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POAC XR requests when patients have had a COVID swab

In order to avoid sending symptomatic patients to community radiology providers unnecessarily, your co-operation is respectfully requested: please consider very carefully whether a POAC chest X ray is indicated for patients presenting with LRTI.

Acute chest X ray under POAC is not indicated unless it has the potential to avoid same-day hospital presentation or change immediate management.

In accordance with the Auckland Regional HealthPathway for Community Acquired Pneumonia (CAP) in Adults, chest X ray is not usually needed in CAP unless it will change management

If x ray  is necessary, please wait until a negative COVID test result is received prior to sending the patient for imaging, as patients should be self-isolating until results are known

If you believe a patient with LRTIis unwell enough to require chest X ray to guide immediate management, they are likely to require hospital admission. Please discuss with your local General Medicine Specialist


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