Administration of local anesthesia at the injection site
7
Insert the spinal needle into the selected intervertebral space
8
Withdraw a small amount of cerebrospinal fluid
9
Inject the contrast material into the spinal canal
10
Perform initial myelogram imaging
11
Move patient into different positions to spread the contrast material
12
Perform subsequent imaging studies
13
Remove needle and apply dressing to the injection site
14
Monitor the patient for any immediate post-procedure reaction
15
Approval: Radiologist to review and interpret the myelogram images
16
Provide post-procedure instructions to the patient
17
Arrange for patient transportation if required
18
Document the procedure in patient's record
Verify patient's medical and allergy history
Ensure that the patient's medical and allergy history is thoroughly reviewed and verified. This information is crucial in determining any potential risks or contraindications for the myelography procedure. Verify all relevant medical records and discuss any concerns or discrepancies with the patient. In case of any known allergies, take necessary precautions to avoid adverse reactions during the procedure. Use the form fields below to gather the required information.
Explain the procedure and risks to the patient
Effectively communicate the myelography procedure and associated risks to the patient. Ensure that the patient fully understands the purpose, steps, and potential complications of the procedure. Address any concerns or questions they may have. Help the patient make an informed decision by providing all necessary information. Use the form fields below to record the discussion and the patient's understanding.
1
Fully understood
2
Partially understood
3
Not understood
Obtain signed consent form from the patient
Ensure that the patient provides informed consent for the myelography procedure. Clearly explain the purpose, risks, and alternatives of the procedure. Offer the patient an opportunity to ask questions or seek clarification. Use the form fields below to document the consent process.
Prepare the patient by positioning them correctly
Properly position the patient to facilitate the myelography procedure. Good positioning helps ensure accurate imaging and patient comfort. Follow standard positioning guidelines or any specific instructions provided by the healthcare team. Use the form fields below to document the positioning details.
Cleanse the injection site with antiseptic
Cleanse the injection site thoroughly to minimize the risk of infection. Follow aseptic techniques and use an antiseptic solution approved for the procedure. Ensure that the site is adequately prepared before proceeding with the myelography. Use the form fields below to confirm the cleansing procedure.
1
Cleanse the area with antiseptic solution
2
Allow the solution to dry
3
Repeat the process for a second time
Administration of local anesthesia at the injection site
Administer local anesthesia at the designated injection site to minimize discomfort during the myelography procedure. Ensure that the appropriate amount and type of anesthesia are used according to established protocols. Confirm the anesthesia administration with the form fields below.
Insert the spinal needle into the selected intervertebral space
Insert the spinal needle carefully into the predetermined intervertebral space. Adhere to sterile techniques and use appropriate anatomical landmarks for guidance. Proceed slowly and cautiously to minimize patient discomfort and the risk of complications. Use the form fields below to record the details of the needle insertion.
Withdraw a small amount of cerebrospinal fluid
Gently withdraw a small amount of cerebrospinal fluid (CSF) after the spinal needle is correctly positioned. This fluid sample is necessary for further analysis and to assess the patient's condition. Ensure that the CSF collection process is carefully performed to avoid any complications. Use the form fields below to document the CSF withdrawal details.
Inject the contrast material into the spinal canal
Carefully inject the contrast material into the spinal canal through the spinal needle. Ensure that the appropriate amount and type of contrast material are used based on the patient's requirements. Follow established protocols and safety guidelines during the injection process. Use the form fields below to record the contrast material injection details.
Perform initial myelogram imaging
Initiate myelogram imaging immediately after the contrast material injection. Ensure that the imaging equipment and settings are appropriately adjusted for optimal visualization. Capture images as required to assess the initial spread of the contrast material. Use the form fields below to record the imaging details.
Move patient into different positions to spread the contrast material
Gently reposition the patient to facilitate the spread of the contrast material within the spinal canal. Follow specific protocols or guidelines for the required positional changes. Ensure the patient's comfort and safety throughout the repositioning process. Use the form fields below to document the positional changes.
1
Supine
2
Prone
3
Left lateral decubitus
4
Right lateral decubitus
5
Upright
Perform subsequent imaging studies
Conduct additional imaging studies after repositioning the patient to evaluate the spread of the contrast material. Capture necessary images from various angles to provide a comprehensive diagnostic assessment. Adjust imaging settings as required to optimize image quality. Use the form fields below to record the details of the subsequent imaging studies.
Remove needle and apply dressing to the injection site
Safely remove the spinal needle from the injection site once the myelography procedure is complete. Apply an appropriate dressing to the site to maintain cleanliness and provide wound protection. Ensure that the removal and dressing processes are performed hygienically. Use the form fields below to document the removal and dressing details.
Monitor the patient for any immediate post-procedure reaction
Closely monitor the patient for any immediate post-procedure reactions or complications. Be vigilant for signs of allergic reactions, neurologic changes, or other adverse effects. Promptly address any concerns or abnormalities observed. Use the form fields below to monitor and record the patient's condition.
1
Vital signs monitoring
2
Neurologic assessment
3
Allergy assessment
4
Pain assessment
5
Fluid intake and output monitoring
Approval: Radiologist to review and interpret the myelogram images
Will be submitted for approval:
Perform subsequent imaging studies
Will be submitted
Provide post-procedure instructions to the patient
Give the patient clear and concise instructions for the post-procedure period. Provide information about necessary activities, restrictions, and potential side effects. Address common concerns or questions that patients may have after the myelography procedure. Use the form fields below to document the post-procedure instructions given to the patient.
Arrange for patient transportation if required
If the patient requires transportation after the myelography procedure, arrange the necessary logistics. Ensure a safe and comfortable mode of transportation based on the patient's condition and needs. Coordinate with relevant personnel or services to facilitate smooth transportation. Use the form fields below to document the transportation arrangements.
1
Ambulance
2
Private vehicle
3
Wheelchair van
4
Taxi
5
Family member/friend
Document the procedure in patient's record
Thoroughly document all relevant details of the myelography procedure in the patient's medical record. Accurate and comprehensive documentation supports continuity of care, facilitates future reference, and ensures proper billing and coding. Use the form fields below to record the necessary information in the patient's record.
