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Procedure Ordering Guide Flashcards

1
Q

Why do you not need to order a BMP panel if a MetLyte CRP panel is ordered?

A

The Metlyte plus includes a BMP panel.

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2
Q

What tests should you order if the provider requests a CMP (Complete Metabolic Panel)?

A

An iStat Basic Met Panel and a Liver Function Panel

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3
Q

Which test also contains everything included in the Liver Function Panel and some tests included within the BMP?

A

The Uric Acid Panel (Chem-13)

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4
Q

For what ages of women will many providers want a UPT for before prescribing some medicines?

A

14-59

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5
Q

Which insurance companies do not cover rapid BV or trichomonas testing? What must be done with these labs if a patient has one of these insurers?

A

GHP, Coventry, and Mercy; the lab must be sent out to Quest.

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6
Q

Which insurance companies will not cover Tdap or Td given by TAUC?

A

GHP, Coventry, and Mercy

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7
Q

Which drug screens are always send-outs?

A

DOT drug screens

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8
Q

If a patient has an IV, what order must always be added when they are ready for discharge?

A

“Vitals and IV D/C”

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9
Q

What do you order if a patient will likely have a CT but does not require IV fluids?

A

“Saline Lock Only”

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10
Q

Which insurance company supports the Td shot (not Tdap)?

A

Medicare

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11
Q

Which insurance companies support the Tdap?

A

All except Medicare (Mercy, Coventry, and GHP will not pay for either.)

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12
Q

What are two ways that EKG’s can be documented?

A

1) Procedure note

2) Free-text

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13
Q

What 5 pertinent findings on an EKG does a free-text note require (in the correct order?

A

1) Rate
2) Rhythm
3) Axis
4) Intervals
5) ST-T findings

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14
Q

What three orders must be selected when ordering an eye irrigation?

A

1) Single eye or bilateral
2) IV tubing
3) Lactated Ringers

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15
Q

When working with an APP, what should you ensure happens before a tech applies a splint to a fracture?

A

That the doctor evaluates first.

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16
Q

What step prevents the need for further coding for a physical?

A

Using the preloaded physical codes

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17
Q

In what two places must X-Ray readings be entered (and match exactly)?

A

1) In Opal

2) Under the notes section for each X-Ray on the X-Ray Tab in Docutap

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18
Q

What should you type in the notes bar when you order a CT or an US? Why?

A

“See scan.” Because the CT report and US report is scanned into the chart separately.

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19
Q

What is required for all females ages 14-59 before a CT?

A

A negative pregnancy test.

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20
Q

What is checked for all patients before they receive IV contrast?

A

Creatinine level (in the iStat BMP)

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21
Q

What is the multiplier use when ordering IV contrast?

22
Q

What steps should you take when sending a patient from a non-CT or non-US site to another site for a CT or ultrasound?

A

1) Let the receiving TL know the exact labs and/or imaging studies the patient needs.
2) Tell the CT/US tech or leave a message.
3) Send an IM in DocuTAP to the TL and CT or US tech with the patient info and test needed.

23
Q

What should you do when scheduling a patient to come in on a different day for an US?

A

Send an IM in DocuTAP with a brief summary of pt symptoms, reason for US, and date/time they will return to the US tech, doctor, and TL working the day the pt is scheduled to return.

24
Q

What is the radiology website? What is the username and password?

A

AVR Teleris

Username: tauc2
Password: xray 66

25
What must be done before launching Lab Interface?
Diagnoses must be entered
26
For whom must you override billing before launching lab interface?
1) Work comp patients | 2) Self-pay patients
27
Which lab tests are not covered by GHP, Mercy, and Coventry?
Rapid BV and trichomonas; these labs must be sent to Quest.
28
Which test do you not need to order if a Metlyte CRP panel is ordered?
BMP (i-Stat)
29
What is a CMP? What tests does it include?
Complete Metabolic Panel; i-Stat and Liver Function Panel
30
What should you double-check with ordering a Td or Tdap shot?
Insurance
31
What two things must be done to all EKG's?
1) Labeled with a pt sticker. | 2) Scanned into the chart by the front desk staff after the provider signs.
32
What three orders must be placed when ordering an Eye Irrigation?
1) R, L, or Bilateral 2) IV tubing 3) Lactated Ringers, 1 L
33
How do you order a FB removal?
Document in a procedure note at top; no other orders are necessary.
34
Under what tab do you order tetracaine eye drops?
Misc/Other
35
When is the only time you will select "with manipulation" on a Fx order?
When the provider manipulates the fx to create better alignment of the bones.
36
Which tab contains all splint and fracture codes?
Ortho tab
37
How do you more the Xray reading in Opal into Docutap.
Copy and paste it into the notes section
38
Which CT's are ordered without contrast?
1) Head 2) Face/sinuses 3) Spine 4) Abdomen/pelvis (sometimes)
39
Which Ct's are ordered with IV contrast?
1) Neck 2) Chest 3) Angio 4) Abdomen pelvis (sometimes)
40
In what order would you note the following EKG findings in a procedure note: nl axis, nl ST-T, 82 bpm, NSR, nl intervals
82 bpm, NSR, nl axis, nl interval, nl ST-T
41
Which CT's are trauma CT's?
1) CT head w/o IV Contrast 2) CT Facial/Sinues complete w/o IV Contrast 3) CT C-Spine w/o IV contrast 4) CT Chest (thorax) w/ IV contrast 5) CT Abdomen/Pelvis w/ IV Contrast
42
Which CT's are medical CT's?
1) CT head w/o IV Contrast 2) CT Neck w/ IV contrast 3) CT Angio Chest (thorax) w/ IV contrast 4) CT Abdomen/Pelvis w/ IV Contrast 5) CT Abdomen/Pelvis w/o IV Contrast
43
What should you order for Dr. Dinkel when no US is available to rule out DVT?
1) CT Angio Chest w/ IV contrast | 2) CT Angio Lower extremity w/o IV contrast
44
Which CT's never need contrast?
Head and Face/Sinuses
45
Which CT is used to rule out PE?
CT Chest Angio w/ IV Contrast
46
Which CT is used to rule out peritonsillar abscess?
CT Neck w/ IV Contrast
47
When might you use a CT Abdomen/Pelvis w/o IV contrast?
To rule out a kidney stone
48
When might you order a CT Chest w/o IV contrast?
If pt has poor kidney function and can't handle contrast.
49
What does a pt's creatinine level need to be at to receive IV contrast? Why?
Under 1.5; because iodine is broken down by the kidneys.
50
What is IV contrast ordered as?
LOC 300-399MG/ML IODINE, per 1 ML
51
What US should you order to test for cholecystitis?
US, Abdomen, Limited, Region = RUQ
52
Where can you find the Quest guide for lab orders?
On the TAUC drive under TAUC Quest Quick Guide

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