Harbor:Main: Difference between revisions

Revision as of 19:00, 5 March 2019

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

Radiology Discrepancy Process
- Please enter a prelim read on ALL unread imaging (XR, US, CT without prelim or final read) so radiology knows to call if we missed something
- In Synapse "notes" section write the following and "add new note"
  - "ED PRELIM [Your findings] [Your Name] [Your Spectra link Number]"
  - I.e., ED PRELIM - Fracture R distal radius. Peterson 23202
The 7am Triage Resident will review any discrepancies daily.
- Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy
  - Open "preliminary" studies to view the discrepancy notes from the radiologist
    - If unclear of significance, ask an attending
    - If acting on discrepancy, please document a free-text "Imaging Follow-up" note and include the study type and date
      - I.e., "CXR on 8/15/17" demonstrated 6mm pulm nodule; messaged PCP to ensure f/up
      - I.e., "Head CT from 7/31/18 referred for follow-up on 8/1/18. Small subdural hematoma seen. Patient called and agrees to return to ED today."
    - If no action is needed, place a note in Orchid: "Radiology discrepancy reviewed - no follow-up required"
  - When finished with f/up, change the status in synapse by right-clicking on "preliminary" --> "shortcut status" --> "complete"

2/25/19 - Peterson/Chappell

@@ Line 114: / Line 114: @@
 **[https://gallery.mailchimp.com/9d46ba488168336ff904bf5e2/files/f3e83cc1-58eb-404b-99c7-5c1a5542ddaf/ED_followup_flowchart_3_7_18.pdf ED follow up flow chart]
 **[[Harbor: ED Follow-Up Options|ED Follow-Up Clinics]]
-***[[Harbor:Opiate Withdrawal/MAT/Buprenoprhine|Opiate Withdrawal/MAT/BUP]]
+***[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]]
 ***[[Harbor:Coumadin clinic|Coumadin clinic]]
 ***[[Harbor:Expedited workup clinic|Expedited workup clinic]]