Harbor:Urgent Outpatient IR: Difference between revisions

Latest revision as of 21:27, 18 February 2026

For EMERGENT procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
- Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult
  - Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.
- If possible, IR will try to accommodate same-day procedures
- If after hours and felt to be truly emergent (eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning), please have the ED attending call the IR attending

For STABLE patients who can get OUTPATIENT IR procedures
- DHS patients who require an urgent IR procedure and have no other indication to be admitted will be accommodated in the IR schedule to get their procedure done within 2 days as an outpatient.
  - Monday - Thursday, 7a - 4p: place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident
  - After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)
  - Utilize the ".bcIR" autotext
    - Note requesting team, contact number, and attending
    - Provide reason for consult and requested IR procedure
    - note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status
    - List the patient's phone number so the IR scheduler can contact them after ~8:30 am
      - If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED
    - Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
  - Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure.
  - Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"

- For OOP patients:
  - ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.

Authors:

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-* Interventional Radiology (IR) - outpatient - for items such as stenosed/thrombosed dialysis catheter, etc
+* '''For EMERGENT procedures, place the autopage for "Consult to Interventional Radiology" order - this both pages the IR resident and places the consult order
-** For '''DHS/MHLA''' patients who require an urgent IR procedure, and have no other indication to be admitted, then the patient will be accommodated in the IR schedule to get their procedure done '''within 24-48 hours as outpatient'''.
+** Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult
-*** '''IR Business hours''':
+*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.
-**** ED provider will '''discuss with the IR resident on call x64747, p5423'''
+** If possible, IR will try to accommodate same-day procedures
-**** If request for outpatient urgent IR procedure happens during the hours that IR clerk is available, then the providers can discuss with IR if the procedure can be done the next day or day after.
+** If after hours and felt to be truly emergent (''eg, the patients would legitimately need a Quinton for Emergent HD and could not be medically temporized until the following morning)'', please have the '''ED attending call the IR attending'''
-**** The ED provider will need to fill out the grey IR paper form which will need to be delivered to IR in 2 West, Room 40 (copies are in the hanging folders in doc boxes)
-**** Patient will need CBC, chem 7, POC INR, and COVID test
-*** '''Afterhours''':
+* '''For STABLE patients who can get OUTPATIENT IR procedures'''
-**** ED provider does NOT need to discuss with IR resident
+** '''DHS''' patients who require an '''urgent IR procedure and have no other indication to be admitted''' will be accommodated in the IR schedule to get their procedure done '''within 2 days as an outpatient'''.
-**** Fill out the electronic [https://teams.microsoft.com/l/file/F3A9ABA8-DF16-4F6E-B5DD-C30845F3EDF0?tenantId=07597248-ea38-451b-8abe-a638eddbac81&fileType=docx&objectUrl=https%3A%2F%2Flacounty.sharepoint.com%2Fteams%2FHarborEDProviderscopy%2FShared%20Documents%2FGeneral%2F1-%20IR%20Consultation%20Form%20afterhours.docx&baseUrl=https%3A%2F%2Flacounty.sharepoint.com%2Fteams%2FHarborEDProviderscopy&serviceName=teams&threadId=19:dbce6612063346aba3d3ea1775478494@thread.skype&groupId=5ca89281-2ef3-4fb4-a828-2e9df7660b86 IR Form] for after hours and email it to the following:
+*** Monday - Thursday, 7a - 4p:  place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident
-***** Juliana Castel
+*** After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)
-***** Shontay Hysaw
+*** Utilize the ".bcIR" autotext
-***** Anton Mlikotic
+**** Note requesting team, contact number, and attending
-**** Subject: ED IR REQUEST
+**** Provide reason for consult and requested IR procedure
-**** The request will be processed at the beginning of the following business day.
+**** note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status
-**** '''Patient will be contacted by the IR schedulers for exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore  do not need to come back to ED on the day of procedure'''.
+**** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
-***'''For OOP patients''':
+***** If for some reason the IR scheduler is unable to accommodate the patient within a timely manner, the scheduler will instruct the patient to return to the ED
-**** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient, given that procedure will be done the next day.
+**** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
+*** '''Patient will be contacted by the IR schedulers for their exact appointment time and be told to go to OR second floor surgery registration area to get check in to be registered therefore do not need to come back to ED on the day of procedure'''.
+*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"
+** '''For OOP patients''':
+*** ED providers can call UM to see if patient can be transferred to in-network hospital, or an urgent appointment with patient's PCP or specialist can be made. If the patient's care cannot be safely transferred to in-network, then we can request for an authorization to admit the patient given the procedure will be done the following day.
+[[Category:Admin]]