Harbor:Urgent Outpatient IR

• Interventional Radiology (IR) - outpatient - for items such as stenosed/thrombosed dialysis catheter, etc
  • 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 24-48 hours as outpatient.
    • IR Business hours:
      • ED provider will discuss with the IR resident on call x64747, p5423
      • If request for outpatient urgent IR procedure happens during the hours that IR clerk is available, then the providers can discuss with IR if the procedure can be done the next day or day after.
      • The ED provider will need to fill out the grey IR paper form which will need to be delivered to IR in 2 West, Room 40 (copies are in the hanging folders in doc boxes)
      • Patient will need CBC, chem 7, POC INR, and COVID test
    • Afterhours:
      • ED provider does NOT need to discuss with IR resident
      • Fill out the electronic IR Form for after hours and email it to the following:
        • Juliana Castel
        • Shontay Hysaw
        • Anton Mlikotic
      • Subject: ED IR REQUEST
      • The request will be processed at the beginning of the following business day.
      • 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.
    • 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 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.