Sandbox: Difference between revisions

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(Replaced content with "{| class="wikitable" |- ! Zone Name ! Location ! Tissue Damage ! Change with Treatment |- | Coagulation | Inner | Dead | Not changed |- | Stasis | Middle | Dynamic penumbr...")
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*Radiology
{| class="wikitable"
**Formal US in the ED
|-
**Rules for Performing ED Ultrasounds
! Zone Name
**CT Scanner Specs
! Location
**STAT MRI's
! Tissue Damage
**Discrepancy Review Process
! Change with Treatment
**Discrepancy E-mail
|-
*Other Testing
| Coagulation
**ECG STEMI screening
| Inner
**Occupational Exposure
| Dead
**Non-Occupational Exposure
| Not changed
**INDUSTRIAL OR ON-THE-JOB ACCIDENTS (IA) FOR HARBOR EMPLOYEES
|-
*EQUIPMENT
| Stasis
**Equipment Locations
| Middle
**Equipment Issues
| Dynamic penumbra
**Durable Medical Equipment (DME)
| Target of burn care: good first aid and wound management can significantly reduce the need for skin grafting (otherwise it can turn into zone of coagulation, if not properly treated)
**New iCare
|-
*OBSERVATION/CORE
| Hyperemia
**Observation Placement Guidelines
| Outer
**CORE
| Reactive inflammation
*ADMISSIONS
| Will return to normal within hours of the injury regardless of care
**RIGHT LEVEL of CARE
|}
**Admitting a Patient
*Admission and Consultation Rules
 
9 References
9.1 Orders on Admitted Patients
9.2 Boarding Patients Sent from Clinic
9.3 Direct Admission after Hours
9.4 Insurance Problems
10 TRANSFERS
10.1 TRANSFERS - INCOMING
10.2 Responding to a Helicopter Landing
10.3 Clinic Referrals to ED
10.4 Guidelines for Flow of patients between the Psychiatric and Adult Emergency Departments (ED Policy 3.4)
10.5 TRANSFERS - OUTGOING
11 FOLLOW-UP
11.1 Summary
11.1.1 REFER TO ED follow up flow chart
11.2 DHS Patient with Empanelled Provider
11.3 Urgent <2 Week Specialty Follow-up for DHS or MHLA Patients
11.4 Discharging Patients Direct to Specialty Clinic
11.5 Follow up in CCC
11.6 Follow up MAT/Buprenorphine/Opiate Withdrawal Treatment
11.6.1 REFER TO MAT Pathway File:Harbor UCLA ED Bup DH 11-28-18 Final.pdf
11.6.2 Patient Discharge Handout File:Bup Start (Harbor).pdf
11.6.3 Patient MAT/Buprenorphine Follow Up Options
11.7 Follow up In Other Clinics
11.7.1 Anticoagulation (Coumadin) Clinic
11.7.2 Breast Diagnostic Center (Radiology)
11.7.3 Breast Surgery Clinic
11.7.4 CARDIOLOGY
11.7.5 DERM
11.7.6 ENT
11.7.7 Expedited Work-up Clinic (EWC)
11.7.8 GYN
11.7.9 Gyn UCC
11.7.10 Nephrology Clinic
11.7.11 Neurosurgery
11.7.12 OB
11.7.13 ONCOLOGY
11.7.14 OPHTHO
11.7.15 ORTHO
11.7.16 PEDIATRICS
11.7.17 Pediatric Adolescent Clinic
11.7.18 Pediatric Cardiology
11.7.19 PLASTIC SURGERY
11.7.20 PULMONARY
11.7.21 RHEUM
11.7.22 SURGERY
11.7.23 UROLOGY
11.7.24 72 HRS STRESS TEST
11.8 FOLLOW-UP FOR OUT-OF-COUNTY/OUT-OF-COUNTRY (OOC) PATIENTS
12 Physicians
12.1 Important Numbers
12.2 Printable FORMS
12.3 PC CHEAT SHEET
12.4 Contacting the Attending On-Call/Problems with On-Call Physicians
12.5 On Call Plan - Emergency Department Attending Physicians
12.6 Trauma Activations
12.7 STEMI Activations
12.8 CODE STROKE
12.9 Scheduled Dialysis Patients in ED
12.10 Attending Documentation
12.10.1 Minimum Content for Attending Notes
12.11 Resident Documentation
12.12 E-Prescribing
12.13 CODES
12.13.1 CODE ASSIST
12.13.2 CODE BLUE
12.13.3 CODE WHITE
12.14 CODE GREEN See "LEGAL"
12.15 CODE GOLD See "LEGAL"
12.15.1 AIRWAY MANAGEMENT TEAM
12.15.1.1 Airway Coverage Times
12.15.1.2 Documentation
12.16 Templates
13 RME/TRIAGE
13.1 RME Phones
13.2 RME Patient Flow
13.3 FastTrack
13.4 Triaging Clinic Patients
13.5 Direct to Back
13.6 Criteria for an immediate transfer to Chest Pain Room
13.7 ECG Screening by Providers
13.8 Patient Transfers to other areas of the hospital
13.8.1 Psych ED
13.8.2 Gyn UCC
13.8.3 Urgent Care
13.8.3.1 Transfer of Low Acuity Patients from ED to UCC
13.8.3.2 Pausing Patient Flow from ED to UCC
13.8.3.3 Transfer of Patients from UCC to ED
13.9 FastTrack Roles
13.10 NP Independent Workup Guidelines
13.11 Being Seen by Consultants Prior to ED Evaluation
13.12 NP Consultation Guidelines
13.13 NP Consultation with the Attending Physician
13.14 NP Independent Discharge Guidelines
13.15 Rapid Discharge Procedure
13.16 RIPT
13.17 Discharge to Chairs
13.18 LBTC FOLLOW-UPS
14 LEGAL
14.1 INVOLUNTARY HOLDS, CODE GOLD, COLD GREEN
14.2 Mandatory Reporting of Adverse Events
14.3 Prescriptions
14.3.1 Lost Triplicate Prescriptions
14.3.2 Safe Pain Medication Prescribing Guidelines
14.4 Family Viewing of Deceased Patients
14.5 Law Enforcement Escorting Patients Out Of the Emergency Department
14.6 Weapons in ED
14.7 ILLICIT DRUGS/MARIJUANA IN ED
14.8 OBSERVERS IN THE ED
15 Social Work
15.1 Social Work Consultation Guidelines
15.1.1 1. SW Order Indications
15.1.1.1 Lack of Resources
15.1.1.2 Poor judgement/Substance Abuse
15.1.1.3 Psychosocial Support
15.1.1.4 Regulatory/Legal Issues
15.1.1.5 Nonspecific
15.1.2 2. Transportation home:
15.1.3 3. Patient who are homeless:
15.1.4 5. Patients whom family is no longer able to take care of
15.1.5 6. Pt/family not happy with current skilled nursing facility (SNF)
15.1.6 7. Clothing rack / clothing for patients
15.1.7 8. Patients who need PT/OT for placement
15.2 Whole Person Care
16 Core Measures
16.1 SEPSIS Core Measure Guidelines
16.2 Sepsis Abx
17 HARBOR ED POLICY MANUAL
17.1 Home Page → Policies and Procedures → HUMC → HUMC Policies and Procedures
17.2 3.0 Admissions and Consultations
17.3 21.3 Respiratory Isolation Patient Protocol[1]
17.4 21.4 Care of Potential Myocardial Ischemia Patient in Triage
17.5 21.5 Medications in Triage: Standardized Procedure
17.6 Consent
18 See Also
19 References
 
 
[[Category:WikEM]]

Revision as of 18:35, 9 February 2019

Zone Name Location Tissue Damage Change with Treatment
Coagulation Inner Dead Not changed
Stasis Middle Dynamic penumbra Target of burn care: good first aid and wound management can significantly reduce the need for skin grafting (otherwise it can turn into zone of coagulation, if not properly treated)
Hyperemia Outer Reactive inflammation Will return to normal within hours of the injury regardless of care
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