Diagnostic Testing Procedures in Cardiology - the Royal Cornwall ...
Diagnostic Testing Procedures in Cardiology - the Royal Cornwall ...
Diagnostic Testing Procedures in Cardiology - the Royal Cornwall ...
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6.21. For outpatient procedures, requests are e-mailed to <strong>the</strong> <strong>Cardiology</strong> Outpatient<br />
Book<strong>in</strong>g Office generic e-mail address cardiology.outpatient@rcht.cornwall.nhs.uk.<br />
Urgent requests are coloured red to dist<strong>in</strong>guish <strong>the</strong>m.<br />
6.22. For outpatient 24 hour tapes, BP monitors, event monitors, letters are copied by<br />
e-mail to <strong>the</strong> Cardiac Physiology Department and paper copies are taken to <strong>the</strong><br />
Department daily. Urgent requests may be e-mailed to<br />
mandie.leggatt@rcht.cornwall.nhs.uk.<br />
6.23. For <strong>in</strong>patient/daycase procedures, requests are e-mailed to <strong>the</strong> <strong>Cardiology</strong><br />
Inpatient Book<strong>in</strong>g Office generic e-mail address<br />
cardiology.elective@rcht.cornwall.nhs.uk. Urgent requests are coloured red to<br />
dist<strong>in</strong>guish <strong>the</strong>m.<br />
6.24. How <strong>the</strong> person request<strong>in</strong>g <strong>the</strong> test is <strong>in</strong>formed of test results<br />
6.25. In respect of tests requested by consultant cardiologists or members of <strong>the</strong>ir<br />
teams, it is acknowledged that this part of <strong>the</strong> diagnostic process requires revision to<br />
ensure that every result is communicated to <strong>the</strong> person who requests <strong>the</strong> test without<br />
delay and <strong>in</strong> a format that flags <strong>the</strong> availability of <strong>the</strong> result and records any delay <strong>in</strong><br />
expert review of <strong>the</strong> result. Currently, various methodologies are employed with<strong>in</strong> <strong>the</strong><br />
different consultant firms to facilitate timely review.<br />
6.26. For echocardiographs ordered direct by GPs, <strong>the</strong> Cardiac Technicians send<br />
results directly to <strong>the</strong>m.<br />
6.27. For patients referred to <strong>the</strong> Rapid Access Chest Pa<strong>in</strong> Cl<strong>in</strong>ic, cl<strong>in</strong>ic nurses send<br />
letters to GPs on <strong>the</strong> day of attendance.<br />
6.28. In all cases, results requir<strong>in</strong>g urgent action are drawn to <strong>the</strong> attention of <strong>the</strong><br />
requestor or, if <strong>the</strong> requestor is unavailable, to <strong>the</strong> Cardiologist of <strong>the</strong> Week.<br />
6.29. How <strong>the</strong> patient is <strong>in</strong>formed of test results<br />
6.30. Patients must be made aware of <strong>the</strong> reason for tests be<strong>in</strong>g requested and <strong>the</strong><br />
approximate timescale and communication method for availability of <strong>the</strong> results so<br />
that <strong>the</strong>y may request an update on results as necessary. Results which have<br />
significant implications for <strong>the</strong> patient must be discussed with <strong>the</strong>m <strong>in</strong> <strong>the</strong> appropriate<br />
timescale.<br />
6.31. There is an expectation that patients are <strong>in</strong>formed of results by <strong>the</strong> request<strong>in</strong>g<br />
cl<strong>in</strong>ician <strong>in</strong> a timely fashion. It is <strong>the</strong> responsibility of <strong>the</strong> requestor to consider how,<br />
when and what to tell <strong>the</strong> patient.<br />
6.32. The mechanisms and timescales for <strong>in</strong>form<strong>in</strong>g patients of results are <strong>the</strong><br />
responsibility of <strong>the</strong> request<strong>in</strong>g cl<strong>in</strong>ician but may <strong>in</strong>clude, accord<strong>in</strong>g to <strong>the</strong> nature of<br />
<strong>the</strong> test, availability of result and <strong>the</strong> significance of <strong>the</strong> result:<br />
• tell<strong>in</strong>g patients (face to face or, with <strong>the</strong> consent of <strong>the</strong> patient, by telephone);<br />
• writ<strong>in</strong>g to patients;<br />
• discuss<strong>in</strong>g with patients at outpatient or pre-operative assessment cl<strong>in</strong>ics;<br />
• writ<strong>in</strong>g to <strong>the</strong> patient’s GP;<br />
• add<strong>in</strong>g to a discharge summary letter.<br />
<strong>Diagnostic</strong> <strong>Test<strong>in</strong>g</strong> <strong>Procedures</strong> <strong>in</strong> <strong>Cardiology</strong><br />
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