Patient Assessment And Preparation Flashcards
What is the most important responsibility of the CT Technologist?
To obtain patient history
What are examples of obtainable patient information for documentation?
Recent procedures, surgery, symptoms, possible trauma, specific areas of pain or discomfort
What types of questions should the Technologist ask the patient when obtaining hx.?
Open-ended questions
Listen and encourage
Focused questioning
Repeating and summarizing
What is the key to any successful patient interaction?
Communication
When does patient communication begin?
Screening/scheduling
What are some concerns the Technologist needs to know about the patient before starting the exam?
Exam tolerance and contrast contraindications
What type of exam should be scheduled before an imaging procedure requiring contrast barium or after sufficient time to allow for bowel clearance?
CT of Chest/Abdomen/Pelvis or “trunk”
What items should be removed prior to exam to prevent artifact on the image?
High-density or metallic items
What will help reduce patient motion and lead to higher-quality examinations?
Patient comfort
Who’s responsible for explaining the CT exam to the patient &/or authorized representative?
CT Technologist
What is another important factor of patient care to review with the patient before the exam to enhance image quality and reduce motion?
Breathing instructions
What is an example of a CT exam where reviewing breathing instructions prior to the exam is necessary?
CTA PE chest protocol, other chest exams, and abdomen
Should the patient be instructed to empty the bladder before or after contrast studies?
Before
What are two common effects or sensations that patients may feel when given IV contrast?
Warm sensation and metallic taste
What is required to obtain from the patient before the start of any invasive procedure?
Informed consent
When can a patient consent be deemed informed?
Only when procedure, risks, benefits and alternatives are explained to patient
Who is allowed to sign the informed consent prior to the contrast enhanced exam?
Patient or competent legal representative
What type of consent is obtained when the patient is in need of immediate medical services but is unconscious or physically unable to consent to treatment?
Implied consent
What are two types of immobilization devices that can be used during a CT scan to remind the patient to hold still?
Cushions and straps
What is another form of patient immobilization during a CT exam that includes inhalation or exhalation to reduce patient motion?
Breath-hold
