SCVMC:ED

Santa Clara Valley Medical Center: Emergency Department

Operations

ED Follow-Up

• Request a PCP for a patient
  • Send a new message to 'P HHS Panel Management [10907]' for the request
  • Save as a QuickAction for next time
• Quality RN
  • Can help out with:
    • Filing DMV loss of consciousness form
  • Send a new message to 'P ED Quality Call Back Pool (Non-Urgent) [16010929]'
  • Save as a QuickAction for next time
• Create a Personal Follow Up List Instructions

On Shift

• Departmental Dot Phrases
• High-sensitivity Troponin Chest Pain Algorithm
• COVID-19 ED Guidance
• Advancing imaging protocoling (x57625) is necessary for:
  • CT scans with IV contrast
  • MRI
  • Ultrasound - Friday 10pm - Sunday 10pm & holidays
• Suboxone Induction Protocol
  • Business Hours Process:
    • Induce patient per protocol
    • Contact Jill Lassettre, our Substance Use Navigator (SUN), 669-236-1564
      • She will arrange followup care with Substance Use Treatment Services (SUTS)
  • After Hours Process:
    • Induce patient per protocol
    • Fill out a Treatment Appointment Form
      • Located on a clipboard hanging on the wall by the nursing stations in RME or XC
      • Every business day, an 8am appointment at the Central Valley Clinic (CVC) is kept open for ED-induced patients
    • Send Jill Lassettre a message via EMR with MRN and expected appointment date
  • Buprenorphine Home Induction
    • Buprenorphine Home Induction Protocol (Harbor-UCLA)
  • Free Online DEA-X Waiver Training (Cat 1 CME: MD 8hr, PA 24hr) is available

Hospital/Departmental Protocols

• Pharmacy Protocols
  • Adult Antibiogram 2019 | Pediatric Antibiogram 2019
    • VMC Antimicrobial Stewardship Webpage
• VMC Policies & Procedures Webpage
• QI Case Review Form

Interdepartmental Affairs

• ED Admission Grid Guidelines & Femur Fracture Protocol
  • Hand: Ortho (odd days), Plastics (even days)
  • Face: Otolaryngology (odd days), Plastics (even days)
  • Reimplant/Revascularization: Stanford
  • Breast: General Surgery

• Contacting Consultants
  • STEMI: MUC to page
  • Stroke: MUC to page
  • Trauma Activation: MUC to page
  • Emergent Consult: MUC to page
  • Anesthesia: Use AMION to call phone
  • All other consults: Use Secure Chat

• Kaiser patient on a 5150 hold needing medical admission: Admit to Medicine at VMC with Inpatient Psych Consult (get EPRP approval)

Disposition Assistance

• Mental Health Urgent Care
  • Don Lowe Pavilion - blue door at corner of Enborg Lane & Enborg Court
  • 408-885-7855

• STI/HIV & TB Clinic Follow Up
  • Look up "Crain STI" or "VHC Lenzen TB" clinics in Dispo
  • 976 Lenzen Ave, San Jose 95126

• Dental Clinics

See Also

• SCVMC:Main

References

Singh 3/2020