Pediatric Radiology Section. Resident Orientation. Pediatric Radiology Section. Pediatric Radiology Resident Orientation. Goals & Objectives Resident Assignments Learning Materials Critical Event Reporting Fuji PACS Tips & Tricks. Pediatric Radiology Resident Rotation Goals & Objectives.
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The Six Core Competencies
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We must do a few things immediately:
Prompt transmission of accurate critical test results to the physician or nurse, with primary responsibility for the patient, is essential in ensuring timely diagnosis and treatment of patients served by the Radiology Department at Children’s Hospital of St. Louis.
Critical Test Result:
A diagnostic test finding (i.e., “result”) that is significantly beyond the established normal variation as defined by each diagnostic testing service and as approved by the medical director. Critical results require prompt notification to the licensed care provider.
The process of confirming the accuracy of verbally or telephonically transmitted information or orders by writing down what was heard, then reading it back to the person who provided the information. Numbers are called out individually (e.g., “one, five” for fifteen, which could be heard as “fifty”).
Licensed Care Provider:
The person authorized to act or intervene on behalf of the patient, usually a MD or APN. It may also be a RN or Pharmacist, acting on the basis of a medical staff-approved protocol or other written orders.
Critical Events in the SLCH Radiology Department:
* Hazardous line placement (e.g. CVL, ETT, GI catheters)
* Child abuse
* Evidence of increased intracranial pressure/impending herniation
* New or enlarging hemorrhage and/or extra-axial fluid collections
* Portal venous gas
* Pneumothorax, substantial or under pressure
* Pneumoperitoneum/bowel perforation
This is the minimum list of events. Use discretion.
Following notification, the Critical Test Resultswill be documented for the following items
Date and Time of notification
Name and title of person(s) notified
The documentation will be recorded on the x-ray report by the reporting radiologists or the designated reporting staff.
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