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Rad Tech 1 Question Survey-PLEASE RESPOND!
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Replies to This Discussion
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Permalink Reply by Dr. Mohamed Refaey on
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1. poor image, either due to improper technique or patient preparation.
2. further assessment of suspected pathology.
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Permalink Reply by Amanda Rae Patterson on
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I think that for new students...(I can say this because I just graduated in May) that the main reason for image retake/pt overexposure is the part of setting the techniques. My program had us make a procedure book so we could look at a technique to set...but techs didn't have to help us with techniques, so we basically learned that AEC was our best friend.
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Permalink Reply by Joe Tartaglione on
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1. over ordering of rad tests, I've seen too many x-rays/CT because of residents not trusting clinical skills or various doctors ordering for the same patient without talking to each other.
2. poor image/prep, alot of techs simply don't know what the Dr. is looking for, this can be fixed with communication/documentation, and AEC isn't your friend, I wrote my own tech formulas from practice*. I've spent most of my career in the ED/ICU, if I didn't think I could get a standard view I would ask the doc if a "modified view" would work, if I knew what they wanted to see I can get it, medicine is a team sport.
3. pt. prep, this is usually an issue beyond tech control, unless its breathing or basic explanation to the patient of what is needed. With breathing, practice with the patient and do the same thing yourself, hold your breath when you ask them it helps to not only time tolerance but reminds you to tell them its OK to breath after. Also the 2nd breath always gives the better result, take a deep breath, let it out, take another and hold it. Also with vented/uncoop patients uses the vent indicators or watch the chest. Some things are completely out of your control, its a simple fact but if you have a good reputation with the nurse and doctors they will understand it, after a while they will begin asking your advice and treating you like a pro. I had a pt that I simply couldn't get a L spine on a pt, they had just had a CT w/ contrast. When I told the DR. why it couldn't be done he knew how to order in order.
* I use 62-66k (dep on age) for extremity, 72-76k for T and L spine, 80-85 for abd (non contrast), then I take thickness in cm x 2, then take that number to the next mAs step. For PCXR I use 80-85K and 2.5-32mA @72 (depending on calibration and path/age). Differs with call and film/screen but with GE CR it works great, also COLLIMATE something forgotten in new age, and lead on the patient, cuts dose and makes you look proffecional and compassionate.
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