MSM, MSW & MSB NUCLEAR MEDICINE ON-CALL POLICYNuclear Medicine On-Call procedure for MS WEST, MS Morningside, and MS Brooklyn. Step 1. A resident On-Call determines that the requested
procedure is indicated. Step 2. A resident On-Call, or a secretary/On-Call tech
manager if available, calls Nuclear Medicine technologist On-Call to come in
for the study. - For MSB and MSSL call Agency Technologist
- For MS WEST call RH technologists, Igor or Emilia, first.
- If they are not available then call Agency technologist.
Step 3. After the study is done the NM technologist emails
images to an Attending On-Call using JPEG format for static images and AVI
files or dynamic images. Step 4. NM technologist sends images to GEPACS and notifies
the resident On-Call by phone. The NM Technologist stands by while the resident
consulting with an attending On-Call. Step 5. The On-Call resident calls an attending On-Call to
discuss the case. Step 6. The resident On-Call calls the NM technologist
informing her/him that the study is done or additional images are necessary. Step 7. The NM technologist completes the study in IDX.
Step 8. The On-Call resident dictates the case.
Effective 8/6/2019: Per Dr. Kamath and Dr. Kostakoglu
Radiology residents in training should NOT be ordering radiopharmaceuticals when on call.
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MSBI NUCLEAR MEDICINE ON-CALL POLICYAny MSBI ED or IP NM exam that MUST be performed will be done at West, either via a one-way transfer or round-trip if feasible.
- Gather clinical information from requesting physician
- Review case with NM Attending & discuss NM study indication
- Once approved by NM Attending, contact West NM Tech on-call & give patient information and requested NM study
- Coordinate roundtrip or inpatient transfer between Beth Israel & West.
- Refer to MSBI-to-MSW Nuclear Medicine PDF for step-by-step instructions
During COVID Era, ventilation is temporarily not being performed in V/Q scans. It is important to check the most recent Chest X-Ray for any abnormalities. If there are chest abnormalities, perfusion study will provide limited information. Be sure to notify NM attending of any chest abnormalities on the most recent Chest X-Ray when discussing the case.
SAVING IMAGES- Load images > arrowhead next to printer icon) > JPGScreencaptures > more > hide patient’s info > save
- XELERIS AVI
- DISPLAY CINE > ARROW HEAD (NEXT TO PRINTER ICON)> SYSTEM TEMPLATE>PRINT> SAVE
- Display images > left click on the images > Save image > Browse > Desktop > Ok > Save
- Look for anonymize
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