Harbor:Main: Difference between revisions

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* '''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]]
*** 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) [http://publichealth.lacounty.gov/acd/Monkeypox.htm LA County Monkeypox]
** Educational Material
** Educational Material
*** [http://publichealth.lacounty.gov/acd/Monkeypox.htm LA County Monkeypox]
*** [http://publichealth.lacounty.gov/media/monkeypox/docs/Monkeypox_IntimateContact.pdf LAC DPH Monkeypox]
*** [http://publichealth.lacounty.gov/media/monkeypox/docs/Monkeypox_IntimateContact.pdf LAC DPH Monkeypox]
*** http://publichealth.lacounty.gov/media/monkeypox/resources.htm#reduce
*** http://publichealth.lacounty.gov/media/monkeypox/resources.htm#reduce

Revision as of 23:01, 18 August 2022

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

Admin Updates


  • 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