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extravasation_policy [2010/07/02 00:48]
hyomul
extravasation_policy [2010/07/02 00:49]
hyomul
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 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 completing the QA forms are responsible for turning them into the Leads on their shifts. ===== ===== 7) Technologists completing the QA forms are responsible for turning them into the Leads on their shifts. =====
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   - 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.
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 ===== 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.
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   - 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.txt · Last modified: 2012/04/03 01:54 (external edit)