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  • C HECKLIST

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    Julius Oropeza
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    This document contains a checklist for a medical procedure. It includes fields for the patient's name, birthdate, age, sex, and date. It lists the procedure and has a checklist of tasks to be completed, including obtaining consent forms, informing the patient, preparing equipment, setting up IV access, and noting any remarks. It also includes spaces for the name of the radiology technician and date/time of the procedure.

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    cHECKLIST

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    This document contains a checklist for a medical procedure. It includes fields for the patient's name, birthdate, age, sex, and date. It lists the procedure and has a checklist of tasks to be completed, including obtaining consent forms, informing the patient, preparing equipment, setting up IV access, and noting any remarks. It also includes spaces for the name of the radiology technician and date/time of the procedure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    C HECKLIST

    Uploaded by

    Julius Oropeza
    This document contains a checklist for a medical procedure. It includes fields for the patient's name, birthdate, age, sex, and date. It lists the procedure and has a checklist of tasks to be completed, including obtaining consent forms, informing the patient, preparing equipment, setting up IV access, and noting any remarks. It also includes spaces for the name of the radiology technician and date/time of the procedure.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Name of patient: ________________________________

    Birth date : __/___/___ Age/Sex:_____ Date: _________


    Procedure: _____________________________________
    Things to be done:

    A N/A  
        Accomplished Data Sheet
        Accomplished History sheet
        Accomplished Screening sheet
        Consent signed
    Inform patient procedure (instruction,
    duration)
        Prepare the specific coil/s to be use
        Clean scanning Bed & Change Linen
        Check Headphones & Connector
        Change Cover of Headphones
    Functioning sound system
        (Ask patient for Volume of Sound)
        Ready & Check IV Pole
    Secure IV Line of Patient
        (Ready for Contrast Injection)

    Remarks:
    _____________________________________________________
    _____________________________________________________
    __________.

    Name of Rad.Tech Assisted the patient Date & Time: _________

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