1. Upload from disc to Life Image

2. Insert CD in drive and click Upload exams button

3. Upload from disc to Life Image Click Find exams on CD/DVD

4. Upload from disc to Life Image Select all exams, then click on Continue

5. Upload from disc to Life Image Put in MR number Then change upload exams to Hospital and click Upload exams

6. Nominate from Life Image to PACS Open HOSPITAL InBox Open HOSPITAL InBox

7. Nominate from Life Image to PACS Select each study needed, then select More

8. Nominate from Life Image to PACS Click on PACS Enter Ordering Physician Confirm MR# Select Consult Select Radiology PACS Select Radiology PACS You must enter some history Then click Nominate Exam

9. Pushing study from Life Image to PACS

10. You now have a new tab WORKLIST Select Nominations Then select the studies you want to push to PACS

11. Pushing study from Life Image to PACS Select Process Confirm information, then click Process

12. Pushing study from Life Image to PACS Search By Patient MRN Then click Look Up

13. Radiology orders for that MRN will pop up below. If nothing pops up, there are no orders pending. Otherwise, click Send to PACS w/o order Otherwise, click Send to PACS w/o order If an order to read this outside image is active, select it, then click Continue

14. Pushing study from Life Image to PACS Query From: Radiology PACS Then click Continue Confirm Patient MRN

15. Pushing study from Life Image to PACS Destination System: PACS Then click Send to PACS Then click Send to PACS If the patient has any images on PACS under this MR number, you will get this message. Confirm the MR number, select PACS and Send to PACS If the patient has any images on PACS under this MR number, you will get this message. Confirm the MR number, select PACS and Send to PACS

16. What if you need an image read by our radiologists? 1.Place an appropriate order in FirstNet Any CT MSK Xrays Any other Xrays Any MRI other than brain/neuro or MSK MSK MRI MRI brain/neuro Nuclear Medicine imaging PET Scan Specials/IR Ultrasound

17. What if you need an image read by our radiologists? 2.Associate order with image during push to PACS If an order to read this outside image is active, select it, then click Continue

18. What if you need an image read by our radiologists? 3.Call Radiology Tech at 444-7453 or Film Library at 444- 2414 to have an Ascension number created to link the order and the image. (It wont show up in the Radiology reading room queue without this step) 4.Call the Radiology resident at 444-7451 if you need the images read STAT. Otherwise they are at the bottom of the queue. * We are in the process of trying to eliminate having to make a call to have images read. Work in progress.