3- interactions with pt lec 3.pptx , communication

How to interact and communicate effectively with your patient

1. Medical Imaging Technologist/Patient Interactions

2. At the conclusion of this lecture , the student will be able to: Discuss the importance of patient identification and procedure matching . Identify patient methods . Describe your role in patient identification and procedure matching . Discuss the importance of patient education process. Discuss the methods of effective communication with patients′ family.

3. P atient identification

4. Importance of patient identification Failure of patient identification in health care organization has serious implications . Radiological examinations carried out in medical imaging departments involve the use of radiation which when delivered the radiation dose can not be retracted , therefore correct patient identification is crucial for patient safety.

5. Patient identification methods Verification Process - STEP 1 Radiology ‘Request/Consent Form’ Clear & legible Provision of mandatory information Patient Details(preferably Addressograph label ) Full Name/ date of birth DOB/ medical registration number MRN

6. Ward & Date Written Relevant Clinical History Referring Doctor Contact Details Printed Name/ Signature/. Incomplete/Incorrect Request Form – Immediately notify Referrer or Ward Nurse

7. Verification Process – STEP 2 Correct Patient (Identification) Scope : All radiology procedures Ask the patient “What is your FULL NAME?” “What is your Date of Birth?”

8. “What is the name of the PROCEDURE you are having today?”. Never state patient’s Name/ DOB/ “Do not tell the patient… the patient tells you” E.g. Call “Mr. Brown”, then ask the above questions including additional questions related to clinical history as outlined on Request Form

9. Reinforcing the Message Displayed at all imaging consoles     Have you checked the Patient ID ? - Prior to the Procedure - Are you sure ! Asked patient their: Name DOB (Procedure) Checked response & MRN against ID Band & Request Form

10. Team Time Out Post Procedure (all Radiology procedures) Ensure that: Correct details are attached to the image/s Patient details & side marker/annotations on post-processed image/s are correct Certified Time Out Verification sticker Radiographer/s to complete checklist, procedure, date, print name & sign scanned to PACS, then placed in patient medical notes.

11. Procedure questions and explanation

12. History of the Patient The clinical history describe the information available regarding a patient’s condition, and that’s to extract as much information as possible during clinical history. There are many radiological complex procedures such as angiography and radiation therapy needs extensive history to taking by the radiographer and this is considered as one of the radiological technologist responsibility

13. Effective history result when the following question techniques are used : Open-ended question (let the patient tell his / Her stories ) Facilitation (say yes, okay ,go on as encouraging wards ) Silence (give the Patient time to remember ) Repetition (clarifies information )

14. Benefits From Taking Clinical History: 1.To know if the Patient has history of allergic reaction from the C.M (specially during the special examination using C.M). 2.To know if the Patient undergo these procedure before and if he has previous image. 3.To have a background of the onset of the disease. 4.Any female on the reproductive age should be asked from the pregnancy to apply the radiation protection ways for her.

15. Explaining procedure to the Patient : Conversations to patients should be kept to general subjects. (Prefer about patient's general conditions) . A long illness or long course of treatment can create problem of worry which can seriously affected patient's prognosis. Many patients become very talkative when they are worried.

16. The talkative patient is often very nervous or very frightened. One has select some things of patient talk and ignore others. It is not advisable for students and junior technologists to spend a long time alone talking to patient and or make a special friend of one, no matter how sympathetic he/ she may feel

17. Patients should be given explanation of what is going to happen before and after the procedure. Patients should be told that they may have another person of their choosing present when receiving information about a diagnosis or a procedure . Patients should be supported in dealing with anxiety sometimes created by greater knowledge.

18. Interaction with patient family members

19. DEALING WITH DEATH AND LOSS In an acute care hospital, patients sometimes die, despite the most sophisticated care . The medical and nursing staffs have developed specific procedures to follow in the case of death , and these responsibilities do not normally include the radiographer . The physician notifies the family while the nursing staff prepares the body for transport to the morgue . .

20. DEALING WITH DEATH AND LOSS Your role might be to provide support for the family while awaiting word from the physician . If so, do not volunteer information or discuss the staffs actions. Your observations and opinions must not be discussed at this time. When the family reaches the anger phase of their grieving process, they may want to place blame on someone for an unavoidable death. Spontaneous comments made by caregivers under stress are sometimes quoted by families in court actions to support accusations of malpractice.

21. MEDICAL INFORMATION AND RECORDS The chart: T hese medical record includes written information on the condition of the patient, medications, and treatments, laboratory results, radiographs, and any other information that pertains to the health and welfare of the patient .

22. Effective Documentation Effective documentation of information about patients and their care marks the professional who recognizes efficient record keeping as a way to meet ongoing patient needs . Attention to clerical details may seem to be a nonprofessional function , but dates, account numbers, chart numbers, Social Security numbers, and similar data are necessary to your institution and the patients it serves.

23. Effective Documentation While different forms and types of data are used to meet the needs of various departments, certain terms are commonly used. Charting refers to any records you are expected to add to a document. In most imaging departments, the majority of the record keeping is done on requisition forms, which usually have a limited area for charting.

24. Diagnostic Images as Records Whether medical images are recorded on film or stored electronically, the images are legally considered to be a part of the medical record and belong to the institution in which they are made. Patients often assume that the images belong to them because they have paid for the examination. Tact is required when explaining that the charges cover the expense of the procedure and that every effort will be made to ensure that the images are available when and where they may be needed to assist in the patient's care.

25. Questions ……