Harbor:Main: Difference between revisions
No edit summary
Line 4: Line 4:
* '''Harbor's COVID page''' [[Harbor:Infectious_Disease_Threats#Wuhan_Coronavirus_.28nCoV-2019.29|Coronavirus (COVID-19) Info]]
* '''Harbor's COVID page''' [[Harbor:Infectious_Disease_Threats#Wuhan_Coronavirus_.28nCoV-2019.29|Coronavirus (COVID-19) Info]]
** Paxlovid, Remdesivir, etc ... [[Harbor:Infectious_Disease_Threats#Treatment|COVID Treatment Options]]
** Paxlovid, Remdesivir, etc ... [[Harbor:Infectious_Disease_Threats#Treatment|COVID Treatment Options]]


* '''QR Code Resources'''
* '''QR Code Resources'''
** [[Harbor:QR_for_Staff|For Staff (QI forms and equipment issue links)]]
** [[Harbor:QR_for_Staff|For Staff (QI forms and equipment issue links)]]
** [[Harbor:QR_for_Patients|For Patients]]
** [[Harbor:QR_for_Patients|For Patients]]


* '''Interqual criteria''' [[Harbor:Interqual_Criteria_Tips|Interqual Criteria Tips]]
* '''Interqual criteria''' [[Harbor:Interqual_Criteria_Tips|Interqual Criteria Tips]]
* '''Contrast'''
** 6/8 - OK to resume typical ordering practices with thoughtful attention to H&P and recent studies


* '''Monkeypox'''
* '''Monkeypox'''
** See [[Monkeypox]] for medical information  &  [[Harbor:Infectious_Disease_Threats#Monkeypox|Harbor Monkeypox Plan]]
** See [[Monkeypox]] for medical information  &  [[Harbor:Infectious_Disease_Threats#Monkeypox|Harbor Monkeypox Plan]]
*** Consider in patients with travel history
*** Rash typically preceded by fever, lymphadenopathy, malaise, HA, and muscle aches
**** Prodrome 5-13 days after exposure
**** Rash 1-4 days after prodrome
*** Vesicular or pustular rash, well-circumscribed, may be umbilicated or become confluent and progress over time to scabs  
*** Vesicular or pustular rash, well-circumscribed, may be umbilicated or become confluent and progress over time to scabs  
*** Higher likelihood in MSM patients, presenting with lesions in the genital area
*** Move directly to a negative-pressure room; airborne (N-95) and contact precautions - place the '''Special Precuations''' sign on the door
 
*** Lab Processing x66225/6 get a monkeypox collection kit
** Move directly to a negative-pressure room; airborne (N-95) and contact precautions - place the '''Special Precuations''' sign on the door
*** Submitted in viral/universal transport medium, obtain cutaneous and genital lesions if possible
** Lab Processing x66225/6 get a monkeypox collection kit
*** Submitted in viral/universal transport medium
*** Orchid order: "Monkeypox Virus DNA Qual RT PCR-SO"
*** Orchid order: "Monkeypox Virus DNA Qual RT PCR-SO"
**** Quest 3-day send-out --> CCC (must notify IPC & patient with positive results)
*** Quest 3-day send-out --> CCC (must notify IPC & patient with positive results)
**** Can isolate at home pending 3-day send-out results
**** Can isolate at home pending 3-day send-out results
** '''Call IPC x66532''' and '''call LAC Acute Communicable Disease Control''' (weekdays 8:30A-5P 213-240-7941, after hours 213-974-1234 and ask for the physician on call) [http://publichealth.lacounty.gov/acd/Monkeypox.htm LA County Monkeypox]
** '''Call IPC x66532''' and '''call LAC Acute Communicable Disease Control''' (weekdays 8:30A-5P 213-240-7941, after hours 213-974-1234 and ask for the physician on call) [http://publichealth.lacounty.gov/acd/Monkeypox.htm LA County Monkeypox]

Revision as of 18:37, 18 August 2022

This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.

Admin Updates

  • Monkeypox
    • See Monkeypox for medical information & Harbor Monkeypox Plan
      • Vesicular or pustular rash, well-circumscribed, may be umbilicated or become confluent and progress over time to scabs
      • Move directly to a negative-pressure room; airborne (N-95) and contact precautions - place the Special Precuations sign on the door
      • Lab Processing x66225/6 get a monkeypox collection kit
      • Submitted in viral/universal transport medium, obtain cutaneous and genital lesions if possible
      • Orchid order: "Monkeypox Virus DNA Qual RT PCR-SO"
      • Quest 3-day send-out --> CCC (must notify IPC & patient with positive results)
        • Can isolate at home pending 3-day send-out results
    • Call IPC x66532 and call LAC Acute Communicable Disease Control (weekdays 8:30A-5P 213-240-7941, after hours 213-974-1234 and ask for the physician on call) LA County Monkeypox
    • Educational Material


  • Active Threat in the ED
    • Situational awareness
      • Stand between door and patient
      • Ensure patient is gowned
      • Be aware of long stethoscope, lanyard, long hair, etc
      • Panic buttons at nursing stations/router
      • Run & scream for help
    • Hospital Codes
      • Gold x111 - combative/agitated patient
      • Gray x64450 - combative/agitated NON-patient
      • Silver x111 - weapon, active shooter, hostage

General Administrative

Ambulance (EMS) Triage

Administrative duties

Administrative resources

RME & triage

Harbor ED policy manual

ED attending on call plan

Harbor Legal

Managing your Patient

General

On shift (PC) Cheat Sheet

Paging consultants

Phone numbers

Radiology directory

Tests & Orders


Radiology

Radiology Hours

[Radiology Directory]

Urgent Outpatient IR

STAT MRI

Upload Outside Films to PACS

  • Get form from clerk
  • Put patient sticker on Form
  • Check "Import"
  • Sign

Get Images on Disc (For DC or Transfer)

  • Same as upload EXCEPT
    • Check "Export"
    • Write time frame on form you want studies from

Blood products

Antibiogram

Finding Equipment/DME

E supplies A-Z

Procedures

Special patient types

Code Activations

Social Work

Opiate Withdrawal/MAT/BUP

Harbor:Alcohol Use Disorder/Withdrawal Treatment

Harbor:Stimulant Use Disorder Treatment

Baby Safe Surrender Program

Reporting to DCFS

Placement patients

PE Response Team

Psych Patients (Exodus)

Harbor: Identifying Jane/John Doe, finding next of kin tips

Scheduled dialysis patients in ED

Sepsis

Sepsis core measures

Occupational Exposure

Sexual Assault/STI Exposure (SART)

Infectious Disease Threats

Patient Disposition

Discharge

ED Follow-Up Options

DC with meds in ED

  • Eye drops (vanco & tobra) and STI prophylaxis for home
  • HIV prophylaxis for sexual assault patients (raltegravir and Truvada)


Transportation Needs

Social EM resources

Admission

Admission Guidelines

Interqual Criteria Tips

Interqual Override Notes

Right level of care

OBS & CORE


Dialysis in the ED

Other Disposition

Transferring a patient

Documentation

Disaster & Surge

Resident Education

See Also

Retrieved from "https://www.wikem.org/w/index.php?title=Harbor:Main&oldid=365755"