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| BREAST IMAGING CLINIC | |||||||||||||||
| Current as of: 23 May 2012 | |||||||||||||||
| Clinic Location: | Evans Hospital. 1st floor on the east end. | ||||||||||||||
| 1650 Cochrane Circle. Bldg# 7500. Ft Carson, CO 80913. | |||||||||||||||
| Hours of Operation: Mon - Sat 0715-1600 | |||||||||||||||
| Walk-in: | No | ||||||||||||||
| Consult | No | ||||||||||||||
| Required: | |||||||||||||||
| Self-Referral | Yes (must create a Referral) | ||||||||||||||
| Clinic: | |||||||||||||||
| Beneficiary | Prime. Ages 40 and over ONLY. | ||||||||||||||
| Types: | |||||||||||||||
| Appt Types: | Detail Codes: | Duration: | Comments / Instructions: | ||||||||||||
| WELL | Screening Mammograms ONLY | ||||||||||||||
| Appts can be booked as far out as the clinic's schedule goes (beyond ATC standards). | |||||||||||||||
| BE SURE to extend the dates out and offer the patient the next avail appt. | |||||||||||||||
| Special Instructions for Patients: | |||||||||||||||
| TO BE READ VERBATIM TO THE PATIENT | |||||||||||||||
| ► DO NOT use any powders, creams, lotions or deodorant on your breasts or under your arms on the day of your exam. | |||||||||||||||
| ► If prior mammograms were done at another local facility, bring those films with you to your appointment. | |||||||||||||||
| ► If films were done out of state please go to the Correspondence Office, located in the hospital near Patient Administration on the | |||||||||||||||
| East side, to have them sent for. Bring your receipt from the Correspondence Office with you to your appointment. | |||||||||||||||
| ► YOUR EXAM MAY BE RESCHEDULED IF YOU DO NOT BRING ANY PRIOR MAMMOGRAMS OR YOUR RECEIPT | |||||||||||||||
| WITH YOU TO YOUR APPOINTMENT. | |||||||||||||||
| Special Instructions for CLERKS: | |||||||||||||||
| ► Build a Referral when booking an appointment. | |||||||||||||||
| ► Book a minimum of 3 business days out. Clinic needs time to prepare for the appointment. | |||||||||||||||
| ► Screening Mammograms: | |||||||||||||||
| 1. Booked annually, DO NOT book mammograms ANY EARLIER than the one year mark. | |||||||||||||||
| Book appropriately to ensure one year between screenings. | |||||||||||||||
| 2. Ask patient month of last screening and book out one month if unsure of date. | |||||||||||||||
| 3. Schedule out the appointment 14 days if the patient needs to get past films locally or 21 days out if patient needs to get past | |||||||||||||||
| film from out of town. | |||||||||||||||
| For "Screening Mammogram", ask the patient if they have any of the following conditions: (steps 1 - 5) | |||||||||||||||
| 1. New Lump | |||||||||||||||
| 2. Nipple discharge | |||||||||||||||
| 3. Breast changes such as retraction or bulging of the skin or nipple. | |||||||||||||||
| 4. Nursing or pregnant | |||||||||||||||
| If YES to ANY questions above, the patient must be scheduled to see their PCM before an appointment can be scheduled. | |||||||||||||||
| ► Ask to book the PCM appointment. | |||||||||||||||
| ► Ask if the patient can stand for 30 minutes. If not, combine two appt slots. | |||||||||||||||
| 5. Breast implants | |||||||||||||||
| If YES, transfer to the Radiology front desk for booking: 215# | |||||||||||||||
| ► Ask to book PAP along with the Screening Mammo. | |||||||||||||||
| (Purpose is for ONE DAY COMPLETE PREVENTIVE SCREENING) | |||||||||||||||
| If the patient agrees: | |||||||||||||||
| ► Book PAP appointment at earlier time than screening mammogram. | |||||||||||||||
| ► Please allow a minimum of 90 minutes (1.5 hrs) between the PAP and the Mammogram appointment when booking on | |||||||||||||||
| the same day. | |||||||||||||||
| ► Annotate “PAP and MAMMO Scheduled” on the PAP booking. | |||||||||||||||
| Special Instructions for Lack of Availability: | |||||||||||||||
| ► If there are no appointments available, transfer the patient to clinic for assistance: 215# | |||||||||||||||