This shows you the differences between two versions of the page.
Both sides previous revision Previous revision Next revision | Previous revision | ||
extravasation_policy [2010/07/02 00:47] hyomul |
extravasation_policy [2012/04/03 01:54] (current) |
||
---|---|---|---|
Line 23: | Line 23: | ||
===== 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 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. | + | |
- 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. | ||
Line 31: | Line 29: | ||
- 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. | ||
- | |||
- | |||
===== 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 |