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:

@@ Line 1: / Line 1: @@
-*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 2-4 days as outpatient'''.
+** Please complete the ".bcIR" ( will transition to “==HarIRrequest==" once this is updated) autotext and save to the chart to expedite the consult
-** Patient will need CBC, chem 7, POC INR, and COVID test
+*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Bradley C.
-** ED provider does NOT need to discuss with IR resident
+** If possible, IR will try to accommodate same-day procedures
-** Starting on 3/15/22 no more Grey Form for ED patients
+** 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'''
-** Send a message to the '''“Har-IR request” message pool using the “==HarIRrequest==" dotphrase''' (replaces the paper Grey form - pilot for ED only)
-*** Use “autotext copy utility” button on the FirstNet toolbar to copy it from Ross F. if using it for the first time.
-*** CC the message to the empaneled PCP so they are aware of the plan
+* '''For STABLE patients who can get OUTPATIENT IR procedures'''
-*** Click the "save Message to Chart" box
+** '''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'''.
-*** Change title of the message. Fill in the clinical info, use F3 to jump to next field.
+*** Monday - Thursday, 7a - 4p:  place the autopage "Consult to IR" order in FirstNet (this places the consult AND pages the IR resident
-** '''Order the procedure needed'''
+*** After hours, order [pending new order without autopage] (do not page the IR resident after hours unless emergent)
-*** IR Central Venous Catheter Tunneled (for both placements and exchanges)
+*** Utilize the ".bcIR" autotext
-*** IR Renal Catheter Perc Placement (Left or Right)
+**** Note requesting team, contact number, and attending
-*** IR Exchange of Nephrostomy Catheter
+**** Provide reason for consult and requested IR procedure
-*** IR loopogram (for clotted HD access)
+**** note the priority (<48 hrs), outpatient status (vs still in ED), and ambulation status
-** The request will be processed at the beginning of the following business day.
+**** List the patient's phone number so the IR scheduler can contact them after ~8:30 am
-** If patient needs the procedure to be done sooner, then page the IR resident on call to discuss.
+***** 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
-** '''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'''.
+**** Most recent labs will auto-pull into the template (patient will need a CBC, chem 7, INR, and pregnancy test [as applicable])
-**'''For OOP patients''':
+*** '''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'''.
-*** 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.
+*** Please discharge with the "Harbor UCLA Interventional Radiology Pre procedure instructions"
-* '''For emergent procedures, place "consult to IR" order and contact IR at p5423 or x64747'''
+** '''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]]