A patient with acute pain and swelling presents with an order to perform an air plethysmography. What should the vascular technologist do?

In this scenario, it is crucial for the vascular technologist to recognize that performing air plethysmography on a patient with acute pain and swelling may not be appropriate or safe. Air plethysmography is typically used to assess venous function and may require the patient to assume specific positions that could exacerbate their pain or condition.

The patient's acute symptoms suggest a possible acute venous issue, such as deep vein thrombosis (DVT) or another vascular problem that could require immediate intervention. Instead of proceeding with the test as ordered, contacting the ordering physician is essential to discuss the patient's current symptoms and determine if a more appropriate diagnostic approach is necessary. The physician may need to reassess the situation, potentially ordering imaging studies such as an ultrasound that is better suited to evaluate for conditions like DVT.

By involving the physician, the technologist ensures patient safety and proper evaluation of the patient's condition, reflecting a responsible and thorough approach to patient care. It maintains the principle of not performing tests that may lead to further complications or discomfort for the patient.