Hours Weeknights 9pm-8am. Morning checkout 7am. * Page staff if not there by 7:30am weekday or 8:00am weekend! Duties Note: Read all ER/Inpatient studies with Staff under Draft until about -Use "Recently Performed + TUH/MAB/Drake" or "On Call-Resident" filter. 2. Review all Portable & CXR: Use "All CR Reviewed" filter.
-Dictate/call critical changes then checkout those studies in the morning. -Otherwise, assign to yourself and it will be dictated by staff later. 3. VA Studies: Use "VA Cincinnati Medical Center Workgroup" filter. -Call the MRI tech in if they are no longer in house (Pager 269-4380). -Call the ER techs at 4-5845 to find out who is on call if needed etc. 5. MSK Studies: Occult fractures and infections (septic hip/fasiitis). 6. Ultrasound: U/S tech on call until 11pm (Schedule on wall). 7. Emergent Fluoroscopy: Anything you deem "emergent". -You can page the IR resident/fellow or IR attending on call as necessary. -Try to determine if it emergent or not and collect the information*. -Staff will determine whether or not to do the case. -Ask staff if they want the fellow/resident called in and when. -Document patient calls on the IR Phone Sheet in the call room and place them in IR Reading Room to be addressed the next day. -The all-page number is 577-0404. Make a notation of who calls back. -PICCs are not performed on the weekend or on call. *Info: Pt name/MRN, Physician and contact number, clinical course, relevant labs (Coag, PLT, ect), Can patient consent/agree to procedure? 9. Nuc Med Coordination: Typically V/Q, Heart ER, and GI Bleed studies. Checkout Tips 1. Assign Body CT: Assign the studies to yourself overnight and do not assign Neuro studies so the “assigned to” field is an easy way to re-open the cases. 2. Addend CTs with "Agree": Immediately after signing the Body CT reports in Powerscribe under TUH-Prelim addend an “agree” to the study and save it under the staff. This will allow you to type additions on the separate workstation during check out and prevents forgetting cases since they will still be in your queue. This also allows you to review the initial report by using History in Pscribe. 3. Use Prelim All Night: Select Prelim-TUH as staff with initial PACS login. This will assign all your reports to Prelim (XR, Body, and Neuro). Use Prelim will keep studies in your list. Approve ER CTs and Neuro studies. Toward the end of the night change Attending to your AM checkout. 4. Saving Inpatient Studies: Some non-urgent inpatient studies can be held until the morning check out. Dictate studies and click draft rather than Prelim or Approve. Remember to change Staff from prelim to your morning check out in your queue. Be aware that no one will see your report (i.e. inpatient CTPA will be expecting a preliminary report). 5. Review Prelim Report Addendums: Under Pscribe you can search for reports with an addendum. Look for the Neuro studies. Your overnight Neuro reports will have your name towards the bottom. Discrepancies/Additional Findings- Noncritical findings can be addended to the original report without calling. - Changes that would change clinical management must be called to the primary team or ordering physician and documented in the report. If the patient was sent home, contact the A-Pod ER attending physician at 4-2636 and document in the report. Fill out the discrepancy form and fax it to the ER. No need to walk it down. - Changes that require followup but are not emergent in nature (i.e. Followup CT for pulmonary nodule etc) can be submitted to Kathy Hamilton, RN in the ER. Fill out the discrepancy form and fax it to 584-2642 or slide it under Carolyn's door with note to submit to Kathy. | Important Numbers
Helpful Resources: Stat Dx
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