Visit Checklist: 3T Study¶
What this page tells you
Checklist for a 3T research scan: book CAMRIS under protocol 819126, pend the PennChart order for Kate, add to trackers, create the REDCap RID; bring ICF, W-9, demographic form, and C-2; tell techs to upload to Flywheel with protocol V5; afterward complete REDCap and reimburse.
Scheduling (done in advance): 3T Research Scans (3T Research Scans: Scheduling & Billing)
- CAMRIS slot reserved on HUP6 FNDBAMR2 under protocol 819126
- PennChart order pended and sent to Kate for signature
- Order linked to research study (Research Exam diagnosis associated)
- Radiology emailed to schedule once order is signed
- Scan added to SCHEDULE TRACKERS (Scan Scheduling Trackers (sEEG, 3T/fMRI, 7T))
- Scan added to CNT Imaging Google Calendar
- Order # entered into CAMRIS
- Patient reminder sent: 48-hour email + 24-hour call (Gabby)
- REDCap profile created for participant (so they have an research ID - RID)
- Flywheel handle ready: sub-RIDXXXX@davis:presurgicalEpilepsy
Forms to bring day-of:
- 3T Informed Consent Form (ICF, most recent version, 2 copies)
-
W-9 Form
-
Demographic Form
-
C-2 Human Subject Voucher
Day-of reminders:
- Tell techs to upload to Flywheel using protocol V5
- Tell techs to push BOTH fMRI and 3T scans to Flywheel
- Check in and out of CAMRIS while at the scanner for billing purposes
- Note date of last seizure (flag if seizure in past 24 hours)
- Confirm patient fills out: ICF, W9, C2, demographic form
- Confirm every required signature and date field is fully completed by patient/guardian and study team. Consent Signing Checklist (Consent Signing Checklist)
After the scan:
- Fill out https://redcap.med.upenn.edu/redcap_v17.2.3/index.php?pid=23568
- All Consent Notes (Consent Note Templates)
- Surgical outcomes REDCap Project (Surgical Outcomes REDCap Project)
- Reimburse participant Reimbursing a Participant (Reimbursing a Participant)
- Fill out as much presurgical info as available
- Contact Dr. Joel Stein for any controls Control Research Scans (Control Scan Neuroradiologist Check)