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--- proc:ct_vetting [2024/07/11 10:51] – [Source] a.wijnberg
+++ proc:ct_vetting [2024/09/22 20:30] (current) – [Exeter] a.wijnberg
@@ Line 1: / Line 1: @@
 ====== CT Vetting ======
+Practice varies a lot between sites, but in general the minutia doesn't matter too much - for Today and Plymouth use the vetting module in CRIS, and for all other sites set as "request received", leave an event comment, and contact the radiographer. Detailed guides below:
 ==== Plymouth ====
@@ Line 7: / Line 8: @@
 **To accept:**
-  * From the Event Info tab sure the examination code is correct, set the urgency code as 1 - routine, 3 - urgent, 5 - immediate, tick the "justify" box, then click on Vet. Any bespoke instructions go in the event comments but aren't mandatory.
+  * From the Event Info tab sure the examination code is correct, set the urgency code as 1 - routine, 3 - urgent, 5 - immediate, tick the "justify" check box, then click on Vet. Any bespoke instructions go in the event comments but aren't mandatory.
-  * On the Vetting page choose the relevant protocol and modify if needed, then click complete. Patients with low eGFRs with need contrast specifically prescribed
+  * On the Vetting page choose the relevant protocol and modify if needed, then click "complete".
-  * Not mandatory to contact team, they will just pick it up
+  * Patients with low eGFRs with need contrast specifically prescribed in the protocol.
+  * It is not mandatory to contact the radiographer team, they will generally just pick it up.
 **To reject:**
-  * Reject with justification from Event Info tab - Reject > Cancel Event leave a comment then select a "hospital cancel" option.
+  * Reject through CRIS event info page - Reject > Cancel Event leave a comment then select a "hospital cancel" option.
+----
+=== Notes ===
+Derriford policy is that overnight all referrals from SAU are to be accepted regardless of urgency and not deferred to the morning, however the PROC team only needs to report the clinically urgent scans - i.e. those with an urgency code of "3" or "5". Low priority "1" scans are to be sent to Medica. This does not apply to MAU scans as it stands.
 ++++
 ==== Truro ====
@@ Line 20: / Line 28: @@
   * Message the CT radiographer on MSteams or give them a call on ext. 5196.
 **To reject:**
-  * On CRIS from the Event Details tab go to Request - set as "rejected" and leave a comment in the box giving rational
+  * On CRIS from the Event Details tab go to Request - set as "unjustified" and leave a comment in the box giving rational. Don't use "rejected"
-Urgency coding is not terribly important for Truro scans - as long as you have contacted the radiographers the scan will happen.
+**Urgency coding in Truro:**
+  * 1 - Routine (scanned in chronological order as capacity allows)
+  * 3 - Today
+  * 5 - Urgent - ASAP - To maintain flow in ED this is applied to most ED patients
+  * 6 - Stroke and Trauma scans - should come pre-assigned
+  * 8 - Awaiting clinical information
+  * 9 - Awaiting radiologist vetting
 ++++
 ==== Exeter ====
@@ Line 28: / Line 42: @@
 **To accept:**
   * Leave a comment in the event comment stating the scan protocol & urgency -/+ any relevant details. This is the official vetting step.
-  * On CRIS from the Event Details tab make sure the examination code is correct set the urgency code as 2 for all overnight scans, then go to Request - set as "request received"
+  * On CRIS from the Event Details tab make sure the examination code is correct and set the urgency code as 2 for all overnight scans, then go to Request - set as "request received"
   * Give the radiographer a call, or message them on teams if possible.
 **To reject:**
   * On CRIS from the Event Details tab go to Request - set as "rejected" and leave a comment in the box giving rational
+**Urgency Coding:**
+Exeter uses urgency coding slightly differently to the rest of the region but all you need to know for PROC is -
+  * 2 = Overnight
+  * 3 = Tomorrow
 ++++
 ==== Torbay ====
@@ Line 40: / Line 60: @@
 **To accept:**
   * Navigate to the relevant event on CRIS, click the "justified" check box, add a protocol in the protocol window, and click "completed".
-  * Message the CT radiographer through the "Torbay CT" MSteams chat
+  * Leave an event comment stating the urgency of the scan and any comments needed.
-  * If you have any special comments you can put them in the "event comments" window.
+  * Instruct the referrer to contact the on-call radiographer on 55641 - It isn't essential to message the radiographer yourself.
-  * Set the appropriate urgency coding
 **To reject:**
   * Click the rejected button in CRIS. You will want to leave a comment.
-Urgency coding isn't essential in Torbay so long as you have communicated appropriately with the radiographer on, but codes can be used as follows:
+Urgency coding isn't essential in Torbay so long as you have left an event comment, but codes can be used as follows:
   * 1 = Routine GP and Outpatient
   * 3 = Standard ED and Wards
@@ Line 54: / Line 73: @@
   * 7 = Urgent/2WW
-[[https://nhs.sharepoint.com/:b:/r/sites/msteams_e1797f/Shared%20Documents/General/PROCuments/Torbay/CRIS%20vetting%20module%20guide.pdf?csf=1&web=1&e=60Zc8A|Torbay CRIS CT Vetting Guidance]]
+[[https://nhs.sharepoint.com/:b:/r/sites/msteams_e1797f/Shared%20Documents/General/PROCuments/Torbay/CRIS%20vetting%20module%20guide.pdf?csf=1&web=1&e=60Zc8A|Torbay CRIS CT Vetting Guidance]] - guidance has changed since this was created.
 ++++
 ==== Barnstaple ====
 ++++|
-Vetting in Barnstaple is a bit variable, quite a few scans will just get directly accepted by the radiographer, and quite often there isn't anything on CRI when called. As long as the radiographer knows the scan should happen.
+Vetting in Barnstaple is a bit variable, quite a few scans will just get directly accepted by the radiographer, and quite often there isn't anything on CRIS when called. As long as the radiographer knows the scan should happen.
 **To accept:**
   * Leave a comment in the event comment stating the scan protocol & urgency -/+ any relevant details.
   * On CRIS from the Event Details tab make sure the examination code is correct, then go to Request - set as "request received"
-  * Contact the radiographer - generally through switch
+  * Contact the radiographer - generally through switch or MSteams
 ++++
 ==== General Points ====
 Other important details to give in the event comments include and communicate to team:
@@ Line 77: / Line 95: @@
 ==== Sources ====
-[[https://nhs.sharepoint.com/:w:/r/sites/msteams_e1797f/Shared%20Documents/General/PROCuments/General/Justification%20of%20Requests%202020.docx?d=wd8df711804d4437da157356e470b320a&csf=1&web=1&e=6Hhoe6|Relevant PROCument]] - this document, while still apparently in official circulation is very out of date. Generally more relevant and up-to-date sources can be found in relevant regional sections.
+[[https://nhs.sharepoint.com/:b:/r/sites/msteams_e1797f/Shared%20Documents/General/PROCuments/Torbay/CRIS%20vetting%20module%20guide.pdf?csf=1&web=1&e=60Zc8A|Torbay CRIS CT Vetting Guidance]] - up to date Torbay guidance as of 07/24.
+[[https://nhs.sharepoint.com/:w:/r/sites/msteams_e1797f/Shared%20Documents/General/PROCuments/General/Justification%20of%20Requests%202020.docx?d=wd8df711804d4437da157356e470b320a&csf=1&web=1&e=6Hhoe6|Relevant PROCument]] - this document, while still apparently in official circulation is very out of date.
+[[https://nhs.sharepoint.com/:w:/r/sites/msteams_e1797f/Shared%20Documents/General/PROC%20Mega-Guide%20-%202023%20Copy.docx?d=w5fd39d77f7e545dc976da029dbff8000&csf=1&web=1&e=ZLKTUC|PROC Mega-Guide]] - contains useful information, but can be variable in accuracy.