Safety & ProfessionalismQuestion 99 of 100

An outpatient's routine 12-lead shows a run of ventricular tachycardia, but the patient feels fine and asks to leave. What should the technician do?

a.Keep the patient in the department and notify the physician or nurse immediately about the critical finding
b.Give the patient the tracing and let him take it to his next appointment
c.Repeat the tracing until a normal one is obtained, then release the patient
d.Reassure the patient and let him leave, filing the tracing for review later

Explanation

A critical finding such as ventricular tachycardia is reported to the provider immediately and the patient is kept under observation, because a symptom-free patient can deteriorate without warning. Filing the tracing for later review delays urgent care. Repeating the study until it looks normal conceals a real finding, and handing the tracing to the patient shifts a clinical responsibility onto him.

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