Scheduling Multiple Exams


Scheduling Multiple Exams


Use this guide to correctly schedule patients with multiple exams on the same day in Merge RIS (not necessary for eRAD scheduling). Follow location-specific preferences and observe proper spacing between exams to ensure accuracy and patient safety.


General Rule (All WR Locations - Except Arlington)

  • Preferred Order When Scheduling Multiple Exams:
    1. General Ultrasound (Sono)
    2. DEXA/Bone Density
    3. Mammogram (Screening or Diagnostic)
    4. Breast Ultrasound
  • This order helps reduce conflicts related to contrast, fasting, and room availability.

Special Rule - Arlington Only

  • Exam Order: Does not matter
  • Scheduling Rule: Exams must be scheduled back-to-back
    • No gaps between exams
    • Do not schedule other patients between them

Barium & Fasting Rules Recap

  • DEXA must not follow a barium exam within 7 days
  • Ultrasound (Abdomen or Pelvis) must be done before a barium exam - not after.

Best Practices

  • Always confirm if contrast, fasting, or prep is involved when booking multiple exams.
  • When in doubt, consult your team lead or radiologist scheduling guide.

Modality-Specific Spacing Rules

Modality
Back-to-Back Allowed?
Gap After This Exam Before Another Modality
Notes
Ultrasound (Sono)With another Ultrasound only1 hourDon't schedule other modalities within 1 hour after ultrasound
DEXA/Bone DensityNo30 minutesDon't schedule other modalities within 30 minutes after DEXA
Screening MammogramNo30 minutesDon't schedule other modalities within 30 minutes after Screening
Diagnostic MammogramNo1.5 hours
MRIWith another MRI only1 hour
  • Don't schedule other modalities within 1 hour after MRI
  • Use caution when combining other modalities
CT (No Barium)With another CT onlyNo gap neededCt exams can be scheduled back-to-back
CT with BariumNoVaries by types
  • Cannot be scheduled within 7 days before a DEXA
  • Do NOT schedule before an Ultrasound of Abdomen and/or Pelvis - Ultrasound must be first



EDITED: 06/16/2025