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extravasation_policy
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| Both sides previous revision Previous revision Next revision | Previous revision | ||
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extravasation_policy [2010/07/02 00:47] hyomul |
extravasation_policy [2012/04/03 01:54] (current) |
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| * Increasing pain | * Increasing pain | ||
| * Change in sensation at or distal to the site of extravasation. | * Change in sensation at or distal to the site of extravasation. | ||
| - | |||
| ===== 6) The affected extremity ===== | ===== 6) The affected extremity ===== | ||
| - | will be elevated have ice packs applied for 10 minutes, then removed, and the extremity should be elevated for 12 hours. Ice packs can be re-applied, as desired. | + | Will be elevated have ice packs applied for 10 minutes, then removed, and the extremity should be elevated for 12 hours. Ice packs can be re-applied, as desired. |
| - | ===== 7) Technologists ===== | + | ===== 7) Technologists completing the QA forms are responsible for turning them into the Leads on their shifts. ===== |
| - | completing the QA forms are responsible for turning them into the Leads on their shifts. | + | |
| - The CT lead will distribute the QA forms to the QA folder in Angiography if the extravasation is ≥ 60 mls. and/or the LIP requests follow-up, or to the QA Coordinator if < 60 mls | - The CT lead will distribute the QA forms to the QA folder in Angiography if the extravasation is ≥ 60 mls. and/or the LIP requests follow-up, or to the QA Coordinator if < 60 mls | ||
| - If the patient is an outpatient and the extravasation is ≥ 60 mls,, the patient will remain in the department for 2-4 hours. The affected extremity will be elevated and ice packs applied intermittently to the site, after which time, the Resident, PA, ARNP, or attending physician will re-evaluate the patient to establish clinical stability. | - If the patient is an outpatient and the extravasation is ≥ 60 mls,, the patient will remain in the department for 2-4 hours. The affected extremity will be elevated and ice packs applied intermittently to the site, after which time, the Resident, PA, ARNP, or attending physician will re-evaluate the patient to establish clinical stability. | ||
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| - The referring physician should be notified. | - The referring physician should be notified. | ||
| - In the event the exam has to be rescheduled due to patient characteristics, the radiologist will make note of the reasons in the report. | - In the event the exam has to be rescheduled due to patient characteristics, the radiologist will make note of the reasons in the report. | ||
| - | |||
| ===== 8) Before departing the Department of Radiology ===== | ===== 8) Before departing the Department of Radiology ===== | ||
| - | , the patient will be given a ‘Contrast Material Extravasation Information’ card (completed by either the CT Technologist or the Radiologist) explaining the significance of a contrast material extravasation experience. A contact phone number will be provided to the patient so he/she can contact a nurse should concerning symptoms develop. | + | The patient will be given a ‘Contrast Material Extravasation Information’ card (completed by either the CT Technologist or the Radiologist) explaining the significance of a contrast material extravasation experience. A contact phone number will be provided to the patient so he/she can contact a nurse should concerning symptoms develop. |
| - In the event the exam has to be rescheduled due to patient characteristics, the Radiologist will make note of the reasons in the report. | - In the event the exam has to be rescheduled due to patient characteristics, the Radiologist will make note of the reasons in the report. | ||
| - The exam will be ended using a ‘reduced services’ modifier. | - The exam will be ended using a ‘reduced services’ modifier. | ||
| Line 41: | Line 38: | ||
| - If symptoms do not resolve, the patient will be asked to return to the Urgent Care Clinic in the morning hours for appropriate clinical evaluation of the patient. | - If symptoms do not resolve, the patient will be asked to return to the Urgent Care Clinic in the morning hours for appropriate clinical evaluation of the patient. | ||
| - Documentation of patient contacts by the Department of Radiology nursing staff members will be made as an addendum to the physician report in the patient’s electronic chart. | - Documentation of patient contacts by the Department of Radiology nursing staff members will be made as an addendum to the physician report in the patient’s electronic chart. | ||
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| - | |||
| ===== 10) In the event the exam has to be rescheduled ===== | ===== 10) In the event the exam has to be rescheduled ===== | ||
| - | due to patient characteristics, the Radiologist will make note of the reasons in the report. | + | The Radiologist will make note of the reasons in the report. |
| * a) The exam will be ended using a ‘reduced services’ modifier | * a) The exam will be ended using a ‘reduced services’ modifier | ||
extravasation_policy.1278056833.txt.gz · Last modified: 2012/04/03 01:52 (external edit)
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