EL RIO COMMUNITY HEALTH CENTER
SCOPE:
This policy applies to CLINICAL departments in the following El Rio Health Center, Inc. locations and/or functional areas
(check all that apply):
☒ Family Medicine
☒ Ob/Gyn
☒ Broadway
☒ School Based Clinic
☒ Internal Medicine
☒ Midwives
☐ Dental
☒ Pediatrics
☒ Birth & Women’s
☐ Radiology
☐ Pharmacy
☐ Lab
☒ Same Day Appt Clinic
☒ SIA
POLICY DESCRIPTION:
Breast Cancer Screening Standing Orders
☐ DOS
☐ MOS
PAGE: 1 of 2
REFERENCE NUMBER:
APPROVAL DATE:
REPLACES POLICY DATED:
EFFECTIVE DATE:
RETIRED:
NEXT REVIEW DATE:
APPROVALS:
DATES REVIEWED WITHOUT CHANGE:
AUTHOR:
PURPOSE:
1) To allow MA, LPN, RN staff to order a screening mammogram for appropriate patients according to
protocol.
2) To allow radiology staff to notify patients by mail of normal results and call patients to schedule all
cases that are abnormal and require additional testing.
3) To allow radiology staff to convert exams from screening to diagnostic if the patient voices new
complaints of breast pain/mass that was not previously disclosed to the PCP
1.
2.
Inclusion/Exclusion Criteria To Order Screening Mammogram by MA, LPN or RN staff:
 The patient must be a female established El Rio patient between the ages of 40-74
years of age.
 The patient must not have a history of breast cancer an abnormal mammogram in the
past.
 The patient must not be pregnant.
 The patient must not have a current history of breast complaints ie., mass or nipillary
discharge
 The patient must not have had a mammogram within the last 12 months.
 Use Radiology Order Processing template to order screening mammogram
Radiology Department Notification of Patient Results
 Radiology Staff will notify by mail all patients with normal mammogram results
 Radiology Staff will call all patients with abnormal exams requiring additional views or
testing to schedule the exam PER Radiology policy & procedure.
 Proper documentation within NextGen
EL RIO COMMUNITY HEALTH CENTER
POLICY DESCRIPTION: Breast Cancer
Screening
PAGE: 2 of 2
3.
REFERENCE NUMBER: NUR-022-SOP-SO015
EFFECTIVE DATE: 4/2014
Radiology Department Conversion of screening exam to diagnostic exam
 All patients shall be screened by radiology staff for new onset breast
compliants/concerns such as mass or pain prior to screening mammogram
 If patient voices concern of new breast symptoms at the time of the screening exam,
Radiology Staff can convert the screening exam to the appropriate diagnostic exam
 Proper documentation within NextGen