Patient Care Exam 1 Review Flashcards
Which modalities do NOT use ionizing radiation?
MRI
Sonography
Accreditation Agencies
Ensure education programs meet standards
JRCERT
Accreditation agency for radiography programs
Certification Bodies
Award credentials to individuals who pass their examination
ARRT
Certification body for radiography
Professional Societies
Voluntary organizations that inform, represent & lead members
ISRRT
International Society
ASRT
Society for Radiologic Technologists
AAPA
Society for Medical Physicists
ACR
Society for Radiologists
6 Problem-solving & Critical Thinking Resources
- Institutional policies
- Federal laws
- State laws
- ARRT Standard of Ethics
- ARRT Code of Ethics
- ASRT Practice Standards
Steps in Critical Thinking & Problem Solving
- Identify the problem
- Investigate the problem, ojectively
- Develop viable solutions
- Select the best solution, and
- Implement it
Ensure that educational programs meet standards
Accreditation Agencies
Accreditation agency for radiography programs
JRCERT
Award credentials to individuals who pass their examination
Certification Bodies
Certification body for radiography
ARRT
Voluntary organizations that inform, represent & lead members
Professional Societies
International Society
ISRRT
Society for Radiologic Technologists
ASRT
Society for Medical Physicists
AAPA
Society for Radiologists
ACR
Why does hierarchy exist?
- Organizational view
- Decision making
- Responsibility
- Prioritization
- Communication
Organizational View
Greater diversity of information exists as you move up the hierarchy
Decision Making
Someone needs to decide, especially in emergency
Responsibilty
Someone needs to be able to effect change when problems exist
Prioritization
Structures are put in place that need to be followed, especially in emergency
Communication
Communication needs to flow up to those that make decisions & down to those who implement decisions
Bullying
People higher up the hierarchy may force their decisions
Depth of Knowledge
People near top of hierarchy have broad scope of knowledge but lack depth of knowledge/ specific details
Expertise
Hierarchies are often dependent on skills, abilities, communication style of those at the top
Roadblocks
Communication should only flow one step above or below your position in hierarchy
MQSA
Mammography Quality Standards Act - regulates mammography services on federal level
Joint Commission
Accreditation body for hospitals & clinics
OSHA
Occupational Safety & Health Administration
Regulates workplace federally
Difference between screening & diagnostic tests
Screening - people without symptoms
Diagnostic - people with symptoms or asymptomatic w/ positive screening test
6 factors physicians use to determine which imaging modality to use
Efficacy
Radiation dose
Patient risk
Patient tolerance
Timeliness
Cost
Minimum of ___ views on all radiographs
Two
Imaging choice for pediatric patient
Sonography
Patients come to radiology at higher or lower levels of Maslow’s Hierarchy?
Lower
Patient interaction - Pediatrics
Come DOWN to their level
Speak SOFTLY
Setup equipment BEFORE child enters room
Patient interaction - Adolescents
MODESTY is important
Get them INVOLVED
Speak to them like an ADULT
Patient interaction - Geriatrics
Assume ALL body functions are decreased
Speak clearly & SLOWLY
Keep them COMFORTABLE
Be PATIENT
Patient interaction - Terminally ill patient
Patient AUTONOMY
History taking - 2 types of data
Subjective data
Objective data
Subjective data
Feelings, attitudes
Objective data
Measurable, physiologic
Sacred 7 of Medical Histories
Localization
Chronology
Quality
Severity
Onset
Aggravating factors
Associated manifestations
Medical histories - Localization
Where does it hurt?
Medical histories - Chronology
When did it start?
Medical histories - Quality
Can you describe the symptoms?
Medical histories - Severity
On a scale of 1-10, how would you describe your pain?
Medical histories - Onset
Was there an event that caused this?
Medical histories - Aggravating factors
Does it hurt more/less when you stand?
Medical histories - Associated Manifestations
Do other symptoms occur at same time?