Requesting Radiographs Flashcards
What are the official personnel names relevant to diagnostic radiography
Employer
Referrer
Practitioner (IRMER practitioner)
Operator
What are the principles of radiation protection
justification
optimisation
dose limitation
What are the general principles for justification of an individual exposure
must be justified by practitioner
must show net benefit
must know specific objectives of exposure
what are potential diagnostic and therapeutic benefits to society and to individual
what is the detriment the exposure could cause
what is the efficacy, benefit and risk of available alternative techniques
What MUST be done to determine whether a radiograph is necessary
history and clinical examination
What is the referrer
registered health care professional who is entitled in accordance with the employer’s procedures to refer individuals for exposure to a practioners
What is the required info on trakcare that the referrer must put in
unique ID of px
clinical info to justify exposure - clinical findings and what u want to achieve
information on pregnancy
unique identifying signautre
What are the considerations for radiography if someone is pregnant
urgency of exposure
if abdominal and pelvic regions are involved
how patient feels about the radiograph
How is risk status decided
social history medical history dietary habits use of fluoride plaque control saliva clinical evidence
How often should radiographs be taken for high risk px for primary and permanent dentition
every 6 months
For moderate risk patients how often do you take radiographs for primary and permanent dentition
annually unless risk alters
For lowrisk patients with primary dentition when do you take radiographs
every 12-18 months
For low risk patients with permanent dentition when do you take radiographs
every 2 years
What are GDH&S protocol for radiographs
- All radiographs requested must be selected for the individual patient according to their needs
Dentate patient must have undergone a caries risk assessment
How do you create a request on trakcare
done by clinician
select type of radiograph
then answer clinical questions - relevant fingers and what you need to find out. also if patient needs to go home after attending radiology
use FDI notation - must put teeth to be x-rayed for periodicals as code does not refer to teeth but how many
What is an imaging slip
Complete a laminated imaging department slip using a whiteboard or flipchart marker with the patient’s name and CHI no.
What does the imaging slip contain
patient details
whether to return to clinic or go home after
What do you tell the patient before going to radiology
go to level 3
hand in slip to reception
wait until seen
when done they can leave, tell them where to go
What does the practitioner do
authorizes the request, confirming justification in accordance with employer’s written procedures
variety of permitted people do this
What is the operator responsible for
responsible for each practical aspect which the operator carries out as well as for any authorization giving pursuant to regulation
What does the operator do
take radiographs
annotate images
send to PACS
record findings
first 3 done by radiographer
last is sent to clinic and someone else will be operator for this role
What are x-rays on level 6 taken for
endo purposes
What should you fill out for a level 6 radiograph
radiology request envelope/form
Where do you put clinical findings in radiology request envelope
clinical indications box
After doing the radiograph what do you fill out on the radiology request tevelope
write the exposure details in the radiographer’s use only section
fill in the details of the examination in the radiograph exposure log in the x ray room
make sure form is labelled with correct ID label on the front with CHI number
What happens after the radiograph is taken
- All radiographic images are digital and available through PACS
- CHI number needed to find patient
- Carefully assess the relevant images, make notes about your findings and then draft your own report
The agreed report must be written in patient’s notes
What is the clinical evaluation report
- Legal requirement report
- Clinical evaluation of the outcome of each exposure must be recorded in accordance with the employer’s procedures
Who is responsible for the clinical evaluation report
It is the responsibility of the referrer to record the outcome of the examination so for all dental radiographs it is the true responsibility of the dentist
Complete in the patient’s written notes only
