Radiographic Procedure: Patient Journey & Preparation
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Successful radiography is dependent on many factors but uppermost is the patient's experience during their short ______ and encounter with the Diagnostic Imaging Department.

journey

The radiographer must request ______ from the patient before starting the examination.

consent

It is essential that the radiographer establishes a ______ with the patient and carers.

rapport

The request form must be authorised and signed with a suitable ______.

<p>rationale</p> Signup and view all the answers

Limit collimation to the area of ______ for examination.

<p>interest</p> Signup and view all the answers

Any examination using X-rays must affect the patient's ______.

<p>management</p> Signup and view all the answers

Use of ______ can help protect sensitive areas such as the uterus.

<p>shielding</p> Signup and view all the answers

The flow chart is designed to ensure that the patient journey is patient ______ and mistakes are eliminated.

<p>focussed</p> Signup and view all the answers

The radiographer must ensure the clinical details and ______ are accurate.

<p>history</p> Signup and view all the answers

If clinical reasons for the examination exist, then proceed using dose ______ strategies.

<p>reduction</p> Signup and view all the answers

Effective communication with patients and ______ is key to the examination process.

<p>carers</p> Signup and view all the answers

A typical ‘______ rule’ is applied for women of child-bearing age.

<p>pregnancy</p> Signup and view all the answers

Radiography is undertaken in conformance with relevant radiation ______.

<p>legislation</p> Signup and view all the answers

Staff radiation doses conform with the ______ principle.

<p>ALARP</p> Signup and view all the answers

Use of personal protective equipment (PPE) when ______ is appropriate.

<p>appropriate</p> Signup and view all the answers

Collimation and limitation of the X-ray ______ is important in radiography.

<p>beam</p> Signup and view all the answers

It is important to consider the ______ in question and the clinical presentation of the patient.

<p>pathology</p> Signup and view all the answers

For proper evaluation, radiographic images must be fit for ______.

<p>purpose</p> Signup and view all the answers

The evaluation of exposure factors used for a radiograph depends on the ______ and medium used.

<p>equipment</p> Signup and view all the answers

Image density is the degree of image ______ that should allow relevant anatomy to be sufficiently demonstrated.

<p>blackening</p> Signup and view all the answers

When assessing images, always consider if the 'diagnostic ______' has been answered.

<p>question</p> Signup and view all the answers

Correct exposure is key to ensuring the radiographic images can answer the ______ posed by the clinician.

<p>diagnostic question</p> Signup and view all the answers

Anatomical ______ and pathological appearances should be known for effective image evaluation.

<p>variations</p> Signup and view all the answers

The flow chart of the patient journey helps in organizing various stages from examination to ______.

<p>reporting</p> Signup and view all the answers

Check relevant soft tissues have been included. Also look for signs of collimation to evaluate the success of the ______ strategy you used.

<p>collimation</p> Signup and view all the answers

Would any additional ______ enhance the diagnostic potential of the examination?

<p>projections</p> Signup and view all the answers

If a repeat is required, it may be appropriate to image only the area where there was ______ in the initial image.

<p>uncertainty</p> Signup and view all the answers

Collimation outside the area of interest will increase both radiation dose and image ______.

<p>noise</p> Signup and view all the answers

Are there any ______ on the image? These may be from the patient, their clothing, the equipment or the imaging process.

<p>artefacts</p> Signup and view all the answers

Only repeat if the artefact is interfering with ______.

<p>diagnosis</p> Signup and view all the answers

Gain an oral clinical history: obtaining a clinical history from the patient can be especially helpful for the radiographer to decide upon the correct ______ required to demonstrate the injury.

<p>projections</p> Signup and view all the answers

This could then be recorded to aid ______.

<p>diagnosis</p> Signup and view all the answers

The acquired images should be viewed carefully using optimised conditions, such as ambient light ______.

<p>conditions</p> Signup and view all the answers

Post-examination and aftercare involve displaying an acquired image on a single ______.

<p>monitor</p> Signup and view all the answers

The examination must be completed in terms of the imaging ______.

<p>information</p> Signup and view all the answers

Image quality is important and must be reviewed using the ‘______-point plan’.

<p>10</p> Signup and view all the answers

Markers and legends must be ______ on the images.

<p>included</p> Signup and view all the answers

The area of interest is ______ to ensure that it is included in the image.

<p>included</p> Signup and view all the answers

Check the EI is of an optimum value to evaluate ______ to the patient.

<p>exposure</p> Signup and view all the answers

The images are sent to PACS so the referring ______ can access them.

<p>clinician</p> Signup and view all the answers

The side of the head would therefore be the ______ aspect of the cranium.

<p>lateral</p> Signup and view all the answers

The ______ aspect refers to the side of a body part closest to the midline.

<p>medial</p> Signup and view all the answers

Any plane that divides the body into right and left halves is known as the ______ sagittal plane.

<p>median</p> Signup and view all the answers

A plane that divides the body into unequal right and left portions is called a ______ plane.

<p>sagittal</p> Signup and view all the answers

The ______ plane divides the body into an anterior part and a posterior part.

<p>coronal</p> Signup and view all the answers

The ______ or axial plane divides the body into an inferior and superior part.

<p>transverse</p> Signup and view all the answers

The three ______ of the body are used extensively for descriptions of positioning.

<p>planes</p> Signup and view all the answers

The positioning terminology section describes how the patient is positioned for various ______ projections.

<p>radiographic</p> Signup and view all the answers

Study Notes

Radiographic Procedure: Patient Journey

  • Patient experience is paramount in radiography
  • Radiographer has a duty of care to maintain patient dignity and respect
  • Establishing rapport with patient/carer is crucial
  • Radiographer must introduce themselves and explain their role
  • Ensuring the correct patient and accurate clinical details on the request form is essential
  • Patient consent is mandatory before any X-ray examination
  • A systematic flow chart (page 7) ensures a patient-focused process and minimizes errors
  • Effective communication with patients and carers is key
  • Radiographers must be able to follow a logical framework for the procedure.

Radiographic Procedure: Examination Preparation

  • Ensure examination justification (IR(ME)R 2000 regulations)
  • Examination justification must be present
  • Examination protocol must be followed, including required projections (e.g., DP, oblique foot)
  • Limit collimation to the area of interest
  • Shielding should be used where possible without reducing diagnostic information
  • Use the minimum exposures possible to establish diagnosis
  • Use projections providing lowest doses

Radiographic Procedure: Pregnancy Rule

  • A 'pregnancy rule' is in place for women of child-bearing age
  • Irregular menstrual cycles require consideration
  • Pregnancy tests should be used if a pregnancy is suspected
  • Clinical presentation/history and pathology must be considered

Radiographic Procedure: Staff and Patient Safety

  • Radiography must adhere to relevant radiation legislation
  • Adherence to local radiation rules is mandatory
  • Staff radiation doses must conform to the ALARP (As low as reasonably practicable) principle
  • Controlled area protocol must be followed for static, mobile radiography, and fluoroscopy
  • Collimation and X-ray beam limitations are necessary
  • Appropriate personal protective equipment (PPE) must be used
  • Safe usage of X-ray equipment is critical

Radiographic Procedure: Image Acquisition

  • Post-examination image review for diagnostic quality is essential
  • Patient management and instructions must be provided post-examination
  • Image review and completion according to imaging information of X-ray procedure.

Radiographic Procedure: Image Quality

  • Review images using a 10-point plan
  • The plan includes patient identification, area of interest, markers/legends, correct projection, exposure, artefacts, repeat radiographs/projections, anatomical variations, and pathology.
  • Images must be evaluated based on diagnostic need
  • Image density determines if anatomy is sufficiently demonstrated
  • Additional projections might enhance diagnosis
  • Repeat images might be needed if there is uncertainty, or if the initial image does not meet requirements.
  • Evaluate if the images meet the diagnostic need given the clinical presentation of the patient and the specific pathology being evaluated.

Radiographic Procedure: Image Assessment (10-Point Plan)

  • Patient history to decide on correct projections is helpful for the radiographer
  • Evaluate image for patient identification, area of interest completeness, markers/legends clarity, correct projection, exposure factors, artefacts, repeat radiographs, anatomical variations, and pathology.

Radiographic Procedure: Positioning Terminology

  • Understanding planes of the body (sagittal, coronal, transverse) is essential
  • Understanding anatomical position, including medial, lateral, anterior, posterior aspects, is necessary
  • Positioning details improve accuracy, reliability, and standardization

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Description

Explore the essential components of radiographic procedures focusing on patient experience and examination preparation. This quiz covers the role of the radiographer, the importance of patient consent, and regulatory compliance in imaging protocols. Enhance your understanding of effective patient communication and systematic approaches in the radiographic process.

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