After hours CT

You've heard me talk about the necessity to call a tech in to do CT's or anything else after hours (after 5 PM or anytime on weekends in the case of CT). Part of the need to "batch" the cases grows from the radiologists have no way to read from home, and there's no contract for off-site "nighthawk" readings. So, the radiologist comes in from home and reads a few then goes home. The most organized of the the radiologists then walks over to the ER with 4 or 5 readings on a single 2x2 post-it note and runs through it with one of the consultants! That's efficiency - 5 readings, one post-it! The others just wander through and mumble a perhaps comprehensible verbal report. Better be sure you're really confident of your own ability to read before you come here.

BTW, there's a limited number of places where you can access the PACS system to look at images. Yesterday I saw the orthopedics system: Aaron, the registrar, has an iPad. He takes it up to the PACS, and takes pictures (must be an iPad 2) of the image on the PACS screen. Then, goes off to clinic or theater where the consultant is - and shows him the pictures on the iPad. Human ingenuity fills in the technology gaps!!!