Checklists

Question 1

ECG

Answer 1

1. Kardex in the Diagnostic section with appointment info
2. Addressograph/label ECG req
3. Complete the req
4. Note meds on req prn:
   
   • nitro
   • antiarrhythmics
   • antihypertensives
5. Fax req to Cardiology. Fax stamp req with initials, status, date and time. If STAT, call dept.
6. Dept will phone with appt info
7. book porter. Send chart with porter
8. Symbolize PO - K, RMO, I/C, (Dept aware for stat orders)
9. File tracings with typed reports in diagnostics section of patient chart

Write on req for exam purposes for non-portable ECGs:

• book porter
• send chart with porter
• check for post-test orders

Question 2

Special x-rays

Answer 2

1. Kardex in Diagnostic section with date and time of procedure
2. Addressograph/label Radiology requisition AND a Surgical Consent form
3. Complete requisition as per example
4. Fax requisition to Radiology. Fax stamp the req.
5. If STAT - phone Radiology and leave requisition on front of chart
6. Radiology will phone with appointment date & time (Student to make up date and time)
7. Radiology will send instruction sheet for RN indicating any patient preparation required. Put sheet in Kardex.
8. Book Porter prn
9. Symbolize PO-K, RMO x 2 (Dept Aware for STAT orders)
10. Send chart with porter
11. Check chart for post-test orders when patient returns

For exam purposes transcribe the following on requisition: (See Example)

Place RN instruction sheet inside Kardex
Book Porter prn
Send chart with Porter
Check for posttest orders

Question 3

X-ray with contrast

Answer 3

1. Kardex in Diagnostic section with date and time of appointment
2. Addressograph/label Radiology requisition
3. Complete requisition per example
4. Fax requisition to Radiology. Fax stamp the req.
5. If STAT-phone Radiology and leave requisition on front of chart
6. Radiology will phone with appointment date & time (student to make up date and time)
7. Radiology will send instruction sheet for RN indicating any patient preparation required. Put sheet inside Kardex.
8. Book Porter prn
9. Symbolize PO -K, RMO (Dept Aware for STAT orders)
10. Send chart with Porter
11. Check chart for post-test orders when patient returns
    For exam purposes transcribe the following on requisition: (as per example)
    Place RN instruction sheet inside Kardex
    Book Porter prn
    Send chart with Porter
    Check for posttest orders

Question 4

X-ray without contrast

Answer 4

1. Kardex in Diagnostic section with date and time of appointment
2. Addressograph/label Radiology requisition
3. Complete requisition per example
4. Fax requisition to Radiology Department. Fax stamp the req.
5. If STAT- phone Radiology and leave requisition on front of chart
6. Department will phone Unit with date & time of appointment (Students to make up date and time)
7. Book Porter prn
8. Symbolize PO-K, RMO (Dept Aware for STAT orders)
9. Send chart with porter
10. Check for post-test orders

For exam purposes transcribe the following on requisition: See example where to transcribe
Book Porter prn
Send chart with Porter
Check for posttest orders

Question 5

Holter Monitor

Answer 5

1. Kardex in the Diagnostic section with appointment info
2. Addressograph/label Cardiac Specialty Test req
3. Complete the req
4. Note meds on req prn:
   
   • nitro
   • antiarrhythmics
   • antihypertensives
5. Fax req to Cardiology. Fax stamp req with initials, status, date and time. If STAT, call dept.
6. Dept will phone with appt info
7. book porter. Send chart with porter
8. Symbolize PO - K, RMO, I/C
9. File req in diagnostics section of patient chart

Write on req for exam purposes:

• File req in diagnostic section of chart
• RN will give appt instructions to patient prior to discharge

Question 6

MIBI Persantine

Answer 6

1. kardex in diagnostic section with 2 appts - stress and resting (2 days apart)
2. addressograph cardiac tests VGH req
3. complete req
4. note meds on req prn:
   
   • nitro
   • antiarrhythmics
   • antihypertensives
5. Clip to chart for dr to sign
6. Fax req to cardiology. fax stamp req
7. Dept will phone with appt info
8. Symbolize PO - K, RMO, I/C
9. File req in diagnostic section of chart

Exam purposes:
- clip req to chart for dr to complete and sign

Question 7

Exercise tolerance test

Answer 7

1. kardex in diagnostic section with appt info
2. addressograph ECG req
3. complete req
4. note meds on req prn:
   
   • nitro
   • antiarrhythmics
   • antihypertensives
5. Clip to chart for dr to sign
6. Fax req to cardiology. fax stamp req. If stat, call dept
7. Dept will phone with appt info
8. Book porter. Send chart with porter
9. Symbolize PO - K, RMO, I/C
10. File req in diagnostic section of chart

Question 8

echocardiogram

Answer 8

1. Kardex in diagnostic section with appt info
2. addressograph echocardiogram req
3. Complete req
4. clip to chart for dr to complete and sign
5. fax req. fax stamp
6. Dept will call with appt info
7. book porter. send chart with porter
8. symbolize PO - I/C, K, RMO
9. File completed req in diagnostic section of chart

Exam purposes:

• Book porter
• send chart with porter
• check for post-test orders

Question 9

Vascular studies

Answer 9

Same as others, but with vascular lab req

Question 10

EEG

Answer 10

1. Kardex in Diagnostic section with date and time of appointment.
2. Addressograph I label EEG requisition.
3. Complete requisition per example.
4. Fax requisition to EEG Dept. Fax stamp req.
5. Department will phone unit with date and time of appointment.
6. Advise RN of appointment as patient must have hair washed before test is performed.
7. Book Porter. Send chart with Porter
8. Symbolize PO – K, RMO
9. Check chart for post-test orders

For Exam purposes transcribe the following on back of requisition:

Advise RN of appointment – Patients hair can be washed
Book Porter
Send chart with Porter
Check for post-test orders

Question 11

EMG

Answer 11

Kardex in Diagnostic section with date and time of appointment.

AddressographIlabel EMG requisition.

Complete requisition per example.

Fax requisition to EMG Dept. Fax stamp the req.

Department will phone unit with date and time of appointment.

Book Porter. Send chart with Porter.

Symbolize PO -K, RMO

Check chart for post-test orders

File completes requisition in the Diagnostic section of patients’ chart

For exam purposes transcribe the following on back of requisition:

Book Porter

Send chart with Porter

Check for post-test orders

Question 12

Endoscopy

Answer 12

Kardex in Diagnostic section with date and time of procedure

Addressograph/Label Endoscopy requisition and surgical consent form

Complete requisition as per example

Fax requisition to Endoscopy Booking. Fax Stamp req

Booking will phone with appointment date and time

Booking will send instruction sheet for RN indication any patient preparation requires. Put sheet in Kardex

Book porter prn

Symbolize PO – K, RMO X2

Send chart with porter

Check chart for post-test orders when patient returns

For Exam purpose transcribe the following on back of requisition:

Place RN instruction sheet inside Kardex

Book porter prn

Send chart with Porter

Check for Post-test orders