CT

Questions the Central Scheduler May ask when scheduling an exam:

  • WHAT INSURANCE DOES THE PATIENT HAVE AND DOES IT REQUIRE PRE-CERTIFICATION?
  • HAS PATIENT HAD A PREVIOUS CT CHEST? IF NOT THIS CAN NOT BE SCHEDULED.
  • ARE YOU SURE YOU WANT AN ABDOMEN ONLY? THIS EXAM STOPS AT THE TOP OF THE CREST OR BELLY BUTTON.
  • IS THE PHYSICIAN ORDERING ANY ORAL SEDATION FOR THIS EXAM? IF YES, ORDER PROCEDURE “ORAL SED” TO ENSURE A NURSE IS PRESENT DURING THIS EXAM.
  • HAS THE PATIENT HAD A BLOOD TEST IN THE LAST 30 DAYS FOR BUN/CREATININE/GFR LEVELS? IF YES, PLEASE FAX RESULTS TO WITH SCRIPT TO 217 479 5875. IF BUN NOT DONE W/IN 30 DAYS, BUN DOES NOT NEED TO BE ORDERED BY DOCTOR’S OFFICE.
  • IS THE PATIENT ALLERGIC TO IODINE/IVP CONTRAST? IF YES, PLEASE CALL THE IMAGING DEPT. EXT 3371.
  • HAS THE PATIENT HAD A RECENT IMAGING EXAM TO THE AREA OF INTEREST? WAS IT DONE HERE? IF NOT, INSTRUCT PATIENT TO BRING FILMS WITH THEM THE DAY OF THEIR EXAM. HAVE OUTSIDE REPORT FAXED WITH THE SCRIPT TO 479-5875 BEFORE THE DAY OF EXAM.
  • PLEASE HAVE THE PATIENT BRING A CURRENT LIST OF MEDICATIONS THEY ARE TAKING TO INCLUDE NON-PRESCRIPTION AND HERBAL MEDICINES.
  • IS THIS EXAM TO BE PERFORMED ON THE PATIENT’S RIGHT OR LEFT SIDE?
  • DO YOU WANT ORAL CONTRAST GIVEN FOR THIS EXAM? IF YES, INSTRUCT PATIENT TO PICK UP DRINK ANY TIME BEFORE THE EXAM OR ARRIVE TWO HOURS BEFORE THEIR SCHEDULED EXAM.
  • IS PATIENT A DIABETIC? IF YES, AND TAKING ONE OF THE FOLLOWING: GLUMETZA, JANUMET, GLUCOPHAGE,GLUCOPHAGE XR, FORTAMET, FIOMET, ACTOPLUS MET, GLUCOVANCE, METFORMIN, AVANDMENT, OR METAGLIP REMIND PATIENT TO DISCONTINUE MED FOR 48 HOURS POST EXAM.
  • DO YOU WANT IV CONTRAST GIVEN FOR THIS EXAM? IF YES, ANSWER THE FOLLOWING QUESTIONS.
  • HAVE YOU INFORMED THE PATIENT/DOCTOR’S OFFICE THAT A COAG PROFILE SHOULD BE PERFORMED WITHIN 48 HOURS PRIOR TO THIS EXAM?
  • IS THE PRE CONTRAST EXAM A STONE PROTOCOL?
  • HAVE YOU INSTRUCTED THE PATIENT/DOCTOR’S OFFICE TO STOP TAKING ASPIRIN OR BLOODTHINNER 3 DAYS PRIOR TO THIS EXAM?
  • PLEASE INFORM PATIENT THAT THEY MAY BE MONITORED FROM 1 HOUR TO OVERNIGHT DEPENDING ON EXAM OUTCOME.
  • IS THIS A MULTI PHASE LIVER OR KIDNEY CT SCAN? IF YES PLEASE SPECIFY?
  • IS DRAINAGE DIAGNOSTIC OR THERAPEUTIC? IF DIAGNOSTIC LAB ORDERS NEED TO BE WRITTEN ON THE SCRIPT FOR LAB.
  • IS THE CATHETER TO BE REMOVED OR LEFT IN?
  • ARE YOU SURE YOU WANT A PELVIS ONLY? THIS EXAM SCANS ONLY THE PELVIC ANATOMY, NOT THE ABDOMINAL ORGANS.

  • CT ABDOMEN W/CONTRAST

    Instructions:

    • Please arrive 15 minutes prior to appointment time.
    • Please allow up to 30 minutes for this exam.
    • Blood work may be ordered prior to the exam. If possible, this blood work should be done before the day of your CT exam. If you must have blood work the day of your CT you should contact the Imaging Department to determine when you should arrive at the laboratory, call 217-245-9541 ext 3311
    • ORAL CONTRAST – YOU MUST BEGIN DRINKING THE ORAL CONTRAST 1 HOUR BEFORE THE START OF THE EXAM.
    • YOU MAY PICK UP ORAL CONTRAST ANY TIME BEFORE YOUR EXAM OR ARRIVE 1 HOUR BEFORE EXAM TIME.
    • PLEASE BRING A LIST OF ALL YOUR CURRENT MEDICATIONS, INCLUDING OVER THE COUNTER AND HERBALS.
    • IF YOU ARE BREASTFEEDING- YOU WILL NEED TO STOP FOR 24 HOURS AFTER THE EXAM IF IV CONTRAST WAS GIVEN.
    • IF YOU ARE PREGNANT THE TEST CANNOT BE PERFORMED.
    • Please be sure you bring the physician’s order with you on the day of your exam or have your physician fax it to: 217-479-5875

    If you have any questions regarding your test please call the CT dept at 217-245-9541 ext 3311. If you have questions regarding your appointment time or need to reschedule, please call Central Scheduling at 217-479-5696.

    The Central Scheduling Department hours are Monday – Friday 8am – 5:00pm.

  • CT ABD/PELVIS W/CONTRAST

    Instructions:

    • Please arrive 15 minutes prior to appointment time.
    • Allow up to 30 minutes for this exam.
    • Blood work may be ordered prior to the exam. If possible, this blood work should be done before the day of your CT exam. If you must have blood work the day of your CT you should contact the Imaging Department to determine when you should arrive at the laboratory, call 217-245-9541 ext 3311
    • ORAL CONTRAST – YOU MUST BEGIN DRINKING THE ORAL CONTRAST 2 HOURS BEFORE THE START OF YOUR EXAM.
    • YOU SHOULD FINISH THE CONTRAST WITHIN THE FIRST HOUR. YOU MAY PICK UP THE ORAL CONTRAST ANYTIME BEFORE YOUR EXAM AT THE IMAGING DEPARTMENT OR ARRIVE 2 HOURS BEFORE EXAM TIME.
    • PLEASE BRING A LIST OF YOUR CURRENT MEDICATIONS, INCLUDING OVER THE COUNTER AND HERBALS.
    • IF YOU ARE BREASTFEEDING YOU WILL NEED TO STOP FOR 24 HOURS AFTER THE EXAM IF IV CONTRAST IS GIVEN.
    • IF YOU ARE PREGNANT THIS TEST CANNOT BE PERFORMED.
    • Please be sure you bring the physician order with you on the day of your exam or have your physician fax it to: 217-479-5875

    If you have any questions regarding your test please call the CT dept at 217-245-9541 ext 3311. If you have questions regarding your appointment time or need to reschedule, please call Central Scheduling at 217-479-5696.

    The Central Scheduling Department hours are Monday – Friday 8am – 5:00pm.

  • CT (General)

    Instructions:

    • Please arrive 15 minutes prior to appointment time.
    • Allow up to 30 minutes for this exam.
    • You may be given an IV contrast for your exam.
    • PLEASE BRING A LIST OF YOUR CURRENT MEDICATIONS, INCLUDING OVER THE COUNTER AND HERBALS.
    • IF YOU ARE PREGNANT THIS TEST CANNOT BE PERFORMED.
    • IF YOU ARE BREASTFEEDING YOU WILL NEED TO STOP FOR 24 HOURS AFTER THE EXAM IF GIVEN IV CONTRAST.
    • Please be sure you bring the prescription with you on the day of your exam or have your physician fax it to: 217-479-5875

    If you have any questions regarding your test please call the CT dept at 217-245-9541 ext 3311. If you have questions regarding your appointment time or need to reschedule, please call Central Scheduling at 217-479-5696.

    The Central Scheduling Department hours are Monday – Friday 8am – 5:00pm.

  • PRETREATMENT FOR CONTRAST REACTIONS

    If a history of significant contrast allergy premedication with steroids might be prescribed by ordering physician. To ensure consistency in the pretreatment of patients with known risk factors and /or history of contrast reaction, the following guideline may be utilized.

    These treatment regimes must be ordered by a physician.

    Coordinate with CT prior to initiating Prednisone 60 milligrams (by mouth) prior to exam:

    • at 13 hours
    • at 7 hours
    • at 1 hour
    • Benadryl 50 milligrams (by mouth) at 1 hour prior to exam.


    ORAL CONTRAST—

    For scans including the abdomen, give at least 3 (16 oz.) cups of oral contrast prior to the start of the exam. Give the first cup 45 minutes to 1 hour prior to the exam, the second 30 minutes before and the third when the patient is on the CT table, immediately before the exam. Oral contrast material must be present with good distention of the stomach and proximal small bowl loops. If the stomach is not well distended then additional images of the upper abdomen should be obtained with either more oral contrast or a gas producing agent.

    • Suggested recipe for routine oral contrast:

    1 gallon of water with recommended amount of Crystal Light and 120 mL bottle of Gastroview or Gastrografin

    Bariatric patients only have a small capacity stomach. The patient should only drink as much as they can tolerate. If they have had surgery recently, only give 30mL of gastrografin. If the surgery is over 6 months ago you may increase the oral dose as tolerated.

    For CT of the abdomen and pelvis, multiphase liver or multiphase pancreas, use water as the oral contrast agent

DOWNLOAD CT SCAN EXAM PREPARATION PDF

Patricia Huckabay is Employee of the Month

Posted on: July 13, 2017

Passavant Area Hospital’s Employee of the Month is Patricia Huckabay. She is a clerk in the patient registration department and has been employed at Passavant five years. Her nomination from a grateful co-worker read, “Patricia is pleasant and friendly with everyone. She always has a smile. She always goes above and beyond creating a wonderful experience for every patient. She helps wherever needed and does anything without complaint. Patricia often stays when the department is short-staffed and has helped out with all shifts. Recently, she noticed a job that needed to be done. She took the initiative to discover what she could do to help. She followed up on each issue with progress and took time to learn. She also came up with a great idea to add notes to each visit so that everyone could view the work that had been done. Patricia is an asset to Passavant and Patient Registration. We are lucky to have her!” “As a patient registration clerk, I ensure patient insurance and demographic information is up-to-date. I create, update and maintain most outpatient and inpatient visits. In addition, I order laboratory, x-ray and other outpatient tests,” Patricia said. The care and compassion we provide here makes Passavant a fantastic place to work and an even better place to get the care you need,” added Patricia. Patricia resides in Jacksonville with her two children, Kyla and Ava. The Employee of the Month at Passavant receives eight hours off with pay, an Employee of the Month plaque, a close parking space for one month, gift cards for the Cafeteria and Gift Shop, a movie gift card, pen and pencil set, picnic blanket, flashlight/tool kit, Mason jar cup, umbrella, small cooler, lunch sack, drawstring tote, water bottle, notepad, flashlight key ring, coffee mug, and cup.

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