lecture 2

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18 Terms

1
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private out(OP)/ outpatient

  • can have a scheduled appointment or be a walk in

    • walk in- no appointment scheduled

  • sent in from physician’s office with an order from a physician

  • could result in need for a verbal report/image check

2
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inpatient

  • nursing floors

  • intensive care units

    • SICU

    • MICU

    • NICU

    • PACU

  • pre-admission testing

3
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procedural routine pre-procedure

review request/control sheet

  • identify the radiographic procedure requested by the physician

  • review order to evaluate for accuracy

4
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physician order

a certain x-ray for a patient(left hand, right foot, lumbar spine)

5
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the physician will(for physician order)

order radiographic procedure

  • order may arrive with the patient(on order slip/script), be faxed to the facility or electronic

  • RH- all radiographic orders expire after 14 months after prescribed

  • electronically ordered in EPIC

    • all inpatients will have orders placed electronically in EPIC

6
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CPT code- current procedural terminology(AMA)

  • codes that are assigned to every task and service that can be provided to a patient

  • must be correct for insurance reimbursement/payments

7
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ICD-10 codes- international statistical classifications of diseases

  • alphanumeric assignments given to diagnosis and symptoms

  • very detailed and specific

8
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requests list what

  • patient name, address, MRN, ordering doctor and phone number, study, codes for charging, numbers to track study in computer(accession number), list of most recent studies performed

    • control sheet

    • requisition

9
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who enters requests?

clerical staff

  • intake specialist

  • unit clerks

10
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equipment prep for procedural routine

  • radiographic room is prepared, with necessary supplies in place before patient arrives in room(sheet placed on table, shield, sponges)

  • x-ray tube in position with applicable equipment readily available

11
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operating console prep procedural routine

  • verify correct selection of patient name/ MRN/accession #

  • enter user code if # applicable

  • select proper study/view within operation console

  • select and verify appropriate kVp, mAs, mA and time, ionization chambers

12
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Retrieving patient from waiting area

  • introduce self

  • verify patient ID

  • address footwear and question pain meds/ stability if applicable

13
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after waiting room and escorting patient into the room,

introduce yourself to the patient as a student as well as introduction of your tech

reconfirm patient identification

14
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after introducing tech and reconfirming patient identification,

obtain LMP/ pregnancy status

  • 8-55 years old

  • FIRST day of last menstrual period/cycle

  • assess for chance of pregnancy

15
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obtain history

  • localization

  • chronology(period of time)

  • quality

  • severity

  • onset(what caused symptom)

  • aggravating/ alleviating factors

  • associated manifestations(other symptoms)

16
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how to get an effective history

  • open ended questions

  • probing questions to focus on details

  • encourage elaboration

  • give patient time to collect their thoughts

  • repetition/ rewording

  • summarize to verify history

17
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after LMP and pregnancy is obtained,

  • explain procedure to patient

  • take precautionary measures to ensure safety

  • radiation protection practices applied(shielding)

  • assistance provided to patient during positioning

  • collimation appropriate for view

  • correctly manipulate equipment for centering and projection

  • communicate breathing/movement instructions

18
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post-procedure

  • correctly dismiss patient from procedure(verbal report, image check)

  • verify images sent to PACS with tech approval

  • complete EPIC documentation