House Staff Manual - Winthrop University Hospital

1. Barium Enema: It is essential that patients be properly prepared for barium enemas. Failure to do soresults in costly delays. Please see the standard prep at nursing stations, or contact the Department ofRadiology.Antibiotic prophylaxis may be given to patients in the following high-risk groups:-prosthetic heart valves-conduits-cardiac patches-surgically created shuntsProphylaxis recommended is 1) Ampicillin, 2 grams I.V. 30 minutes prior, or 2) Vancomycin, 1 gramI.V. 30 minutes prior and Gentamycin, 2 mgs/kg I.V. 30 minutes prior to procedure.2. Upper GI Series: NPO (including medications) after midnight, including medications. Passage of aNG tube should be done before procedure if patient is unable to, or will not drink.3. IVP: No solids for 4 hours before the exam; fluids ad-lib; encourage PO fluids in diabetics.4. CT Scan: NPO for solids for 4 hours before exam. May have fluids.For other preparations call the Radiology Department at ext. 2374.RADIOLOGY EXAMINATIONSExaminations (especially angiograms, CT scans, sonograms, upper GI's and barium enemas) will be morepromptly scheduled and better performed if the requisition is brought to subspecialty area and discussedwith the radiologist rather than routinely sent down. Furthermore, the requesting physician will then knowwhen the exam is scheduled and may order the appropriate preparations for the examination.Please note that Special Procedure examinations require an appointment with the Radiologist. SpecialProcedures may be scheduled in the Special Procedure area.It is good patient care to make sure that the patient understands what type of exam is being performedbefore he or she is sent to the X-ray Department. Make sure an IV is started when appropriate.Please use the Radiology staff as consultants to aid you in your requests for diagnostic examinations.EMERGENCY CASESContact resident "on call" for all emergency after-hours CT scans, sonograms, radionuclide examinations,special procedures, etc.X-RAY RESULTSX-ray results are available either in the Log Book located in the GI, GU, CT, Sonography, MRI,Mammography or Nuclear Medicine areas or written on the patient's x-ray folder. Results are alsoavailable through the Radiology Department's computer system.RADIOLOGY INFORMATION SYSTEMThe Department has a computerized Radiology Information System called Maxifile that enables you toaccess your patient’s procedure record, film location and stores x-ray reports on your patients. All inquiresare made using the patient's medical record number (MRN). X-rays are filed according to this number andwhen seeking x-ray folders or reports you should know the patient's MRN. X-rays are signed out to youRev. 1/08