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MRI

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This referral does not require charity care.

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.

Answers to the following questions should be entered in notes section of the MRI order on EPIC:

Does the patient have metal or a pacemaker?Does the patient have liver or kidney disease?Is the patient allergic to contrast?

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

The patient is 65 years or older OR has diabetes, renal disease, liver disease, or other significant medical conditions

Order a BMP to check for kidney function. An active BMP within 6 weeks of MRI 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 MRI scan will require IV gadolinium contrast

The patient may not be eligible for MRITo ensure proper protocol, call Radiology directly

The patient has an ALLERGY to IV GADOLINIUM 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

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 scans require additional tests).Double check that referral is ordered and signed by attending

Include in the email to referrals whether or not the patient has:

Metal or pacemakerLiver or kidney diseaseAllergy to contrast

If imaging is ordered with contrast, please make sure a BMP (<6 weeks) is on file.

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

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

Cost to EHHOP Patient: None; EHHOP covers all radiology visits

Wait time

It takes about 1-3 weeks to schedule an MRI.

Location and Contact Information

Radiology Associates, 1176 5th Ave MC level, Annenberg. (212) 241-8333

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

Pre-scan requirements

Radiology Associates will need to know the following information:

Whether the patient has liver or kidney disease.
A BMP within six weeks of the scan must be on file at the time of scan
Does the patient have any metal in their body (e.g. pacemaker)?
Is the patient allergic to contrast?