Scheduling guidelines.indd

Table of Contents
CaroMont Health Imaging Facilities
CaroMont Imaging Services–Belmont
1212 Spruce St.
Belmont, NC 28012
Ph: 704-829-7779
CaroMont Imaging Services–Summit
620 Summit Crossing Place
Gastonia, NC 28054
Ph: 704-671-7730
Gaston Memorial Hospital (GMH)
2525 Court Drive
Gastonia, NC 28054
Ph: 704-834-2942
The Diagnostic Center (DXC)
655 Cox Rd.
Gastonia, NC 28054
Ph: 704-834-2050
The Women’s Imaging Center–Summit Crossing
(CIS–Women’s Imaging)
620 Summit Crossing Place, Suite 106
Gastonia, NC 28054
Ph: 704-671-7776
Centralized Scheduling Options:
Ph: 704-834-2941,
Fax: 704-671-5459Online scheduling: www.caromontimagingservices.orgPre-Registration: 704-834-2914 General Scheduling Guidelines
Hours of operation for Centralized Scheduling
7:30 am – 5:30 pm, Monday – Friday
704-834-2941, option 2
Information necessary for scheduling procedures:
6. Check medical necessity when applicable (Access by 8. Patient weight except mammography and ultrasound 9. Patient current insurance information NOTE: If authorization is obtained by central scheduling, please send clinical information 10. Patients under 18 years of age must have a parent or legal guardian accompany them, or send written permission for procedures to be done Fluoroscopic Guidelines
Genitourinary
Fluoroscopic procedures include: Barium Swallow (BaS), Upper GI, Small Bowel, and Barium Enema (BaE) Clear liquids only four hours prior to exam Fluoroscopic procedures are performed at GMH, CIS-Summit, CIS-Belmont and The Diagnostic Center Preps vary due to specifi c procedures and age of patient 2. If the patient is taking any type of Metformin, i.e. Glucophage, Glucovance, Avandamet, or Riomet as it Barium Enema:
will have to be suspended after the exam for 48 hours
Patient should pick-up prep sheet instructions and 3. Allergies or previous reaction to contrast prescription for Colyte two days prior to appointment 4. History of myeloma or other paraprotenemia • Patient will be responsible for purchase of Colyte• Exam time varies from 1–1 ½ hours 5. History of renal failure, tumor or transplant 6. If the patient has had a Serum Creatinine within the last Gastrografi n Enema:
Upper GI (UGI), Small Bowel, Barium Swallow:
• 16 years of age or older.
Hysterosalpingogram:
Under 16 years old, scheduling personnel will assist you • UGI or Barium Swallow about 30-45 minutes. Voiding Cystouretherogram (VCUG):
UGI with a Small Bowel follow through may take several • If ordered, renal ultrasound must be done fi rst • All patients will require sedation by the ordering physician• Patients should arrive one hour prior to the scheduled exam time Colonic Motility Study
Ultrasound
• Study takes 7 days and always begins and ends on Procedures performed at all Imaging locations:
• Abdominal• OB/GYN (need to know how many weeks pregnant) Patient Instructions:
1. Patient must come to one of the imaging facilities on a Friday to pick up capsules, register and have Procedures performed at CIS-Summit only:
2. Patient will stay on regular diet during test week 3. Patient should not take laxatives, enemas or 4. Patient will swallow a gel capsule at a specified time on Sunday. X-rays will then be performed on Procedures performed at GMH only:
the following Monday, Wednesday and Friday at • Infant hips or spine• Renal artery• Mesenteric artery • Venous mapping studies• Prostate• TIPS procedure Mammography
Digital Bone Density Study
Screening Mammograms:
Performed at CIS-Summit only 8 am-5 pm, Monday- • Performed at all Imaging locations. (except The • No contrast one week prior to study.
• Medicare patients must be one full year apart • Inform the scheduler if patient has implants Bone density forearm should be ordered for patients over Diagnostic Mammograms:
• Performed only at the Women’s Imaging Center-Summit.
• A written physician order is required
• Provide “clock” position of area of concern
• Inform scheduler if patient has implants
• Indicate if ultrasound is needed
• Exam time is 30 minutes to 1 ½ hours
Diagnostic Breast MRI Imaging Call 704-671-7729 to schedule Breast Biopsies:
•
Performed at the Women’s Imaging Center Summit and GMH Stereotactic Biopsies:
• Performed
Ultrasound Guided Breast Biopsies:
• Performed at the Women’s Imaging Center Summit and
MRI Guided Biopsies
• Performed at CIS–Summit
Digital Mammography
Nuclear Medicine
Thyroid Scan:
Prep:
• Performed at GMH 6:30 am-8 pm Monday-Friday. Off thyroid medication (the type of medication determines • No IV contrast 4-6 weeks prior to scan.
Biliary Kinevac or Billary EF:
• Nothing by mouth for 2 hours prior to test Must have recent ultrasound with report of no gallstones.
• Nothing by mouth 4-hours prior to test (includes gum, Thyroid Uptake and Scan:
• No pain medication 4-hours prior to test Off thyroid medication (type medication determines • No Oxicotin for 24 hours prior to test • No IV contrast 4-6 weeks prior to scan• Nothing by mouth for 2 hours prior to test Bone scan:
• Exam time 15 minutes day one; one hour day two • Patient should bring previous X-rays to appointment.
• Patient will receive injection and return in 3 hours for Cardiac Scan:
All nuclear medicine cardiac procedures, Myoview Patient will have to stay for 1 hour upon returning for or nuclear cardiac stress (Adenosine, Persantine, or Dobutamine) must be scheduled through Cardiopulmonary at GMH (704-834-2161) Gastric Emptying:
• Nothing by mouth after midnight
• No tobacco products after midnight
• Inform scheduler if patient is allergic to eggs
• Exam time 3 to 3.5 hours
Lung Scan (V/Q):
• Must have chest X-ray within 24-hours of scan
• Exam time 45 minutes
Lung Scan quantitative
Lasis Renal
• Performed at all imaging centers, 8:30 am-5 pm, Monday- Performed only at CIS-Summit, 8 am-5 pm, Monday- • Weight limit 450 lbs• Prep will be discussed at time of scheduling.
• Patient should plan on 3 hours for prep and exam • Renal tumor or tumor transplant• History of myeloma or other paraprotenemia• If recent serum creatinine, send results• If • Patient allergies including previous reaction to contrast• Patient CTA:
• Performed at GMH and Belmont
•
Cardiac scans and CT guided biopsies performed at GMH • Exam time 30 minutes to 1 hour• Calcium Scoring Cardiac Scan performed at GMH Special Procedures
Due to the strength of the MRI magnet, it is extremely To schedule at GMH, call centralized scheduling at important for patient safety purposes that we get accurate information before performing an MRI.
• To schedule at CIS-Summit, call 704-671-7747 –Specify the exact area to be scanned.
Inform scheduler if:• Patient is on blood thinner or allergic to contrast Prior to scheduling an MRI, inform the scheduler of the following: Myelograms:
Inform scheduler of any allergies including any reaction • Must know if patient takes Wellbutrin, Phenegran, If the patient has worked around metal (welder, machine shop). The patient must arrive 30 minutes prior to Patient should bring any fi lms from non-CaroMont Health Pacemaker-patients with pacemaker cannot have an MRI Patients must bring any previous fi lms or scans from any non CaroMont Health facilities.
Fistulagram:
If patient requires sedation, referring physician should • Inform scheduler where the shunt is located • Inform scheduler of any allergies including any feaction to -Belmont (Open MRI), GMH, CaroMont Imaging PICC Line:
• No
Perm Cath Placement:
• Patient should bring driver
• Placement takes about 30 minutes
Perm Cath Exchange or Removal:
Discogram:
Inform scheduler of the following:
•
If patient takes blood thinning medication (aspirin or coumadin) Patient should bring any fi lms from any non CaroMont Health facilities Angiography:
• GMH
Patient will be given an appointment for a pre-op visit prior to procedure Nephrostomy:
• GMH
Vertebroplasty:
• GMH
Venous Closure:
• Evaluations and procedures performed at CIS-Summit
• To
The venous evaluation takes approximately one hour including discussion of results The venous closure (radio frequency ablation) procedure takes 3-4 hours • Patient must bring driver for closure procedure

Source: http://www.gastonradiology.com/Oldsite_Backup/documents/Scheduling_Guidelines.pdf