requesting radiographs Flashcards
1
Q
what are the official personnel for diagnosis radiography
A
- employer
- referrer
- practitioner (IRMER)
- operator
- all of these act under the umbrella of the employer
2
Q
what are the principles of radiation protection
A
- justification
- optimisation (ALARP)
- dose limitation - for radiation workers, not public
3
Q
why is there no dose limitation for patients
A
- because if you can justify getting the exam then net benefit to patient outweighs risk
4
Q
what does ALARP stand for
A
- as low as reasonably practicable
5
Q
what is IRMER
A
- the Ionising Radiation (Medical Exposure) Regulations
6
Q
what is the ‘referrer’
A
- a registered health care professional who is entitled in accordance with the employer’s procedures to refer individuals for exposure to a practitioner
- refers to a practitioner
7
Q
what must the referrer supply the practitioner with
A
- unique ID of patient
- clinical information to justify exposure
- need to write as much detail as can
8
Q
what are the considerations for those who are pregnant
A
- in dentistry the abdominal and pelvic regions are not irradiated by the primary beam
- discuss with patient
- patient may not want it if they are pregnant
- strictly speaking, what we do has no effect on pregnancy
9
Q
what is the risk status based on
A
- high, low or moderate
- social history
- medical history
- dietary habits
- use of fluoride
- plaque control
- saliva
- clinical evidence
10
Q
how often should a high risk patient get a bitewing radiograph
A
- primary and permanent 6-monthly
11
Q
how often should a moderate risk patient get a bitewing
A
- annually unless risk status alters
12
Q
how often should a low risk patient get a bitewing
A
- primary dentition 12-18 monthly
- permanent 2-yearly (can be more if completely sound dentition)
13
Q
how to create a request on TrakCare
A
- completed by a logged-in clinician
- selects type of radiograph required
- clinical question and answers (type in relevant clinical findings and what you need to find out)
- use FDI notation when referring to teeth - must specify which teeth are to be radiographed
- codes for periapicals are non-specific
14
Q
use of laminated imaging slip
A
- complete slip using whiteboard pen with patients name and CHI number
- if they’re returning to you write it on slip
- if patient to go home write it on slip
- leave x-ray box blank
15
Q
what to tell patients
A
- go to level 3 reception with laminated slip and hand it in to desk
- there will be a wait till they are seen
- the radiographer will check their images as soon as they are taken
- if you are seeing them again that session patient will be given laminated slip to take back up to level 6
