SAINT VINCENT HOSPITAL DEPARTMENT OF RADIOLOGY
WORCESTER, MASSACHUSETTS POLICY AND PROCEDURE MANUAL
POLICY: All Emergency Room (ER) patients requiring radiological services will have a “Wet” initial reading of their study by a radiology resident or attending. If there is a subsequent discrepancy with the final reading, the Emergency Department will be notified promptly.
PURPOSE: To insure rapid communication of emergency exam results and appropriate patient care and follow-up.
1. All ER studies will have an initial reading by a radiology resident or attending
radiologist. The diagnostic reading will be written on a Request for ED Radiological
Examination Form (Attached), which will be transmitted/returned to the Emergency
Department to be reviewed by the physician caring for the patient. In addition, any
critical findings (See below) will be called directly to the ER.
2. An attending radiologist will subsequently compare his/her final reading with the initial impression.
3. If there are any discrepancies between initial and final readings, the attending radiologist will define the discrepancies in the final report. The voice transcribed final report is immediately available on the hospital information system. The change of interpretation is also written on the ER form and delivered to the ER.
4. Any critical discrepancy (that requiring immediate change in management) will also be called directly to an ER Attending and recorded in the report including the date, time and M.D. called.
5. Critical cases requiring direct radiologist communication to the Emergency Room:
Cerebral Hemorrhage Portal Venous Air
Brain Tumor Volvulus
Depressed Skull Fracture Traumatic Visceral Injury
Cervical Spine Fracture Retroperitoneal Hemorrhage
Tension pneumothorax Bowel Obstruction
Aortic Dissection Cord Compression
Ruptured Aneurysm, or “Impending” Rupture Ectopic Pregnancy
Pulmonary Embolism Testicular Torsion
Mediastinal Emphysema Fetal Demise