Showing posts with label Important Documents. Show all posts
Showing posts with label Important Documents. Show all posts

Thursday, December 30, 2010

Sedation Services for Medical Imaging - baskinhj@gmail.com


Sedation Nurse Practitioner Services for Medical Imaging
In House Hours: (physically present in Medical Imaging)
Mon-Fri: 0630-1700
Sat: 07:30-1300

On-Call Hours:

Sat: 1300-1600
Sun: 07:30-1600
To schedule sedation during On-Call hours:

1. Page the Sedation NP on call: 801-339-6578
2. NP will get the patient info from the radiologist and will call and consult with ordering physician. NP will assess via telephone if patient is an appropriate candidate for sedation. If not, NP will tell the ordering physician that they should consult anesthesia for other sedation options.
3. If NP feels patient is a sedation candidate, the NP will call and coordinate an imaging start time between the MRI/nuc med technologist and the radiology sedation nurse. NP will triage sedation imaging studies along with hospital wide sedation needs.
4. Sedation recovery will be provided by radiology sedation RN. NP will be available by pager following imaging study for any additional sedation recovery issues.
5. Radiologists will notify the sedation NP as soon as the request for a sedated procedure has been received
6. PICU and NICU patients needing MRI studies afterhours and weekends generally provide their own sedation. Generally, this is adequate sedation
GA Sedation for Urgent/Emergent MRI studies:
- A few Holidays during the year. Page sedation NP to determine if they are working on a specific holiday.
- weekdays between 1700 and overnight
- weekends between 1600 and overnight
- Ordering physician will have to consult for GA sedation (Via smartweb, hospital operator, or OR front desk 662-2750) Since radiologist does not know the clinical details of a patient, it is most appropriate that the decision to use GA for sedation comes from the ordering physician
- Have MRI tech coordinate imaging time with anesthesiologist
- Radiology sedation RN are not involved with GA sedation
- This GA sedation protocol for urgent imaging studies should include ER patients requiring imaging during these hours

Monday, October 18, 2010

Critical Findings

CRITICAL FINDINGS
(Pediatric Radiology)

Pneumothorax
Acute Tension Pneumothorax
Aortic Dissection
Leaking Aortic Aneurysm
Free Air/Peritoneum
Perforated or Lacerated Viscus
Bowel Ischemia/Infarction
Ectopic Pregnancy
Testicular Torsion
Ovarian Torsion
Deep Vein Thrombosis/Pulmonary Embolus
Acute Significant and/or Active Hemorrhage
Life-Threatening Location of Catheter or Tube
Vascular Catheter Fragment
Acute Intracranial Hemorrhage and/or Infarction
Any Type of Cerebral Herniation
Vertebral Fracture – Unstable
Acute Cervical Spine Fracture
Acute Spinal Cord Compression
Airway Foreign Body
Manifestations of Non-Accidental Trauma