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CT Imaging

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For patients with contrast allergies: Premedication_Instructions

Senior Clinician

Review the special conditions BELOW that may apply your patient.Place an order in Epic.Before clinic ends, communicate the necessity and urgency of the referral to the TS.

BEFORE ordering this imaging test, review the following conditions and follow the special instructions:

The patient is 65 years or older OR has DIABETES, KIDNEY disease, LIVER disease, or other significant medical conditions

Order a BMP to check for kidney function. An active BMP within 6 weeks of CT scan is required.Patients under the age of 65 without significant medical conditions do not need a BMP.

The patient has chronic kidney disease and the CT scan will require IV CONTRAST

Orders for IV hydration (type of fluid, rate, total dose pre and post procedure) must be placed by the ordering physician and should be included in the "comments" field of the EPIC order.To ensure proper protocol, it is recommended that an email be sent to Dr. Eric Wilck with the pateint's name and MRN to inform him that the patient has been referred for a CT scan with IV contrast and will require IVF peri-procedure.

The patient has an ALLERGY to IV contrast (MUST review "Allergies" tab before placing order!)

The patient must be pre-medicated according to Radiology protocolsOrder the appropriate medications and counsel patient on proper administration prior to scan (refer to Premedication Instructions below)

Premedication_Instructions

The patient is a FEMALE of reproductive age

If patients say they are NOT pregnant, then there is NO urine pregnancy test required.If patients are unsure or may be pregnant, they must be sent to E-level clinic for a urine POCT pregnancy test. The test can be done just before the CT exam.Otherwise, a urine pregnancy test within 3 days is needed for these patients.

Teaching Senior

MUST review the guidelines in the "Senior Clinician" tab regarding special instructions for certain types of patients, and make sure all appropriate orders have been placed (some types of CT scans require additional tests).Verify there is an active order in Epic.Add the referral to the ACT Referrals Spreadsheet, "Referrals Request" tab and include the patient's availability for scheduling (day/time).

ACT Referrals Spreadsheet.

Access to Care Team

Ask Senior Clinician if special conditions have been addressed (See "Senior Clinician" tab)Get patient's availability and add to their ACT Problem List in Epic.

For questions, please reach out to the ACT Referrals Chair (see EHHOP Roster).

Cost

CT scans are covered by EHHOP.

Wait time

One week

Location and Contact Information

Radiology Associates
1176 5th Avenue, Annenberg Building, MC level (the basement of Annenberg)
Monday - Friday: 8:30 am - 3:30 pm

For questions, please reach out to the ACT Referrals Chair (see EHHOP Roster).