Xray Exams - Pregnancy Screening
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Xray Exam on Female patient
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Age 0-9
or
>56 yrs old
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Age 10-55?
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Shield patient,
perform XR
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Any Chance
of Pregnancy
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NO
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Why not?
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IUD/Birth control, ablation,
Hysterectomy,
absent uterus,
Not sexually
active
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YES
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When was
LMP?
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Shield
patient, perform XR
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<28d ago
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>28d ago
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Shield patient and perform XR
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Is XRay of extremity, head or neck?
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NO
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Is XRay of Pelvis, Spine, Chest, or hips?
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YES
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Get urine pregnancy Test
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If HCG (+)
notify physician. Is exam medically necessary?
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YES
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YES
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Shield patient, perform XR
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If HCG (-)
Shield patient, perform XR
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Shield patient, perform XR, Note on film that provider approved exam.
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Radiology Scanning
