Summary of Call Duties

1. Read All ER / ICU Studies:

• Use "On Call-Resident filter" 

• Approve studies to "Radiologist, ED"

• All ER studies should be read

• All ICU studies should be opened and reviewed as if they were ER studies. If there is an urgent finding, read it and finalize it to the "Radiologist, ED" as if it was an ER study. If there are no urgent findings, it should still be read as soon as possible and finalized to "Radiologist, ED"

• All Inpatient studies should be opened and read if there is an urgent finding. Otherwise, you may screen them to "ZZZscreened"

2. MR Studies:

• Determine reason for study: Stroke/Cauda Equina Syndrome/Septic Arthritis/Fasciitis

• Determine patient location (UH vs. WCH) 

• Call appropriate tech (if not in house. Call schedule for both UC and WCH is in the Body Room)

3. Ultrasound:

• Determine reason for study: Ovarian/testicular torsion, renal/liver transplant, ectopic

• Determine patient location (UH vs. WCH)

• Call appropriate tech if not in house (Call schedule for both UC and WCH is in the Body Room)

• Ectopic Rule Out Algorithm

4. Fluoroscopy:

• Anything you deem emergent

• Talk to the techs to work out timing

5. Nuc Med:

• Determine patient location (UH vs. WCH)

• If UC, call NM tech if not in house (Call schedule is in the Body Room). 

• If WCH, call 513-298-8939 and they will help you reach the NM tech 

• Studies are read by staff at home and called to the physician

6. Lumbar Punctures:

• After Hours LP Policy

• Post LP Headache

7. MSK Aspirations:

• When getting an afterhours aspiration request either directly from the team or forwarded from the IR service, please make sure orthopedics has been consulted and that they truly need the aspiration overnight or the weekend, or if it can wait until normal working hours.

• If after confirming with ortho they truly want the aspiration emergently, present the request to an MSK attending or fellow that is on service at that time.  If no MSK staff are currently working, call the MSK section head first to review the consult.  If unable to get in touch with the MSK section head, continue to call down the list of faculty in the MSK section.  Phone numbers should be listed in QGenda.

8. VA Studies / VA IR Requests:

• Residents are the backup for the VA if their tele service goes down

• VA tech should call to inform you + fax study info. Use "VA Workgroup" filter

• Email results to vaprelim@gmail.com and include who the results were communicated to

• We don't field IR requests. Redirect any requests to the VA operator: 513-861-3100

• Residents are available for technologists' questions after hours to include protocols and contrast. The technologist should provide a call back number for the ordering provider to discuss if needed. Consult the VA Radiology Department Contrast Policy for any contrast questions. 

9. Breast Center Patients:

• For after hours questions, page the Breast fellow: 513-395-5767 

10. Early Morning Hour Neuro Studies:

• Neuro studies that are read close to or after 7am should be drafted to the 7-4 or weekend call neuroradiologist's directly.

• Make sure to send the neuroradiologist a Teams message to make them aware of these studies.

HIGHLY IMPORTANT

Mark Pi's: (513) 584-6870

• They will deliver to the reading room!

• Usually open Mon-Fri from 10:20am-9pm

• Randomly open Sat-Sun from 11:30am-7pm