For a patient who’s had a hx of glioblastoma/malignant neoplasm and has follow up MRIS of the brain every 6 months, do we need to add the Ax T2 Flair thin cuts? Apart from the post Ax T1 3D post contrast (that gets MPR Sag + Cor) and Post Cor T1
Word per word filled out on the questionnaire on an inpatient by the charge RN. Because I have trust issues, I asked for an xray of the orbits (I don’t recall if there was already a CT of the head/ last I checked there wasn’t). The charge nurse gave me a hard time. “But he’s had MRIS since then!” I wanted MRI clearance by the Rads. The RN got annoyed w me even though I tried explaining to her I was just trying to save everyone involved even if it is redundant. I know it’s exposing him to radioactive by having an xray but I didn’t want to risk it. I called the house supervisor to complain bc I shouldn’t get pushback from nurses for MRI clearance. The house supervisor then said that everyone is just stressed and we are understaffed and the hung up on me.
This happened last Sunday and I forgot all about it and today the lead tech brought it up to my attention saying I didn’t need to make this patient get an xray. She told me the screening form clearly said the metal foreign bodies in the eyes happened over 30 years ago and the patient has had MRI since then. I tried explaining to her that I did not trust that the metal was removed.
She then told me he was scanned in our facility in 2023 and that I wasn’t able to find his documentation on PACS bc I had to use the old PACE system in the holding room to find it.
Idk the whole thing is annoying. I’m mostly annoyed with the lead tech pointing out everything I’m doing wrong and dismissing me saying I’m not comfortable scanning a patient like that. I’ve received incorrect screening forms before. I’m also feeling micromanaged by her that she’s pulling up old cases I’ve done. I’m the only evening tech and I scan way more than the day shift techs. I