Harbor:Main: Difference between revisions
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***[[Harbor:Antibiotics in Sepsis|Harbor antibiotics in sepsis]] | ***[[Harbor:Antibiotics in Sepsis|Harbor antibiotics in sepsis]] | ||
****[[Harbor:Sepsis core measures|Sepsis core measures]] | ****[[Harbor:Sepsis core measures|Sepsis core measures]] | ||
**Buprenorphine/Opiate Withdrawal Treatment | |||
***[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]] | |||
===Consults=== | ===Consults=== | ||
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***[[Harbor:Ebola|Suspected Ebola protocol]] | ***[[Harbor:Ebola|Suspected Ebola protocol]] | ||
**[[Harbor:Replantation Patients|Replantation Patients]] | **[[Harbor:Replantation Patients|Replantation Patients]] | ||
**[[Harbor:XRT|XRT transfers]] | |||
==Patient Disposition== | ==Patient Disposition== | ||
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**[https://gallery.mailchimp.com/9d46ba488168336ff904bf5e2/files/f3e83cc1-58eb-404b-99c7-5c1a5542ddaf/ED_followup_flowchart_3_7_18.pdf ED follow up flow chart] | **[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: ED Follow-Up Options|ED Follow-Up Clinics]] | ||
***[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]] | |||
***[[Harbor:Medical Legal Partnership|Medical Legal Partnership]] | |||
***[[Harbor:Coumadin clinic|Coumadin clinic]] | ***[[Harbor:Coumadin clinic|Coumadin clinic]] | ||
***[[Harbor:Expedited workup clinic|Expedited workup clinic]] | ***[[Harbor:Expedited workup clinic|Expedited workup clinic]] | ||
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*[[Harbor:Transferring a patient|Transferring a patient]] | *[[Harbor:Transferring a patient|Transferring a patient]] | ||
**[[Harbor:Transferring to psych ER|Transferring to psych ER]] | **[[Harbor:Transferring to psych ER|Transferring to psych ER]] | ||
**[[Harbor:XRT|XRT transfers]] | |||
**[[Harbor:Replantation Patients|Replantation patient transfer]] | |||
==Documentation== | ==Documentation== |
Revision as of 17:34, 2 May 2019
This is the main page for Harbor-UCLA emergency department; See Pediatric ED for the main Harbor pediatric page.
Message of the Moment
- 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"
- Open "preliminary" studies to view the discrepancy notes from the radiologist
- Go to Synapse --> DHS Enterprise Synapse --> Conferences --> Critical Findings --> ED Discrepancy
2/25/19 - Peterson/Chappell
General Administrative
- Pre-hospital
- Administrative duties
- Administrative resources
Managing your Patient
General
Tests & Orders
- Labs
- Radiology
- Other orders
- Blood products
- Antibiotics
- Buprenorphine/Opiate Withdrawal Treatment
Consults
Finding Things
Procedures
Special patient types
- Activations
- Sepsis
- Others
Patient Disposition
Discharge
Admission, OBS, & CORE
- Paging consultants
- Admitting a patient
- OBS & CORE