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TAUC PF Training > Procedure Ordering Guide > Flashcards

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?

A

125

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
Q

What must be done before launching Lab Interface?

A

Diagnoses must be entered

26
Q

For whom must you override billing before launching lab interface?

A

1) Work comp patients

2) Self-pay patients

27
Q

Which lab tests are not covered by GHP, Mercy, and Coventry?

A

Rapid BV and trichomonas; these labs must be sent to Quest.

28
Q

Which test do you not need to order if a Metlyte CRP panel is ordered?

A

BMP (i-Stat)

29
Q

What is a CMP? What tests does it include?

A

Complete Metabolic Panel; i-Stat and Liver Function Panel

30
Q

What should you double-check with ordering a Td or Tdap shot?

A

Insurance

31
Q

What two things must be done to all EKG’s?

A

1) Labeled with a pt sticker.

2) Scanned into the chart by the front desk staff after the provider signs.

32
Q

What three orders must be placed when ordering an Eye Irrigation?

A

1) R, L, or Bilateral
2) IV tubing
3) Lactated Ringers, 1 L

33
Q

How do you order a FB removal?

A

Document in a procedure note at top; no other orders are necessary.

34
Q

Under what tab do you order tetracaine eye drops?

A

Misc/Other

35
Q

When is the only time you will select “with manipulation” on a Fx order?

A

When the provider manipulates the fx to create better alignment of the bones.

36
Q

Which tab contains all splint and fracture codes?

A

Ortho tab

37
Q

How do you more the Xray reading in Opal into Docutap.

A

Copy and paste it into the notes section

38
Q

Which CT’s are ordered without contrast?

A

1) Head
2) Face/sinuses
3) Spine
4) Abdomen/pelvis (sometimes)

39
Q

Which Ct’s are ordered with IV contrast?

A

1) Neck
2) Chest
3) Angio
4) Abdomen pelvis (sometimes)

40
Q

In what order would you note the following EKG findings in a procedure note: nl axis, nl ST-T, 82 bpm, NSR, nl intervals

A

82 bpm, NSR, nl axis, nl interval, nl ST-T

41
Q

Which CT’s are trauma CT’s?

A

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
Q

Which CT’s are medical CT’s?

A

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
Q

What should you order for Dr. Dinkel when no US is available to rule out DVT?

A

1) CT Angio Chest w/ IV contrast

2) CT Angio Lower extremity w/o IV contrast

44
Q

Which CT’s never need contrast?

A

Head and Face/Sinuses

45
Q

Which CT is used to rule out PE?

A

CT Chest Angio w/ IV Contrast

46
Q

Which CT is used to rule out peritonsillar abscess?

A

CT Neck w/ IV Contrast

47
Q

When might you use a CT Abdomen/Pelvis w/o IV contrast?

A

To rule out a kidney stone

48
Q

When might you order a CT Chest w/o IV contrast?

A

If pt has poor kidney function and can’t handle contrast.

49
Q

What does a pt’s creatinine level need to be at to receive IV contrast? Why?

A

Under 1.5; because iodine is broken down by the kidneys.

50
Q

What is IV contrast ordered as?

A

LOC 300-399MG/ML IODINE, per 1 ML

51
Q

What US should you order to test for cholecystitis?

A

US, Abdomen, Limited, Region = RUQ

52
Q

Where can you find the Quest guide for lab orders?

A

On the TAUC drive under TAUC Quest Quick Guide

TAUC PF Training (5 decks)

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