Patient checks in and provides necessary information
2
Patient history and information review by medical professional
3
Approval: Physician's review of patient's medical history and information
4
Explain the procedure to the patient and obtain informed consent
5
Prepare the patient for the procedure (include placing patient in correct position)
6
Sterilize the area for catheter placement
7
Insert the catheter into the urinary bladder
8
Check correct placement of the catheter
9
Inject contrast material through the catheter
10
Take radiographic images while contrast material fills and empties from bladder
11
Review first set of images for clarity and adequate information
12
Approval: Radiologist's review of initial images
13
Take additional images if necessary
14
Remove the catheter from the urinary bladder
15
Monitor patient for any adverse reactions post-procedure
16
Create the medical report on the procedure
17
Approval: Radiologist's verification of medical report
18
Schedule follow-up visit for patient
19
Send medical report to referring physician
20
Debrief patient and provide post-procedure instructions
Patient checks in and provides necessary information
Welcome the patient and guide them through the check-in process. This task sets the stage for the procedure by collecting essential information about the patient. It ensures that all required details are obtained for accurate record-keeping and seamless coordination throughout the procedure. What challenges may arise during the check-in process? How can any potential issues be addressed? Resources needed: patient registration form.
1
Male
2
Female
3
Other
Patient history and information review by medical professional
Allow a medical professional to review the patient's medical history and information. This task ensures that the necessary pre-procedure evaluations are conducted by a qualified healthcare provider. It provides a comprehensive understanding of the patient's health condition and helps ensure the procedure's safety and effectiveness. How can the medical professional address any concerns or risks identified during the review? Resources needed: patient medical records.
1
Diabetes
2
Hypertension
3
Kidney Disease
4
Urinary Tract Infection
5
Prostate Problems
Approval: Physician's review of patient's medical history and information
Will be submitted for approval:
Patient history and information review by medical professional
Will be submitted
Explain the procedure to the patient and obtain informed consent
Explain the cystourethrogram procedure to the patient in a clear and understandable manner. This task ensures that the patient is fully informed about the procedure, its potential risks, benefits, and alternatives. Obtain informed consent from the patient, addressing any questions or concerns they may have. What alternatives can be discussed with the patient? How can potential risks be mitigated? Resources needed: consent form.
1
Ultrasound
2
CT Scan
3
Magnetic Resonance Imaging
4
Intravenous Pyelogram
5
Cystoscopy
1
Allergic reaction to contrast material
2
Urinary tract infection
3
Bladder perforation
4
Bleeding
5
Discomfort or pain
1
Pre-procedure antibiotics
2
Using appropriate catheter size
3
Careful monitoring during the procedure
4
Patient communication and comfort measures
5
Post-procedure observation and care
1
Accurate diagnosis of urinary tract issues
2
Minimal invasive procedure
3
Real-time imaging
4
No radiation exposure to other organs
5
May guide treatment decisions
1
Consent given
2
Consent denied
Prepare the patient for the procedure (include placing patient in correct position)
Assist the patient in preparing for the cystourethrogram procedure. This task ensures that the patient is correctly positioned, ensuring optimal visualization of the urinary system during the procedure. Proper patient positioning enhances the overall procedure's safety and accuracy. How can patient comfort be maximized during the preparation process? What measures can be taken to ensure patient confidentiality and dignity? Resources needed: patient gown, privacy screens.
1
Supine
2
Lithotomy
3
Prone
4
Left Lateral Decubitus
5
Right Lateral Decubitus
Sterilize the area for catheter placement
Sterilize the urinary bladder area to minimize the risk of infection during the cystourethrogram procedure. This task ensures that the area is properly cleaned and disinfected to provide a sterile environment for catheter placement. Proper sterilization reduces the likelihood of complications post-procedure. Which antiseptic agent is recommended for use? How can the patient be kept comfortable during the sterilization process? Resources needed: antiseptic solution, sterile drapes.
1
Chlorhexidine
2
Iodine
3
Alcohol
4
Povidone-Iodine
5
Hydrogen Peroxide
1
Topical anesthetic
2
Applying warm towels
3
Gentle technique
4
Clear communication
5
Adequate lighting
Insert the catheter into the urinary bladder
Insert the catheter into the patient's urinary bladder under aseptic conditions. This task ensures that the catheter is inserted correctly, allowing for the smooth progression of the cystourethrogram procedure. Proper catheter insertion minimizes discomfort and reduces the risk of complications. What steps should be followed for aseptic technique during catheter insertion? How can patient anxiety or apprehension be addressed? Resources needed: sterile catheter kit, lubricating jelly.
1
Hand hygiene
2
Wear sterile gloves
3
Cleanse urethral meatus
4
Advance catheter slowly and gently
5
Secure catheter after insertion
1
Providing reassurance
2
Explaining each step
3
Offering distractions
4
Encouraging relaxation techniques
5
Administering local anesthesia if necessary
Check correct placement of the catheter
Verify the correct placement of the catheter in the patient's urinary bladder. This task ensures that the catheter is positioned accurately to allow for successful contrast material injection and imaging. Proper catheter placement ensures the quality and reliability of the cystourethrogram results. What signs or indicators can be used to confirm the correct placement of the catheter? How can any misplacement or dislodgement be addressed? Resources needed: urinary catheter, sterile syringe.
1
Urinary flow into drainage bag
2
Appearance of urine in the catheter
3
Patient feedback
4
Visualization of bladder on ultrasound
5
No resistance or blockage during injection
Inject contrast material through the catheter
Inject contrast material into the patient's urinary bladder through the catheter. This task ensures that the contrast material is introduced into the bladder for clear visualization during the cystourethrogram procedure. Proper injection technique and accurate dosage enhance the quality of the resulting images. How can contrast material allergies or adverse reactions be addressed? Resources needed: contrast material, syringe, IV tubing.
1
No known allergies
2
Iodine allergy
3
Shellfish allergy
4
Previous contrast reaction
5
Other allergies (specify in comments)
Take radiographic images while contrast material fills and empties from bladder
Capture radiographic images while the contrast material fills and empties from the patient's urinary bladder. This task ensures that the necessary images are obtained during the cystourethrogram procedure, providing valuable diagnostic information. Proper timing and image acquisition techniques play a crucial role in obtaining accurate and interpretable images. How can patient cooperation be encouraged during image capture? Resources needed: radiographic equipment, lead shielding.
1
Initial filling phase
2
Full bladder phase
3
Emptying phase
4
Delayed images
5
Additional imaging as required
Review first set of images for clarity and adequate information
Review the initial set of radiographic images obtained during the cystourethrogram procedure. This task ensures that the images are clear, of sufficient quality, and provide the necessary information for accurate diagnosis and reporting. Thorough image review enhances the overall diagnostic value and reliability of the procedure. How can image artifacts or issues be addressed? What measures can be taken to maximize image clarity? Resources needed: radiographic images, display screen.
1
Clear
2
Blurred
3
Artifacts
4
Insufficient contrast
5
Overexposed
Approval: Radiologist's review of initial images
Will be submitted for approval:
Take radiographic images while contrast material fills and empties from bladder
Will be submitted
Take additional images if necessary
Capture additional radiographic images if deemed necessary during the cystourethrogram procedure. This task ensures that any required supplementary images are obtained to provide further diagnostic information or clarify initial findings. Additional images may be required to thoroughly evaluate specific areas of interest or address any ambiguities. What circumstances would warrant the need for additional images? How can patient comfort and cooperation be maintained during this process? Resources needed: radiographic equipment.
1
Suboptimal initial images
2
Identification of potential pathology
3
Incomplete visualization of structures
4
Confirmation of initial findings
5
Patient-specific imaging requirements
Remove the catheter from the urinary bladder
Remove the catheter from the patient's urinary bladder upon completion of the cystourethrogram procedure. This task ensures that the catheter is safely and aseptically removed without causing discomfort or complications. Proper catheter removal techniques promote patient comfort and minimize the risk of urinary tract infections or injuries. How can catheter removal be made as seamless and comfortable as possible? Resources needed: sterile gloves, gauze pads.
1
Deflate balloon before removal
2
Remove catheter steadily and smoothly
3
Observe for any resistance or pain
4
Apply pressure at urethral meatus post-removal
5
Ensure complete catheter removal
1
Providing reassurance
2
Offering distractions
3
Encouraging relaxation techniques
4
Administering local anesthesia if necessary
5
Providing pain relief post-removal
Monitor patient for any adverse reactions post-procedure
Monitor the patient for any adverse reactions or complications following the cystourethrogram procedure. This task ensures that the patient's post-procedure condition is closely observed to promptly identify and address any potential issues. Monitoring for adverse reactions promotes patient safety and minimizes the risk of post-procedure complications. What signs or symptoms should be monitored? How can patient discomfort or pain be managed? Resources needed: patient monitoring equipment.
1
Pain or discomfort
2
Bleeding
3
Urinary retention
4
Fever or chills
5
Allergic reactions
Create the medical report on the procedure
Generate a comprehensive medical report documenting the cystourethrogram procedure. This task ensures that detailed information regarding the procedure, findings, and recommendations are effectively documented for accurate record-keeping and future reference. A well-structured medical report facilitates timely communication and ensures continuity of patient care. What key elements should be included in the medical report? How can the report be organized for easy comprehension? Resources needed: electronic medical record system.
Approval: Radiologist's verification of medical report
Will be submitted for approval:
Create the medical report on the procedure
Will be submitted
Schedule follow-up visit for patient
Arrange and schedule a follow-up visit for the patient after the cystourethrogram procedure. This task ensures appropriate post-procedure care and evaluation to monitor the patient's progress and address any further concerns or questions. A well-planned follow-up helps ensure optimal outcomes and patient satisfaction. When should the follow-up visit be scheduled? How can the patient be informed about the follow-up arrangements? Resources needed: appointment scheduling system.
Send medical report to referring physician
Send the completed medical report on the cystourethrogram procedure to the referring physician. This task ensures efficient and accurate communication of the procedure's findings and recommendations to the responsible healthcare provider. Timely transmission of the medical report facilitates appropriate patient management and collaborative care. How can the report be securely and promptly delivered? Resources needed: secure email system.
Medical Report - Cystourethrogram Procedure
Debrief patient and provide post-procedure instructions
Debrief the patient following the cystourethrogram procedure and provide post-procedure instructions. This task ensures that the patient is well-informed about any necessary precautions, potential post-procedure side effects, and expectations for recovery. A comprehensive debriefing enhances patient engagement and promotes adherence to the provided instructions. What key points should be included in the debriefing? How can any concerns or questions raised by the patient be addressed? Resources needed: post-procedure instruction sheet.
