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Patients Full Legal Name No nicknames Example Barbara A Lutz Date of Birth Tests Requested Ordering Providers signature If the signature is not ledgible,

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Presentation on theme: "Patients Full Legal Name No nicknames Example Barbara A Lutz Date of Birth Tests Requested Ordering Providers signature If the signature is not ledgible,"— Presentation transcript:

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2 Patients Full Legal Name No nicknames Example Barbara A Lutz Date of Birth Tests Requested Ordering Providers signature If the signature is not ledgible, please write the providers name also 2

3 Diagnosis Narrative ICD code Please also indicate if any additional copies should be sent to another provider for continued care of the patient eg cc Dr. Hunter Patients Phone Number So departments can schedule if required 3

4 Please fax orders to the following locations Rehab services 530-2040 (Salida) Rehab services 395-6348 (Buena Vista) Laboratory 530-2201 Imaging 530-2203 Cardio/Pulmonary 530-2282 Buena Vista Health Center 395-9064 Specialty Clinic 530-2292 4

5 Special Requirements for Imaging Orders: CT Abdomen DOES NOT cover pelvis If CT Abdomen and Pelvis is needed; the order must state this 3D reconstruction must be requested on the order Consult Radiologist with contrast questions 5

6 Special Order Requirements for Cardio/Pulmonary Orders: Physician History and Physical form must be attached to all sleep study orders Neck circumference must be listed on history and physical form Sleep or non sleep deprived must be listed on EEG orders Hyperventilate or no hyperventilate must be listed on EEG order 6

7 Special Order Requirements for Cardio Pulmonary Orders continued: Echogram orders must be ordered as limited or complete Exercise oximetry can be ordered with Treadmills 7

8 Special Order Requirements for Rehab Services (PT, OT and Speech Therapy): Include patient phone number of the order so rehab services can schedule the patient Include frequency and duration of visits ICD code is helpful. A surgical diagnosis MUST be accompanied by a diagnosis which explains the reason for the surgery and therefore the need for rehab. DO NOT use surgical diagnosis exclusively. 8

9 Special Order Requirements for Rehab Services (PT, OT and Speech Therapy) continued: For complex patients, rehab CAN NOT evaluate and treat a neck, shoulder and hip all in one day. Please choose the most acute/debilitating injury. eg prioritize 1. shoulder 2. neck 3. hip Indicate if patient has a preference for rehab services location eg Salida or Buena Vista 9

10 Special Order Requirements for Lab/ Pathology: Two unique identifiers must be on all specimens collected and sent to HRRMC for testing Last Menstrual Period for Pap Smears Site for Pathology Specimens eg-Left scalp Date and time of specimen collection 10

11 On Line Laboratory Test Catalog http://www.hrrmc.com Services Diagnostic Services Laboratory Test Catalog Work in Progress 11

12 HRRMC Order Expiration by Department 12 DepartmentOrder TypeExpiration Cardio/PulmonaryCardiac and Pulmonary Rehab One year Other Cardio/Pulmonary Orders 90 days LabStanding ordersOne year One time lab orders90 days RadiologyAll orders6 months Rehab ServicesAll orders90 days PharmacyMedication ordersOne year

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