Survey Radiologic Technologist
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What year was radical mastectomy introuduced?
1898 - cancer was considered to be a fatal disease before it was introuduced.
The radical mastectomy increased the four year survival rate from?
5% to 40%
Until when did additional improvement in breast cancer survival rates occurred?
The next 60 years from 1898.
When was mammography considered to be a reliable clinical tool?
By the 1950's because of advancements in low kVp techniques and higher detail film.
What became popular in the 1960's?
Xerography (images on paper of the breast became popular because the radiation dose was significantly lowered from the doses required for film.
When did mammographic images displayed utilizing intensifying screens?
Why did radiation doses continue to decline?
Image resolution on film is better than ever.
What is the health risk of receiving radiation from mammogram?
It is is equivalent to smoking a few cigarettes, driving 60 miles in an automobile or being a 60 year old female for ten minutes.
How many women in the United States develop breast cancer?
One in eight women will develop breast cancer. It is the leading cause of cancer deaths in women between the ages of 15 and 54.
Why does breast cancer continue to take so many lives?
The reason it continues to take so many lives is that women do not perfom regular self-breast-examination (BSE) nor do they receive regular mammograms.
What has mammography proven?
It has proven to save lives through early detection.
What is the percentage of breast cancer occurrence by gender?
98% women, and 2% men.
What is MQSA?
Mammograpjy Quality Standards Act
When was MQSA implemented and why?
Was implemented in 1992 to mandate the maintenace of high-quality breast cancer screening programs.
What is the only radiographic examination to be fully regulated by the Federal Goverment, and what year was it implemented?
Mammography and was implemented in 1994.
For a facility to be MQSA certified what must they show proof of?
- 1. Daily system check on the equipment and processor.
- 2. Outline procedures for patient notification and referral.
- 3. Patient questionaire filled out at every visit.
- 4. Document regular meetings with Radiologists and Surgeons for case review.
- 5. Technologists possess a separate license for Mammograpy with proof of continuing education to renew the license and equipement.
What does a facility that is MQSA certified ensure?
Ensures the patient that no matter where they go for their mmamogram; they will be provided a standard quality of care.
When should screening mammograms be performed on women?
Beginning with a baseline study at age 35.
From what ages should a mammo be done and when?
From ages 40 to 49, a mammo should be done every-other year; and when a woman reaches 50, she should have a mammogram every year.
How many projections are taken on each breast?
Two projections are taken on each breast. A cranio-caudal view (CC), and a medio-lateral oblique (MLO).
What are the procedures if an abnormality is seen by the technologist?
The technologist will usually show the Radiologist at once and obtain authorization to perform a magnified or cone down view of the area. Sometimes, the patient must be referred back for special views on a later date.
Why would an Ultrasound of the breast be ordered by the Radiologist?
To determined if the mass is solid or cystic.
What is the procedure if the tissue is suspicious for cancer?
A needle localization, for the purpose of surgical biopsy, is frequently recommended.
What is the Needle Localization Procedure?
The patien checks into the surgical area and is dressed in a gown and mildly sedated (if necessary). An IV is started, paperwork is filled out, so when the patient returns from Radiology, she will be able to go directly into the operating room.
In Radiologym is the patient also positioned much the same way as for a Mammogram?
What is the overall goal of the profession of Radiologic Technology?
Is to provide quality patient care while performing imaging procedures. Patient and their needs are our main focus.
What is the radiologist code of ethics?
Treat patients equally regardless of race, color, creed, religion, culture, or disease. Treat all patients with dignity.
Who will be the primary medical caregiver when patient comes to the Radiology department?
The technologist. The majority of the time the technologist deals with the patient on a one-to-one basis.
What are the verbal communication procedures?
Introduce yourself. Confirm the patients identity. Confirm the type of exam ordered and get their permission to perform the exam. Obtain medical history and determine any limitation. Give instructions before the exam. Give explanations about the exam. Give directions during exam.
What are technologist procedures if there are questions regarding the exam, or its appropriateness?
Consult with the Radiologist, and the patient's physician.
How does a technologist provide for the patients environment?
Provide for the patients's comformt, i.e. blankets, body position on the gurney, restrooms, emesis basins, tissue, or need for pain medications. Provide for the patient's modesty with adequate gowns, sheets, curtains, and close doors to exam rooms
How do technologist provide for patient's privacy?
Discuss patient information ONLY with those who need to know and do not ask the patient any personal or medical questions in public areas.
What universal precautions should a techonologist take?
Know the risk and precautions to use for different types of infections diseases including isolation techniques. You are responsible for protecting yourself and the patient. Practice aseptic and sterile techiniques to protect the patient rom infections.
How does a technologist take an assessment of a patient?
Know and be able to take vital signs, PULSE, RESPIRATION, BLOOD, PRESSURE, TEMPARATURE, and PAIN LEVEL. If the values are not within normal ranges communicate to physicians.
How do technologist provide emotional support to patients?
Understand the psychological and emotional effects that occur with trauma, sickness, handicaps, and death.
What are the safety procedures of a technologist?
Know the correct operation of gurneys, wheelchairs, monitoring equipment, x-ray euipment, etc.
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