Discuss the transport of patients to the radiology department for imaging and the potential for complications with their lines and tubes and how to recognize them. Discussmethods of communication among radiology personnel in management of an acute patient.

A critically ill patient may be transferred several times during their admission in a hospital, whether it is intra-hospital transfer for diagnostic or therapeutic procedure, or inter-hospital transfer for tertiary care. Thus, it is imperative for the team caring for this patient to maintain continuity of care during such transfers, which includes continuation of medication, monitoring devices and lines or tubes that may be connected to the patient. A transfer of a critically ill patient requires appropriate hand-off between departments by personnel that are closely...

Case#1: Patient with history of neurogenic bladder was signed out to our computed tomography (CT) technician as having a recently placed suprapubic catheter that was no longer draining after the patient returned from a diagnostic procedure. The primary nurse placed a foley catheter prior to the patient’s transfer to our department and stated that it was draining mildly cloudy blood tinged urine. Upon receiving the patient in our department, the technician noted the suprapubic catheter and an appropriately draining foley catheter. The CT pelvis demonstrated...

These cases highlight the pivotal role a technologist plays in alerting the radiologist and the primary team of any abnormal findings or complications in patient care. Radiologists, technologists and nursing staff must be familiar with, and trained to determine if a tube or line has been dislodged or malpositioned so that appropriate personnel from the acute care team can be notified. There must be a multidisciplinary approach for safe handling of the patient in the radiology workplace and early recognition of any issues that could...

P. Gerard; Valhalla/US - nothing to disclose C. Shilagani; Valhalla, NEW YORK/US - nothing to disclose P. Patel; Valhalla/US - nothing to disclose C. Gwardschaladse; Valhalla/US - nothing to disclose J. Meshekow; Valhalla/US - nothing to disclose

Kulshrestha A, and Singh J. Inter-hospital and intra-hospital patient transfer: Recent concepts. Indian Journal of Anesthesia. 2016;60(7):451-457. Auffermann WF, Krupinski EA, Tridandapani S. Search pattern training for evaluation of central venous catheter positioning on chest radiographs. Journal of Medical Imaging. 2018;5(3):031407-1-031407-6. Madan R, Peavy LD, Crudup B, and Hunsaker A. Reporting of malposition of lines and tubes on portable radiographs using alert notification of critical results. Current problems in Diagnostic Radiology 2017;46:181-185. Remerand F, Luce V, Badachi Y, Lu Q, Bouhemad B, and Rouby JJ....