Module 1: General Considerations in Performing Radiographic Examinations and Radiologic Procedures Flashcards
is a clinical document completed by a licensed physician stating what procedure or examination is desired. This document contains what examinations needs to be done, why the examination needs to be conducted, and on whom the examination will be performed
Radiology Request
Components of a Request Form
- Patient details
- Name
- Age
- Gender
- Procedure to be done
- Specific part of the body to be examined
- Details of the requesting physician (referer)
- Name
- Contact Number
- Date Requested
- Other information (e.g. medical history)
Images procedures cannot be done without a “__________” Performing a procedure without a request may lead to fines, disqualification of radiation license, dismissal and possible litigation
request
Patient Identification
- Right patient for the right procedure
- Patient identification in the Radiograph
- Verification of Ordered Procedure
Patient Identification
Right patient for the right procedure
- Ways on how to identify patient
- Ask the patient
- Check the wrist band or patient’s chart
Check the following:
* Assigned identification number
* Date of birth
* Phone Number
* Social security number
* Address
* Photo
Patient Identification
Patient Identification in the Radiograph
- The patient’s name or Patient Identifaction Number (PIN)
- Patient’s age or date of birth and gender
- Date of study
- Location where the study was performed
- Marker are essential to designate right and left
Patient Identification
Verify with the requesting physician
Verification of Ordered Procedure
Clinical History and Patient Assessment
RCALSOAAS
- Review of Clinical History
- Chief Complaint
- Allergy History
- Localization
- Severity
- Onset
- Aggravating Factors or Alleviating Factors
- Associated Manifestations
- Special Considerations
Role of the Radiographer
- Ensure that the correct patient is for the right procedure
- Perform the correct procedure
- Provide patient comfort, security, and safety
- Prepare the examination room and supplies
- Radiologic technologist must be able to extract vital information from the patient without offending the patient and violating his/her privacy.
- A rapport must be develop to gain patient’s trust
Questioning Skills
medical term used to describe the primary problem of the patient that led the patient to seek medical attention and of which they are most concerned
Chief Complaint
The chief complaint is obtained by the __________ in the initial part of the visit when the medical history is being taken.
Physician
Allergy History
abnormal reaction of the body to a previously encountered allergen by inhalation, ingestion, injection, or skin contact, often manifested by itchy eyes, runny nose, wheezing, skin rash, or diarrhea.
Allergy
Allergy History
misguided reaction to foreign substances by the immune system, the body system of defense against foreign invaders, particularly pathogens (the agents of infection).
Allergy
Allergy History
Substances that trigger allergy
Allergen
Allergy History
People prone to allergies
Allergic or Atopic
physical suffering or discomfort caused by illness or injury.
Pain
Types of Pain Localization
- Visceral pain
- Deep somatic pain
- Superficial somatic pain
Pain Localization
is diffuse, difficult to locate, and often referred to a distant, usually superficial, structure.
Visceral Pain
Pain Localizatoin
Example of Visceral Pain
accompanied by nausea and vomiting and may be described as sickening, deep, squeezing, and dull.
Pain Localization
Pain initiated by stimulation of nociceptors in ligaments, tendons, bones, blood vessels, fasciae and muscles; it is dull, aching, poorly localized pain.
Deep somatic pain
Pain Localization
Example of Deep Somatic pain
sprains and broken bones.
Pain Localization
Pain initiated by activation of nociceptors in the skin or other superficial tissue; it is sharp, well-defined, and clearly located.
Superficial somatic pain
Pain Localization
Example of Superficial somatic pain
minor wounds and minor (first degree) burns
moderate, severe, or excruciating. Pain can also be measured on various scales (including picking a number between zero, for
none, and 10, for excruciating).
Severity
The beginning of pain or complaint
Onset
Factors that make condition worse
Aggravating Factors
Factors that make condition lessen
Alleviating Factors
Special Considerations
- For pregnant patients
- For pediatric patients
- For non-ambulatory patients
- For uncooperative patients
- For geriatric patients
- For extremely tall or big patients
- other considerations
Room Preparation
- Cleanliness, Organization, and Appearance
- Necessary supplies and accessory equipment available
Things to Check
- Patient Dressing Room and Patient Gown
- Cassette and Film
- Radiographic Table and Upright Bucky
- Patient Identification Markers
- Contrast Media (Iodine or Barium)
- Powder or liquid suspension
- Enema can
- Foley Catheter
- Lubricants
