Difference between revisions of "Harbor:Main"

(Tests & Orders)
(Message of the Moment)
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''This is the main page for Harbor-UCLA emergency department; See [[Harbor:Pediatric ED (main)|Pediatric ED]] for the main Harbor pediatric page.''
 
''This is the main page for Harbor-UCLA emergency department; See [[Harbor:Pediatric ED (main)|Pediatric ED]] for the main Harbor pediatric page.''
 
==Message of the Moment==
 
==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"
 
 
 
2/25/19 - Peterson/Chappell
 
  
 
==General Administrative==
 
==General Administrative==

Revision as of 19:44, 4 June 2019

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

Message of the Moment

General Administrative

Managing your Patient

General

Tests & Orders

  • Labs
  • Radiology
    • Prelim Read
      • 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


Consults

Finding Things

Procedures

Special patient types

Patient Disposition

Discharge

Admission, OBS, & CORE

Other Disposition

Documentation

Disaster & Surge

Resident Education

See Also