DI ORDERS

MD writes orders

1

imaging requisition must be filled out with:
  • Patient’s Name
  • patient’s DOB, FIN
  • pt’s history/symptoms/indication
  • pt’s room number
  • pregnancy results if childbearing age
  • MD’s name and signature written clearly

2

Identify on requisition type of XRAY/CT/US area

3

Fax MD order and imaging requisition to XR/CT/US (separate sheets)

4

A preliminary report will be faxed back to unit once ready

5

FOR FURTHER QUESTIONS ASK YOUR MANAGER OR CPM
Most recent creatine level must be included on the req for CT patients with contrast dye

6