SCVMC:Main: Difference between revisions

 
(53 intermediate revisions by 3 users not shown)
Line 3: Line 3:
==[[SCVMC:ED | Emergency Department]]==
==[[SCVMC:ED | Emergency Department]]==


==[[SCVMC:EXC | Express Care]]==
[[SCVMC:Phone List | Department Phone List & Door Codes]]
 
'''MD/DO'''
*'''Back''': 0600-1400, 1400-2200, 2200-0600
*'''Front''': 0700-1500, 1500-2300, 2300-0700


===Express Care Staffing===
'''PA (Intake/RME)''': 0700 - 1700, 1230 - 2230, 1700 - 0300
*Shifts
**MD
***0830 - 1630
***1630 - 0030
**PA
***0830 - 1830
***1230 - 2230
***1500 - 0100
**XC Manager/Assistant Nurse Manager: Sean Clew, RN
**ED Nurse Manager: Tina Thibeau-Boyd, RN


===Express Care Exclusion Criteria===
'''ED Nurse Manager''': Tina Thibeau-Boyd, RN
*[[File:XC Adult Exclusion Criteria.pdf|thumb|Adult XC Exclusion Criteria]]


*[[File:XC Pediatric Exclusion Criteria.pdf|thumb|Pediatric XC Exclusion Criteria]]
==[[SCVMC:EXC | Express Care]]==


==[[SCVMC:CUSTODY CARE | Custody Care]]==
'''MD/DO''': 0830 - 1630, 1630 - 0030


==Onboarding & Administrative Topics==
'''PA''': 0830 - 1830, 1230 - 2230, 1500 - 0100


*[https://www.wikem.org/w/images/HHSRemoteAccess_RSAToken_UserGuide.pdf Remote Access Setup Instructions Remote Access Setup]: HHSISHELPDESK@hhs.sccgov.org
'''XC Manager/Assistant Nurse Manager''': Sean Clew, RN
*Dragon Dictation: Aaron.Lawe@hhs.sccgov.org
*[https://www.wikem.org/w/images/Tip_Sheet_Haiku_setup_instructions.pdf Haiku Setup] & [https://www.wikem.org/w/images/Capture_Haiku_Images_Tip_Sheet.pdf Tip Sheet]: Elizabeth.Serna@hhs.sccgov.org
*New Hire Orientation: Melissa.Dang@hhs.sccgov.org
*Yearly HealthLearning Mandates: Leyon.Khalili@hhs.sccgov.org


==[[SCVMC:CUSTODY CARE | Custody Care]]==


*[https://www.wikem.org/w/images/Paper_N95_questionaire.pdf N95 Questionnaire]
==[[SCVMC:Onboarding | Onboarding & Credentialing Topics]]==


==In Progress...==
==In Progress...==


My dashboards > Frequently Called Numbers (bottom left)
Onboarding - PA & MD onboarding - Stanford affiliation - Stanford resident evals - shift trades / discussion forum  
 
Onboarding - PA & MD onboarding - Haiku - Network Access on personally owned device: 1 manufacturer 2 model number 3 serial number 4 Operating System - yearly health-learning - Stanford affiliation - Stanford resident evals - shift trades / discussion forum - group dot phrases - checking file cabinet in radio room - ? Room / door codes - ? dept phone list
 
===HealthLearning Link===
*To access HealthLearning, you will need to either remote log in from home or if you are in the hospital, you will need to type the below link to access them
**https://www.healthstream.com/HLC/Login/Login.aspx?organizationID=e044d5ef-ba1c-e811-90d4-005056b1456a&BypassFederation=true
 
===Department Internal Phone List===
*Main Line: (408) 885-6912
**Front MD: x56912
**Back MD: x56905
**Express Care: x56514
**ED Charge RN: x53780
*Radiology
**Radiology (wet reads): x57625
**ED CT: x54417
**ED XR: x56337
*Pharmacy
**ED Pharmacist: x56920
**D/c Pharmacy: x52820
**Inpt Pharmacy: x52360
*PAs
**ED Intake PA: x74057
**RME: x53232
**XC PA: x56514
*Administration & Other Units
**ED Translator: x40699 and state "ED Translator"
**RT (portable): x55049
**Pedi Urgent Care: x54721
**Bed Control: x56660
**Burn Unit: x56666
**Main Lab: x56585
**Diajai (Admin): x56298
**Help Desk: x55300
 
===Custody Care===
*onboarding
*job description
*link to standard procedures manual
*parking
*on-call distance
*VMC bed codes & locations
 


===Suboxone Induction===
Processes  - EMS guidelines link? - On shift concern contacts (EMR message / phone Jeff, AOC / MAOC, charge RN, equipment malfunction)
*We use the induction protocols as published by CA Bridge, available at https://www.bridgetotreatment.org/resources
**COWS score >6, no methadone in last 5-7 days, clinical evidence of withdrawal (diaphoresis, yawning, piloerection, etc)
**Business Hours Process:
***When decision is made to induce, contact Jill Lassettre, our Substance Use Navigator (SUN) via Amion. She will come down, assess patient, and plug patient into followup care with Substance Use Treatment Services (SUTS)
**After Hours Process:
***Induce patient as indicated per protocol; ensure no methadone in last 5-7 days or may precipitate withdrawal
***Fill out a Treatment Appointment Form located on the wall in RME or XC, both by the nursing stations on a clipboard; there is a standing appointment at the Central Valley Clinic (CVC) at 8am every business day kept open for ED-induced patients
***Send Jill Lassettre a message via EPIC or SecureMessaging with MRN and expected appointment date
***If you have the DEA-X waiver, please prescribe a sufficient quantity of Buprenorphine-naloxone 8mg-2mg SL tablets to dose at 16mg once daily (can consider 8mg BID if concomitant chronic pain issues) until standing appointment; if un-waivered, options are to find a waivered provider on shift or tell patient to return for re-dose in ED the next day
***Free online DEA-X waiver training (Cat 1 CME: MD 8hr, PA 24hr) available: https://pcssnow.org/medication-assisted-treatment/


Subspecialty Specific Nuances - Cards (pre-hosp EKG, STEMI procedure, ACS/STEMI meds, event monitor, stat ECHO procedure) - Occuloplastics / Retina limited availability - Palliative (consult list) - Trauma admit labs - SART work up / strangulation


Processes - Suboxone - overweight CT / MRI - Orthotics - CT / US protocol timelines - COVID19 - EMS guidelines link? - On shift concern contacts (EMR message / phone Jeff, AOC / MAOC, charge RN, equipment malfunction)
Transfer Processes - OCH/SLR overflow - EMQ - EPS - Custody


Subspecialty Specific Nuances - Hosp/Med (stress test, ED consult appropriateness, medicine team admission times) - Cards (pre-hosp EKG, STEMI procedure, ACS/STEMI meds, event monitor, stat ECHO procedure) - Occuloplastics / Retina limited availability - Palliative (consult list) - Trauma admit labs - Neuro (Stroke & extended stroke) - SART work up / strangulation
Dispo Assistance - SW / CM / AOC - MH UC - Bus token / taxi voucher - DME (WC, etc)  


Transfer Processes - OCH/SLR overflow - EMTALA out: Peds NSGY, CTS ?? - Accepting transfer: "Red box" vs rest vs Peds ortho - EMQ - EPS - Custody - Sobering center
Peds suboxone (ask Jill), rabies (SCC) from pharmacy
 
Dispo Assistance - SW / CM / AOC - MH UC - Bus token / taxi voucher - DME (WC, etc) - Follow up labs / imaging


Pharmacy Twitter link
Pharmacy Twitter link
https://twitter.com/TILEDPharmD
https://twitter.com/TILEDPharmD
==See Also==
{{Special:Prefixindex/SCVMC |hideredirects=1}}


==References==
==References==
<references/>
<references/>


Singh 3/2020
Singh 4/2020
Bergersen 3/2020
Bergersen 4/2020
[[Category:Admin]]
[[Category:Admin]]

Latest revision as of 18:17, 16 September 2020

Santa Clara Valley Medical Center: Main Page

Emergency Department

Department Phone List & Door Codes

MD/DO

  • Back: 0600-1400, 1400-2200, 2200-0600
  • Front: 0700-1500, 1500-2300, 2300-0700

PA (Intake/RME): 0700 - 1700, 1230 - 2230, 1700 - 0300

ED Nurse Manager: Tina Thibeau-Boyd, RN

Express Care

MD/DO: 0830 - 1630, 1630 - 0030

PA: 0830 - 1830, 1230 - 2230, 1500 - 0100

XC Manager/Assistant Nurse Manager: Sean Clew, RN

Custody Care

Onboarding & Credentialing Topics

In Progress...

Onboarding - PA & MD onboarding - Stanford affiliation - Stanford resident evals - shift trades / discussion forum

Processes - EMS guidelines link? - On shift concern contacts (EMR message / phone Jeff, AOC / MAOC, charge RN, equipment malfunction)

Subspecialty Specific Nuances - Cards (pre-hosp EKG, STEMI procedure, ACS/STEMI meds, event monitor, stat ECHO procedure) - Occuloplastics / Retina limited availability - Palliative (consult list) - Trauma admit labs - SART work up / strangulation

Transfer Processes - OCH/SLR overflow - EMQ - EPS - Custody

Dispo Assistance - SW / CM / AOC - MH UC - Bus token / taxi voucher - DME (WC, etc)

Peds suboxone (ask Jill), rabies (SCC) from pharmacy

Pharmacy Twitter link https://twitter.com/TILEDPharmD

See Also

References


Singh 4/2020 Bergersen 4/2020