CAPOE Guide for Cat Scan Orders All orders placed for EMERGENCY DEPT patients are to be entered

as STAT to ensure proper notification of order. CREATININE LEVEL is REQUIRED on all patients 65 yrs and older receiving IV Contrast. A brief description of signs/symptoms and/or clinical indication for study should be documented in comment section.
Diagnosis or Rule Out R/O Aortic Dissection AAA Abdominal Mass Abdominal Pain Abdominal Distention Appendicitis Diverticulitis Pancreatitis Staging Neoplasm Hematuria Possible Renal CA Renal/Ureteral Calculus R/O Retroperitoneal Bleed Adenopathy Evaluate new lung nodule Thoracic Neoplasm Detection or Staging What to Order CT Chest with & without contrast CT Abdomen with & without contrast CT Abdomen with contrast CT Pelvis with contrast IV Contrast Yes Yes - Unless contraindicated Oral Contrast No Yes- Unless contraindicated IV Access Yes 20 gauge or larger Yes 22 gauge or larger

CT Abdomen with & without contrast CT Pelvis with contrast CT Abdomen without contrast CT Pelvis without contrast CT Abdomen without contrast CT Pelvis without contrast CT Chest with contrast

Yes No No Yes Unless contraindicated

Yes - Unless contraindicated No No No

Yes 22 gauge or larger No No Yes 22gauge or larger

Pulmonary Embolism

CT Chest with contrast

Yes Cannot do exam if a contraindication to contrast exists

No

Yes 20 gauge or larger; direct access is required. Cannot use PICC or Port for this exam

CAPOE Guide for Cat Scan Orders All orders placed for EMERGENCY DEPT patients are to be entered as STAT to ensure proper notification of order. CREATININE LEVEL is REQUIRED on all patients 65 yrs and older receiving IV Contrast. A brief description of signs/symptoms and/or clinical indication for study should be documented in comment section.
Diagnosis or Rule Out Asbestosis Interstitial Lung Disease Pneumothorax F/U of known lung nodule Adrenals Trauma to Thorax and/or Trunk What to Order CT Chest without contrast IV Contrast No Oral Contrast No IV Access No

CT Abdomen without contrast CT Chest with contrast and/or CT Abdomen with contrast CT Pelvis with contrast CT Neck with contrast

No Yes

No Preferred but not required

No Yes 20 gauge or larger

Epiglotitis Neck mass/swelling Parotid stone Vocal Cord Paralysis

Yes - Unless contraindicated

No

Yes 22 gauge or larger

CT Chest with contrast CT Neck with contrast

Yes Unless contraindicated

No

Yes 22 gauge or larger

Extremity for Fracture

CT specific to area of interest: i.e.: Rt upper Lt upper Rt lower Lt lower All without contrast

No

No

No

CAPOE Guide for Cat Scan Orders All orders placed for EMERGENCY DEPT patients are to be entered as STAT to ensure proper notification of order. CREATININE LEVEL is REQUIRED on all patients 65 yrs and older receiving IV Contrast. A brief description of signs/symptoms and/or clinical indication for study should be documented in comment section.
Diagnosis or Rule Out Hip or Pelvic fracture Alzheimers Ataxia CVA Dementia Hydrocephalus Stroke Syncope Trauma (Head) Weakness Abscess (Brain) AIDS AVM Leukemia Lymphoma Mets Staging Primary CA w/Mets New Onset Seizures Pituitary tumor Sinusitis Orbit Trauma What to Order CT Pelvis without contrast CT Head without contrast IV Contrast No No Oral Contrast No No IV Access No No

CT Head with & without contrast

Yes

No

Yes 22 gauge or larger

CT Maxillofacial without contrast CT Orbit without contrast

No No

No No

No No

CAPOE Guide for Cat Scan Orders All orders placed for EMERGENCY DEPT patients are to be entered as STAT to ensure proper notification of order. CREATININE LEVEL is REQUIRED on all patients 65 yrs and older receiving IV Contrast. A brief description of signs/symptoms and/or clinical indication for study should be documented in comment section.
Diagnosis or Rule Out Orbit Cellulitis What to Order CT Orbit with & without contrast IV Contrast Yes Oral Contrast No IV Access Yes 22gauge or larger Yes 22 gauge or larger No

Facial Cellulitis

CT Maxillofacial with & without contrast

Yes

No

Spine Fracture / Stenosis

CT specific to area of interest: Levels to be scanned must be indicated C Spine T Spine L Spine All without contrast

No

No