If a suboptimal image results from patient movement and you cannot immobilize the patient for another attempt, what is the recommended course of action?

• A. Accept and use the poor image.
• B. Delay the exam.
• C. Re-instruct, rearrange, use distraction, and reattempt; document.
• D. Never attempt again.

Answer: (C)

Movement blurs degrade diagnostic value, so when a suboptimal image results from motion and you can’t immobilize the patient for another attempt, the next step is to address controllable factors and try again. Start by re-instructing the patient with clear, concise guidance on staying still and, if appropriate, timing the breath to minimize motion. Reposition or rearrange to improve stability, using supportive aids or gentle restraint where allowed to help the patient remain steady. Use distraction techniques to reduce voluntary movement—talk to them, count, or provide a simple focus to keep them calm. Then perform a reattempt with careful technique and the shortest practical exposure time to limit further motion.

Documentation is essential: note the reasons for the repeat, the measures taken to reduce motion, the result of the reattempt, and any dose considerations. If movement persists and the exam cannot be completed within safety and quality standards, consider alternative imaging approaches or postponement only if clinically appropriate.