Harbor:Entering Prelim Radiology Read - Revision history

Bchap23 at 20:32, 24 October 2023

2023-10-24T20:32:51Z

← Revisión anterior		Revisión del 20:32 24 oct 2023
Línea 1:		Línea 1:
	* ED Entering Radiology Prelim Reads		* ED Entering Radiology Prelim Reads
	** '''Monday 7a through Friday 4p''' (in-house radiology): if you discharge a patient before the final XR read (or any unread imaging modality without prelim or final read) is completed, please enter your interpretation into the notes section of synapse so radiology knows to call if we missed something		** '''Monday 7a through Friday 4p''' (in-house radiology): if you discharge a patient before the final XR read (or any unread imaging modality without prelim or final read) is completed, please enter your interpretation into the notes section of synapse so radiology knows to call if we missed something
	*** In Synapse "notes" section write the following and "add new note"		*** In Synapse "notes" section write the following and click "add new note"
	**** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"		**** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
	***** Eg, ~~Chappell~~ – neg/radius fx/RLL pneumonia – x66902		***** Eg, ED PRELIM – neg radius fx, +ve RLL pneumonia – Chappell x66902
			**** If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP
			**** If there is a critical discrepancy, radiology will call the Green attending
	*** '''Do NOT use the “wet read” feature in FirstNet as no one will ever see it'''		*** '''Do NOT use the “wet read” feature in FirstNet as no one will ever see it'''
	*** If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP
	*** If there is a critical discrepancy, radiology will call the Green attending
	** '''Friday 4p – Monday 7a (StatRad)''': if you discharge a patient before the final XR read is completed, '''place the patient on the CCC list'''; in the results/symptom check section, write “final XR read” and summarize your interpretation of the film (so the CCC NP will know what you thought it was vs the final read without having to dig through the entire chart)		** '''Friday 4p – Monday 7a (StatRad)''': if you discharge a patient before the final XR read is completed, '''place the patient on the CCC list'''; in the results/symptom check section, write “final XR read” and summarize your interpretation of the film (so the CCC NP will know what you thought it was vs the final read without having to dig through the entire chart)



	* CCC NP will review the list as well as the radiology discrepancy pool on a daily basis		* CCC NP will review the list as well as the radiology discrepancy pool on a daily basis
	*** Open "preliminary" studies to view the discrepancy notes from the radiologist		** If unclear significance of discrepancy, ask an attending
	** If unclear of ~~significance~~, ask an attending
	** If acting on discrepancy, please document a free-text "Imaging Follow-up" note and include the study type and date		** If acting on discrepancy, please document a free-text "Imaging Follow-up" note and include the study type and date
	*** I.e., "CXR on 8/15/17" demonstrated 6mm pulm nodule; messaged PCP to ensure f/up		*** I.e., "CXR on 8/15/17" demonstrated 6mm pulm nodule; messaged PCP to ensure f/up

Bchap23 at 19:52, 24 October 2023

2023-10-24T19:52:17Z

← Revisión anterior		Revisión del 19:52 24 oct 2023
Línea 1:		Línea 1:
	* ED Entering Radiology Prelim Reads		* ED Entering Radiology Prelim Reads
	** '''Monday 7a through Friday 4p''' (in-house radiology): if you discharge a patient before the final XR read is completed, please enter your interpretation into the notes section of synapse		** '''Monday 7a through Friday 4p''' (in-house radiology): if you discharge a patient before the final XR read (or any unread imaging modality without prelim or final read) is completed, please enter your interpretation into the notes section of synapse so radiology knows to call if we missed something
	*** Eg, Chappell – neg/radius fx/RLL pneumonia – x66902		*** In Synapse "notes" section write the following and "add new note"
			**** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
			***** Eg, Chappell – neg/radius fx/RLL pneumonia – x66902


	*** '''Do NOT use the “wet read” feature in FirstNet as no one will ever see it'''		*** '''Do NOT use the “wet read” feature in FirstNet as no one will ever see it'''
	*** If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP		*** If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP
Línea 9:		Línea 13:


	* ~~Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something~~		* CCC NP will review the list as well as the radiology discrepancy pool on a daily basis
	** In Synapse "notes" section write the following and "add new note"
	*** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
	**** I.e., ED PRELIM - Fracture R distal radius. Peterson 23202
	* '''The 7am Triage Resident will review ~~any discrepancies~~ daily~~.'''~~
	** Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy
	*** Open "preliminary" studies to view the discrepancy notes from the radiologist		*** Open "preliminary" studies to view the discrepancy notes from the radiologist
	** If unclear of significance, ask an attending		** If unclear of significance, ask an attending
Línea 21:		Línea 20:
	*** I.e., "Head CT from 7/31/18 referred for follow-up on 8/1/18. Small subdural hematoma seen. Patient called and agrees to return to ED today."		*** I.e., "Head CT from 7/31/18 referred for follow-up on 8/1/18. Small subdural hematoma seen. Patient called and agrees to return to ED today."
	** If no action is needed, place a note in Orchid: "Radiology discrepancy reviewed - no follow-up required"		** If no action is needed, place a note in Orchid: "Radiology discrepancy reviewed - no follow-up required"
	** When finished with f/up, change the status in synapse by right-clicking on "preliminary" --> "shortcut status" --> "complete"

	~~2/25/19 - Peterson~~/~~Chappell~~		Chappell 10/2023

	[[Category:Admin]]		[[Category:Admin]]

Bchap23 at 19:40, 24 October 2023

2023-10-24T19:40:55Z

← Revisión anterior		Revisión del 19:40 24 oct 2023
Línea 1:		Línea 1:
	• ED Entering Radiology Prelim Reads		* ED Entering Radiology Prelim Reads
	o Monday 7a through Friday 4p (in-house radiology): if you discharge a patient before the final XR read is completed, please enter your interpretation into the notes section of synapse		** '''Monday 7a through Friday 4p''' (in-house radiology): if you discharge a patient before the final XR read is completed, please enter your interpretation into the notes section of synapse
	 Eg, Chappell – neg/radius fx/RLL pneumonia – x66902		*** Eg, Chappell – neg/radius fx/RLL pneumonia – x66902
	• Do NOT use the “wet read” feature in FirstNet as no one will ever see it		*** '''Do NOT use the “wet read” feature in FirstNet as no one will ever see it'''
	 If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP		*** If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP
	 If there is a critical discrepancy, radiology will call the Green attending		*** If there is a critical discrepancy, radiology will call the Green attending
	o Friday 4p – Monday 7a (StatRad): if you discharge a patient before the final XR read is completed, place the patient on the CCC list; in the results/symptom check section, write “final XR read” and summarize your interpretation of the film (so the CCC NP will know what you thought it was vs the final read without having to dig through the entire chart)		** '''Friday 4p – Monday 7a (StatRad)''': if you discharge a patient before the final XR read is completed, '''place the patient on the CCC list'''; in the results/symptom check section, write “final XR read” and summarize your interpretation of the film (so the CCC NP will know what you thought it was vs the final read without having to dig through the entire chart)

Bchap23 at 19:17, 24 October 2023

2023-10-24T19:17:08Z

← Revisión anterior		Revisión del 19:17 24 oct 2023
Línea 1:		Línea 1:
			• ED Entering Radiology Prelim Reads
			o Monday 7a through Friday 4p (in-house radiology): if you discharge a patient before the final XR read is completed, please enter your interpretation into the notes section of synapse
			 Eg, Chappell – neg/radius fx/RLL pneumonia – x66902
			• Do NOT use the “wet read” feature in FirstNet as no one will ever see it
			 If there is a minor discrepancy, radiology will use the message pool that is checked by the CCC NP
			 If there is a critical discrepancy, radiology will call the Green attending
			o Friday 4p – Monday 7a (StatRad): if you discharge a patient before the final XR read is completed, place the patient on the CCC list; in the results/symptom check section, write “final XR read” and summarize your interpretation of the film (so the CCC NP will know what you thought it was vs the final read without having to dig through the entire chart)



	* Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something		* Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something
	** In Synapse "notes" section write the following and "add new note"		** In Synapse "notes" section write the following and "add new note"

Jfang: categorize page and formatting changes

2020-01-29T08:40:06Z

categorize page and formatting changes

Bchap23: Created page with "* Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something * In Synapse "notes" section..."

2019-06-04T21:43:45Z

Created page with "*** Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something *** In Synapse "notes" section..."

Página nueva

*** Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something
*** In Synapse "notes" section write the following and "add new note"
**** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
**** I.e., ED PRELIM - Fracture R distal radius. Peterson 23202
** '''The 7am Triage Resident will review any discrepancies daily.'''
*** Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy
**** Open "preliminary" studies to view the discrepancy notes from the radiologist
***** If unclear of significance, ask an attending
***** If acting on discrepancy, please document a free-text "Imaging Follow-up" note and include the study type and date
****** I.e., "CXR on 8/15/17" demonstrated 6mm pulm nodule; messaged PCP to ensure f/up
****** I.e., "Head CT from 7/31/18 referred for follow-up on 8/1/18. Small subdural hematoma seen. Patient called and agrees to return to ED today."
***** If no action is needed, place a note in Orchid: "Radiology discrepancy reviewed - no follow-up required"
**** When finished with f/up, change the status in synapse by right-clicking on "preliminary" --> "shortcut status" --> "complete"

2/25/19 - Peterson/Chappell

← Revisión anterior		Revisión del 08:40 29 ene 2020
Línea 1:		Línea 1:
	*** Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something		* Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something
	*** In Synapse "notes" section write the following and "add new note"		** In Synapse "notes" section write the following and "add new note"
	**** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"		*** "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
	**** I.e., ED PRELIM - Fracture R distal radius. Peterson 23202		**** I.e., ED PRELIM - Fracture R distal radius. Peterson 23202
	** '''The 7am Triage Resident will review any discrepancies daily.'''		* '''The 7am Triage Resident will review any discrepancies daily.'''
	*** Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy		** Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy
	**** Open "preliminary" studies to view the discrepancy notes from the radiologist		*** Open "preliminary" studies to view the discrepancy notes from the radiologist
	~~*~~ If unclear of significance, ask an attending		** If unclear of significance, ask an attending
	~~*~~ If acting on discrepancy, please document a free-text "Imaging Follow-up" note and include the study type and date		** If acting on discrepancy, please document a free-text "Imaging Follow-up" note and include the study type and date
	~~*~~* I.e., "CXR on 8/15/17" demonstrated 6mm pulm nodule; messaged PCP to ensure f/up		*** I.e., "CXR on 8/15/17" demonstrated 6mm pulm nodule; messaged PCP to ensure f/up
	~~*~~* I.e., "Head CT from 7/31/18 referred for follow-up on 8/1/18. Small subdural hematoma seen. Patient called and agrees to return to ED today."		*** I.e., "Head CT from 7/31/18 referred for follow-up on 8/1/18. Small subdural hematoma seen. Patient called and agrees to return to ED today."
	~~*~~ If no action is needed, place a note in Orchid: "Radiology discrepancy reviewed - no follow-up required"		** If no action is needed, place a note in Orchid: "Radiology discrepancy reviewed - no follow-up required"
	**** When finished with f/up, change the status in synapse by right-clicking on "preliminary" --> "shortcut status" --> "complete"		** When finished with f/up, change the status in synapse by right-clicking on "preliminary" --> "shortcut status" --> "complete"

	2/25/19 - Peterson/Chappell		2/25/19 - Peterson/Chappell

			[[Category:Admin]]