Transcript Infection Control - El Camino College

RTEC-A
WK – 12 2009
Patient Skills &
Communication
COMMUNICATION
Patient Communication
Interacting with the patient
Interacting with family and friends
Methods of Effective Communication
Age as a factor in Patient Interactions
Radiologic Technologist
Helping others
Working with people
Making a difference
Thinking critically
Demonstrating creativity
Achieving results
Abraham Maslow’s
Why is this important?
PATIENT NEEDS

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Altered states of consciousness
Environment
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Fear of unknown
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Vulnerable
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Coping Mechanisms
Patient Dignity
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Patients are usually in the lower levels of
Maslow’s Hierarchy
Must always be remembered and
respected
Difficult to maintain dignity when ill
No No’s…..

Referring to a patient as:
“the chest in room 2”
Always use the patients name!

HIPAA Laws - Only discuss what you must
know to do your job.
Classification of Patients
Inpatients
Outpatients
– Family
– Friends
Methods of Communication
Verbal
Humor
Professional
Appearance
Paralanguage
Physical Presence
Body Language
Visual Contact
Touch
– Palpation
Six Components of Communication
Message
Receiver
Source
Context
Channel
Feedback
Radiographer’s Responsibility
 Introduction
 Explanation
of exam
 Inform
patient how they will receive
their results
 Risks
of examination
Rad Tech’s Role in Clinical Hx

Extract as much history as possible

Radiologists often do not even speak
with the patient.

Radiologist can be focus on anatomy of
interest
Desirable Qualities for
Establishing Open Dialogue

Respect
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Genuineness
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Empathy
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Polite
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Professional
demeanor
Data Collection

Objective: Signs that can be seen

Subjective: Perceived by the affected
individual
Questioning Skills
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Open-ended questions
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Facilitation – encourages pt to elaborate
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Silence – give pt time to remember

Probing questions – focus interview, provide more
information
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Repetition – rewording, clarifies info

Summarization – verifies accuracy
Leading Questions

This is an UNDESIRABLE method of
questioning.

Introduces bias to history
Chief Complaint

Focuses attention to the single most
important issue.

Patients often have many complaints

Focus on primary reason for exam
Clinical Indication

Tech must collect a focused history.

Several elements comprise a “complete
history”.
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Sacred Seven
Sacred Seven
1.
Localization
2.
Chronology
3.
Quality
4.
Severity
5.
Onset
6.
Aggravating or Alleviating Factors
7.
Associated Manifestations
You never know what you are going
to get?
Special Condition Patients
Traumatized Patients
Visually Impaired Patients
Speech and Hearing Impaired Patients
Non-English Speaking Patients
Mentally Impaired Patients
Substance Abusers
Gerontology
The study of aging and diseases of the
elderly.
By the end of the 20th century 33
million, more than 12% of total
population.
In 1900 only 4%, of population
Key to a Successful Exam

Plan of action

Systematic problem-solving process
 Assessment of data

Setting a goal

Establishing a plan

Safety in completing assignment

Evaluating the work
Communication
The key to a successful exam for
Technologist and Patient.