1. EMR Order including CLINICAL NOTES and CONTACT DETAILS

2. Recent blood tests completed

   • FBE

   • U+E

   • LFT (if needed)

   • coags / INR

3. Obtain written consent from patient and deliver this document to the PAC office

4. Specimen request on EMR (if required - eg fluid analysis, culture, biopsy specimen histology)

5. Obtain approval from campus procedure registrar/consultant (if needed) 

   • Footscray ext56950 

   • Sunshine ext 50809 / 50890

6. Check the department anticoagulation guidelines (see above) and plan accordingly so that procedure can be performed safely

1. EMR Order including CLINICAL NOTES and CONTACT DETAILS

2. ​AD 32 Elective Admissions form ​with all sections completed, including:

• CLINICAL NOTES (incl relevent medical history and medications e.g. anticoagulants)

• CONTACT DETAILS

• SIGNATURES

3. PRE-procedure bloods order on paper pathology slip 

• FBE/UEC/Coags

• LFTs (if applicable)

4. If biopsy / specimen collection: Paper pathology specimen request form e.g. 

Further notes: 

• Check the department anticoagulation guidelines (see right) and plan accordingly so that procedure can be performed safely 

• No need to obtain consent (this will be obtained by the radiology team on the day of procedure)

Timing of booking / time constraints:

• We will do our best to work around your clinical and patient needs. Please be patient with us as we try to accommodate the large volume of important work passing through the department.

• Usual time frames for requests:

  • Urgent / Cat 1: 30 days

  • Semi-urgent: 30-60 days 

• Routine: next available slot 

CT colonography often occurs in the case of an unsuccessful colonoscope

• Order on EMR, include details of

  • C/scope 

  • Relevent medical history e.g. heart failure, surgical history 

• Liaise with PACS nurse re timing and +/- organise bed / admission if needs to stay overnight

  • PACS nurse will provide information to the patient regarding fasting and oral preparation (bowel prep + gastrograffin/barium) 

• Prior to any procedure being performed, the radiologist will explain the procedure to the patient, answer any questions they have and confirm informed consent has been given.

• To ensure we make the most of the limited booking slots available, we require that referring teams obtain written consent and for this document to be delivered to the PAC ofice prior to an inpatient procedure being booked.

• This reduces the chance of a procedure being booked for a patient who does not consent to the treatment being performed, and valuable booking slots being wasted.

• A useful resource for consenting patients can be found here 

​Information sheets on how routine radiology procedures are performed, the benefits and the risks involved.

Fluid drainage:

• Ascitic tap/Paracentesis 

• Pleural tap - Home team please order Chest X-rays for 30 mins and 4 hrs post procedure

• Joint aspirate

• Collection drainage

• Breast aspiration

Vascular Access:

• Peripherally Inserted Central Catheter (PICC)​

Injections:

• Nerve root injections

• Joint injections

Biopsies and Tissue sampling

• Fine Needle Aspirate (FNA)

• Breast biopsy

• Liver biopsy

• Kidney biopsy​

• Lung biopsy

Helpful resource: QLD Health Informed Consent Procedures Page:
https://www.health.qld.gov.au/consent/html/sub_specialties/medical_imaging