Patient Care and Management

Patient care in radiology is a critical aspect of healthcare, especially in the field of

radiology.
1. Improved Actual Patient Care:
 Accurate Diagnostics: Radiological imaging plays a crucial role in
diagnosing various medical conditions. By ensuring better, faster, and
more accurate diagnostics, radiologists contribute to improved patient
outcomes.
 Preventive and Remedial Treatment: Accurate diagnoses lead to
better treatment planning. When radiologists provide precise
information, it helps prevent complications and allows for timely
intervention.
 Cost Reduction: Effective radiological care can lower the overall cost
of patient care by avoiding unnecessary tests, reducing hospital stays,
and streamlining treatment.
2. Patient Perception:
 Patient Satisfaction: Beyond medical outcomes, patient perception
matters. Radiologists should focus on creating a positive experience for
patients. Factors like clear communication, empathy, and a comfortable
environment contribute to patient satisfaction.
 Incentive-Based Models: Incentive-based reimbursement models often
consider patient satisfaction scores. Improving patient perception
positively impacts these scores and, consequently, reimbursement rates.
3. Challenges in Radiological Care:
 Equipment Misuse: Ensuring proper use of radiological equipment is
essential. Implementing safeguards, protocols, and rigorous training for
technicians can prevent errors.
 Scan Misinterpretation: Radiologists must be vigilant in interpreting
scans accurately. Double-checking results and promoting a culture of
collaboration can reduce misreadings.
 Communication Errors: Communication breakdowns can significantly
impact patient care. Radiologists should prioritize effective
communication within their teams and with referring physicians1.

PROPER PATIENT CARE RELIES ON A RANGE OF ESSENTIAL EQUIPMENT.

1. Manual Wheelchairs and Electric Wheelchairs:
 Purpose: Assist patients with mobility challenges.
 Applications: Used for moving patients within healthcare facilities.
2. Hospital Beds:
 Purpose: Provide a comfortable resting place for patients.
 Applications: Used for inpatient care, recovery, and rest.
3. Walkers, Crutches, and Canes:
 Purpose: Aid patients in walking and maintaining balance.
 Applications: Used by patients with mobility limitations.
4. Traction Equipment:
 Purpose: Applies controlled tension to bones or joints.
 Applications: Used for fracture management and spinal alignment.
5. Pressure Mattresses:
 Purpose: Prevent pressure ulcers and promote comfort.
 Applications: Used for patients at risk of bedsores.
6. Insulin Pumps:
 Purpose: Deliver insulin to manage blood sugar levels.
 Applications: Used by patients with diabetes.
7. Breast Pumps:
 Purpose: Facilitate breast milk expression.
 Applications: Used by nursing mothers.
8. Nebulizers:
 Purpose: Administer medication in mist form.
 Applications: Used for respiratory conditions like asthma.

Remember that proper maintenance, cleaning, and disinfection of these equipment are
essential to ensure patient safety and effective care.

PATIENT CARE AND PROPER POSITIONING

 are crucial in radiology to ensure accurate imaging and patient comfort.

1. Communication and Comfort:
 Approach: Radiographers should greet patients courteously, putting
them at ease.
 Belongings: Assure patients that their belongings will be kept safe
during the procedure.
 Dressing Rooms: Ensure patients’ belongings are secure in dressing
rooms.
2. Patient Positioning Techniques:
 Precise Imaging: Proper positioning influences accurate depiction of
anatomical structures.
 Adjuncts: Radiologic technologists use aids like sponges, sandbags,
and immobilization devices to position patients correctly.
 Collaboration: Radiographers work closely with the healthcare team
to determine the best imaging protocol for each patient2.
3. Safety Measures:
 Bed Position: Place the patient’s bed close to the floor with side rails
raised and the call button within reach.
 Outpatient Care: When patients arrive as outpatients, ensure their
belongings’ security and guide them back to the waiting area.

Patient assessment
  is a critical process in healthcare, allowing healthcare providers to gather essential
information about a patient’s health status.

1. General Appearance/Survey:
 Observe the patient’s overall appearance, posture, hygiene, and level of
distress.
 Note any abnormalities, such as pallor, diaphoresis, or signs of
discomfort.
2. Chief Complaint:
 Ask the patient about their primary reason for seeking medical
attention.
 Understand the nature, duration, and severity of their symptoms.
3. Health History:
 Collect information about the patient’s past medical history, including
illnesses, surgeries, allergies, and medications.
 Explore family history and social factors that may impact their health.
4. Assessment of the Integument:
 Inspect the skin, hair, and nails for color, texture, lesions, and signs of
infection.
 Palpate for temperature, moisture, and turgor.
5. Assessment of the Head and Neck:
 Inspect the head for symmetry, deformities, and tenderness.
 Assess the neck for lymph nodes, thyroid enlargement, and range of
motion.
6. Assessment of the Eye and Vision:
 Evaluate visual acuity, extraocular movements, and pupillary reactions.
 Inspect the eyes for redness, discharge, or abnormalities.
7. Assessment of the Ear:
 Inspect the external ear and assess hearing.
 Look for signs of infection or wax buildup.
8. Assessment of the Mouth, Throat, Nose, Sinus:
 Inspect the oral cavity, teeth, and gums.
 Assess the throat, tonsils, and nasal passages.
9. Assessment of the Thoracic and Lung:
 Auscultate lung sounds and assess respiratory effort.
 Inspect the chest for symmetry and signs of respiratory distress.
10. Assessment of the Breast and Lymphatic System:
 Inspect and palpate the breasts for lumps, tenderness, or changes.
 Assess lymph nodes in the axilla and other areas.
11. Assessment of the Heart and Neck Vessels:
 Auscultate heart sounds and assess peripheral pulses.
 Inspect the neck for jugular vein distention.
12. Assessment of the Peripheral Vascular System:
 Assess pulses, capillary refill, and skin temperature in the extremities.
 Look for signs of edema or varicose veins.
13. Assessment of the Abdomen:
 Inspect and palpate the abdomen for tenderness, masses, and organ
enlargement.
 Auscultate bowel sounds.
14. Assessment of the Female Genitalia:
 Perform a pelvic examination if indicated.
 Assess for any abnormalities or discomfort.
15. Assessment of the Male Genitalia:
 Inspect the external genitalia and assess for hernias or masses.
 Evaluate the prostate if necessary.
16. Assessment of the Anus, Rectum, Prostate:
 Inspect the anus and rectum for hemorrhoids, fissures, or masses.
 Perform a digital rectal examination for the prostate.
17. Assessment of the Musculoskeletal System:
 Inspect and palpate joints, muscles, and bones.
 Assess range of motion and strength.
18. Assessment of the Neurologic System:
 Evaluate mental status, cranial nerves, and motor function.
 Assess sensory perception and reflexes.

Remember that a thorough head-to-toe assessment provides a comprehensive understanding

of the patient’s health and guides further care and treatment.

RADIOLOGIC TECHNOLOGIST ROLE

Radiologic Technologist, also known as a Radiographer, plays a vital role in healthcare.

1. Diagnostic Imaging:
 Radiologic technologists perform medical exams using X-rays on
patients to create images of specific parts of the body.
 These images are then interpreted by doctors for diagnosis and
monitoring of diseases.
2. Patient Preparation and Positioning:
 Radiographers:
1. Assess, evaluate, and test patients before imaging procedures.
2. Prepare and position patients correctly for imaging.
3. Attend to patient needs during the procedures.
3. Radiation Safety and Protection:
 Radiologic technologists:
1. Apply and maintain knowledge of radiation protection and
safety practices.
2. Use their expertise to minimize radiation exposure to
patients.
4. Specializations:
 Radiographers can specialize in various areas, including:
1. Bone densitometry
2. Cardiac-interventional radiography
3. Computed tomography (CT)
4. Magnetic resonance imaging (MRI)
5. Mammography
6. Vascular interventional radiography
 7. Nuclear medicine
8. Sonography
5. Work Environment:
Radiographers work in:

1. Hospitals
2. Medical labs
3. Doctors’ offices
4. Outpatient centers
 They may specialize in:
1. Operating rooms
2. Emergency departments
3. Procedural suites
4. Specialized imaging departments
6. Education and Certification:
 Radiographers should excel in math, science, communication, and
critical thinking.
 After high school, they can pursue:
1. College-based programs
2. Hospital-based programs
3. Certificate programs
4. Advanced degrees in imaging sciences

 Certification is obtained through the American Registry of Radiologic Technologists

(ARRT). In the Philippines, radiologic technologists typically obtain local certification and
licensure through the Professional Regulation Commission (PRC).
 The PRC administers licensure exams for radiologic technologists, ensuring that
professionals meet national standards.

Remember, radiologic technologists are essential team members who contribute to accurate
diagnoses and patient care.