RAD-102 Ch 12 History Taking

rad tech are ___ of radiologist

eyes, ears, mouth

taking patient histpry should be viewed as

interview of patient

qualities of interviewer

acknowledge patients anger, if present

respect patient

be genuine

empathize with condition

make patient fee like the information they provide is important

don’t intimidate

be attentive to detail

accurate note-taking skill

good questioning skills

develop multitasking, communication skills

maintain polite and professional demeanor

date collection considerations

never disregard anything patient says, even if it doesn’t fit with other symptoms

documentation is done precisely and clearly with appropriate medical language

objective data

perceptible to senses

able to be measured

often physiologic

signs that can be seen, heard, felt, etc

subjective data

patients feelings

pain level

attitude

opinion of observer

subject to interpretation

how to question patients

use open-ended questions

avoid leading questions

facilitate response from patient

remain quiet to get a responce

use probing questions to focus in on more detail

repeat patients response to clarify and confirm

summarize to verify accuracy

what do radiologists want to know about patients history

chief complaint

main question to ask patients

what is this exam being done

sacred seven of medical histories

localization

chronology

quality

severity

onset

aggravating or alleviating factors

associated manifestations

patients history considerations

does history data math requisition

do symptoms support exam

verify symptoms with exam request

how would you describe pain

factors of describing pain

localized vs general

where

how long ago

duration

old vs new

role of technologist

act as good listener

take accurate notes and record them appropriately

get answers to key clinical questions

present a professional image

play important role in interacting with patient