Imaging and Radiology Policy Template (Sample)

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Imaging and Radiology Policy Template (Sample)

The purpose of this policy is to provide guidelines and direction for members of the medical staff with the responsibility of requesting x-ray, computed tomography, nuclear medicine, fluoroscopy, ultrasound or magnetic resonance imaging to pediatric patients in an emergency medical setting.

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What care setting do you primarily work in?

EMS or fire-rescue agency

Emergency department

Trauma center

Other clinical setting

I do not work in a clinical setting

Which EMS agency or hospital do you currently work for? (May select up to three)

If your agency or hospital is not listed above, please specify

Please make sure you have searched for your agency or department's full, official name above before adding it.

City/town of your primary ED, EMS agency, or fire department.

State

Form version*

Requested resource

User action*

Uuid*

National Pediatric Readiness Project

The National Pediatric Readiness Project is an initiative of the Health Resources and Services Administration’s (HRSA) Emergency Medical Services for Children (EMSC) Program with support from multidisciplinary organizations. The project empowers emergency departments nationwide to improve their “pediatric readiness” or capability to care for acutely ill and injured children.

The EMSC Innovation and Improvement Center website is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $2.5M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS or the U.S. government. For more information, visit HRSA.gov.