Nuclear Medicine Oral Exam with
Accurate Solutions
what's your name?
what's your address?
DOB?
and if they are female and under 50 are they pregnant or breastfeeding?
"Because we are using radiation for your test today, I just need to ask you is there any
chance you could be pregnant, or are you currently breast feeding" - ANS-PATIENT IS
GREETED BY TECHNOLOGIST
FIRST THING: CHECK INDENITY
what are the first 4 things you ask the patient?
Can you tell me what test you are here for today? or Can you tell me why you are here?
and What brings you in today - ANS-what test are they getting done?
We are injecting a radiotracer that is specially designed to go to your bones
the radiotracers have no side effects.
Allergic reactions to radiotracers are extremely rare and usually mild.
we will then give you a scan which will take around 20 minutes. then you're free to leave
for 2-4 hours while sufficient amount of the radiotracer has accumulated in the bones.
you'll need to lie on the bed very still with your arms by your side and feet pigeon toes.
You'll have to lie very still so we get the best pictures possible and get the scan done as
quick as possible. the camera will be quite close to your face. The bed will move very
slowly as the gamma camera takes pictures of the all the bones in the patient's body,
usually taking around 20 minutes for a bone scan.
When all the necessary pictures have been acquired you'll be free to leave.
"if you have any questions during the procedure please do not hesitate to - ANS-explain
what is involved in a bone scan
do you consent to this procedure?
Do you have any further questions
• Are you happy to proceed with the procedure? - ANS-seek consent
, Do you have any allergies that you know of?
or Are you allergic to any medications? - ANS-any allergies?
What medications are you taking currently?
or Are you taking any medicines or tablets at the moment?
What are the names of them?
What are they for? - ANS-medication
PAIN
Do you have any pain in any of your bones?
Can you point to where it is?
DURATION OF PAIN
How long have you had the pain for?
or When did it start?
Is it getting worse?
or just not getting any better
REASON FOR PAIN
Did you have a fall, injury or an accident?
What happened to cause this pain? - ANS-PATIENT HISTORY (PAIN)
Previous injuries to the site/Previous fractures/Previous surgery (always note year)
Have you ever had any problems in this area before?
When was it?
Have you ever had an operation on your bones in the past?
or do you have any hip or knee replacement?
pins or screws?
When was it?
Which side was it on?
eg Rt TKR 2005
any infections
any prosthesis - metal in the body? - ANS-PATIENT HISTORY
Have you ever had any problems with your bones in the past?
Do you have arthritis? What type?
Where is it effecting you? Do you have osteoporosis?
Do you have Paget's Disease? - ANS-PATIENT HISTORY (BONES)
Have you ever had any kind of Cancer in the past?
What type?
When? eg Lt Breast Ca 2013
Have you ever had any kind of cancer treatment? or did you have to have any radiation
therapy?
where was the treatment are? or chemotherapy? When was this?
Accurate Solutions
what's your name?
what's your address?
DOB?
and if they are female and under 50 are they pregnant or breastfeeding?
"Because we are using radiation for your test today, I just need to ask you is there any
chance you could be pregnant, or are you currently breast feeding" - ANS-PATIENT IS
GREETED BY TECHNOLOGIST
FIRST THING: CHECK INDENITY
what are the first 4 things you ask the patient?
Can you tell me what test you are here for today? or Can you tell me why you are here?
and What brings you in today - ANS-what test are they getting done?
We are injecting a radiotracer that is specially designed to go to your bones
the radiotracers have no side effects.
Allergic reactions to radiotracers are extremely rare and usually mild.
we will then give you a scan which will take around 20 minutes. then you're free to leave
for 2-4 hours while sufficient amount of the radiotracer has accumulated in the bones.
you'll need to lie on the bed very still with your arms by your side and feet pigeon toes.
You'll have to lie very still so we get the best pictures possible and get the scan done as
quick as possible. the camera will be quite close to your face. The bed will move very
slowly as the gamma camera takes pictures of the all the bones in the patient's body,
usually taking around 20 minutes for a bone scan.
When all the necessary pictures have been acquired you'll be free to leave.
"if you have any questions during the procedure please do not hesitate to - ANS-explain
what is involved in a bone scan
do you consent to this procedure?
Do you have any further questions
• Are you happy to proceed with the procedure? - ANS-seek consent
, Do you have any allergies that you know of?
or Are you allergic to any medications? - ANS-any allergies?
What medications are you taking currently?
or Are you taking any medicines or tablets at the moment?
What are the names of them?
What are they for? - ANS-medication
PAIN
Do you have any pain in any of your bones?
Can you point to where it is?
DURATION OF PAIN
How long have you had the pain for?
or When did it start?
Is it getting worse?
or just not getting any better
REASON FOR PAIN
Did you have a fall, injury or an accident?
What happened to cause this pain? - ANS-PATIENT HISTORY (PAIN)
Previous injuries to the site/Previous fractures/Previous surgery (always note year)
Have you ever had any problems in this area before?
When was it?
Have you ever had an operation on your bones in the past?
or do you have any hip or knee replacement?
pins or screws?
When was it?
Which side was it on?
eg Rt TKR 2005
any infections
any prosthesis - metal in the body? - ANS-PATIENT HISTORY
Have you ever had any problems with your bones in the past?
Do you have arthritis? What type?
Where is it effecting you? Do you have osteoporosis?
Do you have Paget's Disease? - ANS-PATIENT HISTORY (BONES)
Have you ever had any kind of Cancer in the past?
What type?
When? eg Lt Breast Ca 2013
Have you ever had any kind of cancer treatment? or did you have to have any radiation
therapy?
where was the treatment are? or chemotherapy? When was this?
