NUCS - ON CALL


MSM, MSW & MSB NUCLEAR MEDICINE ON-CALL POLICY

Nuclear 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.






MSBI NUCLEAR MEDICINE ON-CALL POLICY

Any 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

Steps for saving images

 

XELERIS JPEG 

  1. Load images > arrowhead next to printer icon) > JPGScreencaptures > more > hide patient’s info > save
  2. XELERIS AVI
  3. DISPLAY CINE > ARROW HEAD (NEXT TO PRINTER ICON)> SYSTEM TEMPLATE>PRINT> SAVE

 

GEPACS

  1. Display images > left click on the images > Save image > Browse > Desktop > Ok > Save
  2. Look for anonymize


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