6 CHAPTER 1 Overview of the Clinician’s Role

Diagnostic Testing Process, Patient-Centered Care, and Services Model

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Intratest Phase
Analytical
(Procedural Care or
Specimen Collection)

Clinical Team

Pretest Interventions Facilitate family presence during diagnostic

Know test terminology. procedures.
Translate into language patient understands. Monitor appropriately.
Assess for test indications, interferences, Prevent and/or treat complications.
contraindications; identify risk-prone patients Report, document, and maintain proper records.
and modify care plan.
Obtain informed consent. Posttest Interventions
Order appropriate tests correctly. Interpret test results; if abnormal, assess
Prepare and educate patient and family. pretest compliance.
Consider ethical and legal aspects. Know and treat critical values.
Support patient and/or family. Monitor for posttest sedation and
Document, report, and maintain proper complications.
records. Follow infection control guidelines.
Provide social support and counsel for
Intratest Interventions unexpected outcomes.
Follow regulatory standards and institutional Order follow-up tests at appropriate intervals
policies. and inform patient.
Perform/assist with procedure. Re-educate patient for future testing.
Collect and transport specimens. Evaluate the effectiveness of managed care
Observe standard/universal precautions. outcomes.
Provide physical support and reassure Summarize diagnostic care.
patient. Document and maintain proper records and
Provide comfort; medicate and sedate as report results to the patient and clinician as
necessary. mandated by government.
Help patient integrate test results into
lifestyle.

FIGURE 1.1. A model for the role of the clinical team in diagnostic care and services. Diagnostic care and
services are performed safely and effectively in all three phases.