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CT Vetting
Plymouth
Vetting done though the vetting module in CRIS
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.
- On the Vetting page choose the relevant protocol and modify if needed, then click complete. Patients with low eGFRs with need contrast specifically prescribed
- Not mandatory to contact team, they will 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.
Truro
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, then go to Request - set as “request received”.
- 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
Urgency coding is not terribly important for Truro scans - as long as you have contacted the radiographers the scan will happen.
Exeter
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”
- 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
Torbay
Torbay now uses the CRIS vetting module
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
- If you have any special comments you can put them in the “event comments” window.
- 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:
- 1 = Routine GP and Outpatient
- 3 = Standard ED and Wards
- 5 = Urgent
- 6 = Research
- 7 = Urgent/2WW
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.
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
General Points
Other important details to give in the event comments include and communicate to team:
- If the patient is pregnant
- If the patient is confused or agitated
- If the patient has a reduced GCS or intubated
- If there are any major mobility issues