Harbor:Main: Difference between revisions

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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.''
==Admin Updates==
==Admin Updates==
*EWC - 8/5/19 - back to scheduling directly into EWC; Cerner is working again!
*Surge Criteria Pilot - 7/10/19:  ED census for surge criteria includes R5, R6, R7, & R12;  Available med/surg '''OR''' ICU/PCU
(Dr. Peterson, Dr. Stein, Mark Redulla [pt flow])
*PERT (PE Response Team) Started Monday 6/24
** Page the PERT Fellow p9956 for (sub)massive PE when considering thrombolytics
** for details:  https://www.wikem.org/wiki/Harbor:Admission_and_consultation_guidelines#Pulmonary_Embolus


==General Administrative==
==General Administrative==
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**[[Harbor:5S|Pre-shift: 5S]]
**[[Harbor:5S|Pre-shift: 5S]]
*Administrative resources
*Administrative resources
**[[Harbor:RME & TRIAGE|RME & triage]]
**[[Harbor:Direct Admission after Hours]]
**[[Harbor:Core Measures|Core Measures]]
**[[Harbor:Core Measures|Core Measures]]
**[[Harbor:ED policy manual|Harbor ED policy manual]]
**[[Harbor:ED policy manual|Harbor ED policy manual]]
**[[Harbor:RME & TRIAGE|RME & triage]]
**[[Harbor:ED attending on call plan|ED attending on call plan]]
**[[Harbor:ED attending on call plan|ED attending on call plan]]
**[[Harbor:Legal|Harbor Legal]]
**[[Harbor:Legal|Harbor Legal]]
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*Radiology
*Radiology
====[[Harbor:Entering Prelim Radiology Read|Enter Prelim Rads Read]]====
====[[Harbor:Entering Prelim Radiology Read|Enter Prelim Rads Read]]====
**Ultrasound
*Ultrasound
***[[Harbor:Ordering a Formal Ultrasound|Ordering a Formal Ultrasound]]
**[[Harbor:Ordering a Formal Ultrasound|Ordering a Formal Ultrasound]]
***[[Harbor:Ultrasound Approval List|Ultrasound approval list]]
**[[Harbor:Ultrasound Approval List|Ultrasound approval list]]
***[[Harbor:Rules for Performing ED Ultrasounds|Formal & ED Ultrasounds]]
**[[Harbor:Rules for Performing ED Ultrasounds|Formal & ED Ultrasounds]]
**[[Harbor:Example text for a discrepancy e-mail|Example text for a discrepancy e-mail]]
*[[Harbor:Example text for a discrepancy e-mail|Example text for a discrepancy e-mail]]
**CT
*CT
***[[Harbor:Ordering a CT|Ordering a CT]]
**[[Harbor:Ordering a CT|Ordering a CT]]
***[[Harbor:ED Radiology Specs|CT Specs]]
**[[Harbor:ED Radiology Specs|CT Specs]]


====[[Harbor:STAT MRI|STAT MRI]]====
====[[Harbor:STAT MRI|STAT MRI]]====
***[[Harbor:ED Radiology Specs|MRI Specs]]
*[[Harbor:ED Radiology Specs|MRI Specs]]
*Other orders
*Other orders
**[[Harbor:Ordering Blood Products|Blood products]]
**[[Harbor:Ordering Blood Products|Blood products]]
**Antibiotics
**Antibiotics
====[[Harbor:Antibiogram|Antibiogram]]====
====[[Harbor:Antibiogram|Antibiogram]]====
***[[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
*Buprenorphine/Opiate Withdrawal Treatment
***[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]]
**[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]]
 
===Consults===
*[[Harbor:Phone numbers|Phone numbers]]
*[[Harbor:Paging|Paging consults]]
*[[Harbor:Social work|Social work]]
*[[Harbor:Whole person care|Whole person care]]


===Finding Things===
===Finding Equipment/DME===
*Equipment
*[[Harbor:Equipment|Equipment (AED/RME)]]
**[[Harbor:Equipment|Equipment (AED/RME)]]
*[[Harbor:Equipment and supplies (peds)|Equipment (peds)]]
**[[Harbor:Equipment and supplies (peds)|Equipment (peds)]]
*[[Harbor:DME|Durable Medical Equipment (DME)]]
**[[Harbor:DME|Durable Medical Equipment (DME)]]


===Procedures===
===Procedures===
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==Special patient types==
==Special patient types==
===[[Transferring_to_psych_ER#Guidelines_for_Flow_of_patients_between_the_Psychiatric_and_Adult_Emergency_Departments_.28ED_Policy_3.4.29]]
*[[Harbor:Whole person care|Whole person care]]
*[[Harbor:Social work|Social work]]
*Activations
*Activations
**[[Harbor:Codes|Code Activations]]
**[[Harbor:Codes|Code Activations]]
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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]]
**Exposures
*'''[[Harbor:Occupational exposure|Occupational Exposure]]'''
***[[Harbor:Occupational exposure|Occupational Exposure]]
*[[Harbor:Industrial Accident (IA)|Industrial or On-the-Job Accidents (IA)]]
***[[Harbor:Industrial Accident (IA)|Industrial or On-the-Job Accidents (IA)]]
*'''[[Harbor:Non-Occupational Exposure|Sexual Assault/STI Exposure (SART)]]'''
***[[Harbor:Non-Occupational Exposure|Sexual Assault/STI Exposure]]
 
*Others
===Others===
**[[Harbor:AVF/graft complications|AVF/graft complications]]
*[[Harbor:AVF/graft complications|AVF/graft complications]]
**[[Harbor:Respiratory isolation|Respiratory isolation]]
*[[Harbor:Respiratory isolation|Respiratory isolation]]
**[[Harbor:Scheduled dialysis patients in ED|Scheduled dialysis patients in ED]]
*[[Harbor:Scheduled dialysis patients in ED|Scheduled dialysis patients in ED]]
**[[Harbor:Infectious Disease Threats|Infectious Disease Threats]]
*[[Harbor:Infectious Disease Threats|Infectious Disease Threats]]
***[[Harbor:Ebola|Suspected Ebola protocol]]
**[[Harbor:Ebola|Suspected Ebola protocol]]
**[[Harbor:Replantation Patients|Replantation Patients]]
*[[Harbor:Replantation Patients|Replantation Patients]]
**[[Harbor:XRT|XRT transfers]]
*[[Harbor:XRT|XRT transfers]]


==Patient Disposition==
==Patient Disposition==
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*[[Harbor: ED Follow-Up Options|ED Follow-Up]]
*[[Harbor: ED Follow-Up Options|ED Follow-Up]]
**[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:Forms|Forms]]====
*'''[[Harbor:Forms|Forms]]'''
***[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]]
*[[Harbor:Opiate Withdrawal/MAT/BUP|Opiate Withdrawal/MAT/BUP]]
***[[Harbor:Medical Legal Partnership|Medical Legal Partnership]]
*[[Harbor:Substance Use Disorder|Substance Use Disorder]]
***[[Harbor:Coumadin clinic|Coumadin clinic]]
*[[Harbor:Medical Legal Partnership|Medical Legal Partnership]]
***[[Harbor:Expedited workup clinic|Expedited workup clinic]]
*[[Harbor:Immigration Legal Assistance|Immigration Assistance]]
*[[Harbor:Hospital Based Violence Intervention Program and Trauma Recovery Center|Hospital Based Violence Intervention Program and Trauma Recovery Center]]
*[[Harbor:Coumadin clinic|Coumadin clinic]]
*[[Harbor:Expedited workup clinic|Expedited workup clinic]]
*[[Harbor:Law Enforcement Discharge Escort|Law Enforcement Discharge Escort]]
*[[Harbor:Law Enforcement Discharge Escort|Law Enforcement Discharge Escort]]


===Admission, OBS, & CORE ===
===Admission===
*'''[[Harbor:Admission and consultation guidelines|Admission and consultation guidelines]]'''
*[[Harbor:Admitting a patient|Admitting a patient]]
*[[Harbor:Admitting a patient|Admitting a patient]]
====[[Harbor:Admission and consultation guidelines|Admission & Consult Guidelines (policy 312)]]====
*[[Harbor:Who Goes to Family Medicine|Who Goes to Family Medicine]]
***[[Harbor:Who Goes to Family Medicine|Who Goes to Family Medicine]]
*[[Harbor:Right level of care|Right level of care]]
*[[Harbor:Internal Medicine Admissions|Internal Medicine Admission Template]]
*[[Harbor:Post-admission management|Post-admission management/Orders on Admitted Patients]]
*[[Harbor:Direct Admission after Hours|Direct Admission after Hours]]


====[[Harbor:Right level of care|Right level of care]]====
===OBS & CORE===
**[[Harbor:Internal Medicine Admissions|Internal Medicine Admission Template]]
*[[Harbor:Observation placement|Observation placement]]
**[[Harbor:Post-admission management|Post-admission management/Orders on Admitted Patients]]
*[[Harbor:CORE|CORE placement]]
**[[Harbor:Direct Admission after Hours|Direct Admission after Hours]]
====OBS & CORE====
**[[Harbor:Observation placement|Observation placement]]
**[[Harbor:CORE|CORE placement]]


===Other Disposition===
===Other Disposition===
==== [[Harbor:Death Packet Checklist|Death Packet Checklist]]====
*'''[[Harbor:Death Packet Checklist|Death Packet Checklist]]
* [[Harbor:Deceased patients|Deceased patients]]
* [[Harbor:Deceased patients|Deceased patients]]
*[[Harbor:Transferring a patient|Transferring a patient]]
*[[Harbor:Transferring a patient|Transferring a patient]]
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==Disaster & Surge==
==Disaster & Surge==
*[[Harbor:Disaster plan|Disaster plan]]
*[[Harbor:Disaster plan|Disaster plan]]
===[[Harbor:Surge plan|Surge plan]]===
*'''[[Harbor:Surge plan|Surge plan]]'''
*[[Harbor:ORCHID Downtime|ORCHID Downtime]]
*[[Harbor:ORCHID Downtime|ORCHID Downtime]]
*[[Harbor:Infectious Disease Threats|Infectious Disease Threats]]
*[[Harbor:Infectious Disease Threats|Infectious Disease Threats]]
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*[[Harbor:VA MICU rotation|VA MICU rotation]]
*[[Harbor:VA MICU rotation|VA MICU rotation]]
*[[Harbor:How to get started in research at Harbor|How to get started in research at Harbor]]
*[[Harbor:How to get started in research at Harbor|How to get started in research at Harbor]]
==Hall of Fame==
*[[Hall of Fame (Harbor)]]


==See Also==
==See Also==

Revision as of 04:12, 17 August 2019

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

Admin Updates

  • EWC - 8/5/19 - back to scheduling directly into EWC; Cerner is working again!
  • Surge Criteria Pilot - 7/10/19: ED census for surge criteria includes R5, R6, R7, & R12; Available med/surg OR ICU/PCU

(Dr. Peterson, Dr. Stein, Mark Redulla [pt flow])

General Administrative

Screening EMS Patients

Managing your Patient

General

PC Cheat Sheet

Paging consultants

Phone numbers

Tests & Orders

Enter Prelim Rads Read

STAT MRI

Antibiogram

Finding Equipment/DME

Procedures

Special patient types

===Transferring_to_psych_ER#Guidelines_for_Flow_of_patients_between_the_Psychiatric_and_Adult_Emergency_Departments_.28ED_Policy_3.4.29

Others

Patient Disposition

Discharge

Admission

OBS & CORE

Other Disposition

Documentation

Disaster & Surge

Resident Education

Hall of Fame

See Also