiation possible?

Answer 1

Care dose, care KV, Dose right

Question 2

Is radiation dose recorded for each patient/exam?

Answer 2

The patient protocol page is sent over to i-Site. It includes patient demographics and CTDI/DLP dose

Question 3

What do you do if radiation dose exceeds expected limits?

Answer 3

Alterted by the scanner - notify radiologist - parameter adjustment or proceed with reason documented

Question 4

Do you have yearly training on radiation dose reduction?

Answer 4

Yes, the educational coordinator provides yearly training on dose reduction.

Question 5

How do you verify you are doing the correct patient? Correct study?

Answer 5

Verify name, DOB, verify order, verify correct protocol. If any questions consul the radiologist.

Question 6

What kinds of medications do you give?

Answer 6

Oral and IV contrast.

Question 7

What lab work does a patient need prior to injection of contrast?

Answer 7

BUN and creatinine (from which we then calculate GFR)

Question 8

What are contraindications for adminstering IV contrast?

Answer 8

Allergy, renal insufficiency, anaphylactic reaction to other medications

Question 9

Where/What are you protocols for IV administration?

Answer 9

Protocol manuals and on collaboration site

Question 10

How do you screen your patients prior to CT?

Answer 10

Patients fill out screening/history form which is reviewed

Question 11

What kind of phantom QA/QC do you do?

Answer 11

Daily and monthly QC is entered in QA logbook

Question 12

What would you do if your daily QC was out of range?

Answer 12

contact clinical engineering and supervisor

Question 13

What different competencies did you need to work in CT?

Answer 13

ARRT certefied, 12 weeks on the job training with competency check list, CT registry within 2 years

Question 14

What kind of CE credits do you need?

Answer 14

24 credits bi-annually

Question 15

How often are protocols reviewed and updated?

Answer 15

Annually

Question 16

Do you have specific protocols based on age and size?

Answer 16

Yes, pediatric cases are done at Wilmington and Christiana only. Pediatric protocols are built into those scanners. All other sites scan adults only

Question 17

How often is QC done on the scanners and by whome?

Answer 17

Daily QC by technologist. Monthly QC done by technologist

Question 18

What would you do if your QC falls out of range?

Answer 18

Contact clinical engineering and supervisor

Question 19

How often does the physicist come?

Answer 19

Yearly and after every tube replacement

Question 20

WHere are the physicist reports kept?

Answer 20

In the radiation safety office and QC binder

Question 21

How often does the manufacturer maintenance the scanner

Answer 21

quarterly

Question 22

How do you shut down the machine in an emergency?

Answer 22

big red button, E-STOP

Question 23

How often is the machine shut down?

Answer 23

every 24 hours

Question 24

How do you minimize retakes?

Answer 24

provide patient instructions and use immobilization

Question 25

How often are lead aprons inspected?

Answer 25

Yearly

Question 26

Do you have a dosimeter? If so, how often are they monitored?

Answer 26

Yes, Quarterly

Question 27

Where is your dosimeter reading report kept?

Answer 27

Radiation safety office

Question 28

Do you receive a copy of your dose report? How often?

Answer 28

Yes, yearly

Question 29

How do you clean your table and equipment?

Answer 29

wipe down with PDI before and after each patient

Question 30

Where is your contrast stored? Is it locked?

Answer 30

Locked in prep room cabinet and storage room

Question 31

How long can oral contrast be kept in the fridge?

Answer 31

Unopened: not past expiration date. Once opened: 72 hours (must be labeled with date/time of expiration with techs initials)

Question 32

Do you rotate your supplies?

Answer 32

Yes

Question 33

Is your refrigerator temp monitored?

Answer 33

Yes

Question 34

Where is your code cart?

Answer 34

No code cart in OP, with have AED and contrast reaction boxes.

Question 35

Are code carts and emergency equiptment check lists completed each day?

Answer 35

Yes, emergency medical supplies checklist completed daily

Question 36

How often are display monitor on scanners inspected?

Answer 36

Yearly