Harbor:Main

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])

• 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

• Pre-hospital
  • Incoming transfers

Screening EMS Patients

• Administrative duties
  • Administrative resident directions
  • Receiving Phone Calls
    • Critical Result Callback
  • EKG Screening
  • Pre-shift: 5S
• Administrative resources
  • RME & triage
  • Harbor:Direct Admission after Hours
  • Core Measures
  • Harbor ED policy manual
  • ED attending on call plan
  • Harbor Legal

Managing your Patient

Tests & Orders

• Labs
• Radiology

Enter Prelim Rads Read

• Ultrasound
  • Ordering a Formal Ultrasound
  • Ultrasound approval list
  • Formal & ED Ultrasounds
  • Cleaning Endocavitary Probes
    • Place in Red Bag (above probe cabinet in clean utility room)
    • Place patient sticker on bag
    • Give to area charge nurse
    • Once cleaned, probe comes back in clear bag
    • T. Jang 8/2019

• Example text for a discrepancy e-mail
• CT
  • Ordering a CT
  • CT Specs

STAT MRI

• MRI Specs
• Other orders
  • Blood products
  • Antibiotics

Antibiogram

• • Harbor antibiotics in sepsis
    • Sepsis core measures
• Buprenorphine/Opiate Withdrawal Treatment
  • Opiate Withdrawal/MAT/BUP

Upload Outside Films to PACS

• Get form from clerk
• Put patient sticker on Form
• Check "Import"
• Sign

Get Images on Disc (For DC or Transfer)

• Same as upload EXCEPT
  • Check "Export"
  • Write time frame on form you want studies from

Finding Equipment/DME

• Equipment (AED/RME)
• Equipment (peds)
• Durable Medical Equipment (DME)

ED supplies A-Z

• A-Z listing for entire ED
  • Glidescopes - trauma 1-7
  • Slit Lamps - AED 1, teaching lamp in RME 10
• Main Supply Room A-Z
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• Main Supply Room by cart

• Airway Cart
• Central Line Cart
• Ortho/splinting Cart
• Precipitous Delivery (BOA) Cart
• RME 1-4 Carts
• Suture Cart
• Triage Hall Cart
• Triage Room Carts

Procedures

• Consenting a patient
• Procedure Videos

Special patient types

• Whole person care
• Social work
• Activations
  • Code Activations
    • Involuntary holds
  • Airway management team
  • Code Stroke
  • STEMI Activation
  • Trauma Activations
• Sepsis
  • Harbor antibiotics in sepsis
  • Sepsis core measures
• Occupational Exposure
• Industrial or On-the-Job Accidents (IA)
• Sexual Assault/STI Exposure (SART)
• Harbor:PE Response Team

Others

• AVF/graft complications
• Respiratory isolation
• Scheduled dialysis patients in ED
• Infectious Disease Threats
  • Suspected Ebola protocol
• Replantation Patients
• XRT transfers

Patient Disposition

Discharge

• Prescribing
• ED Follow-Up
  • ED follow up flow chart
• ED Follow-Up Clinics
• Forms
• Opiate Withdrawal/MAT/BUP
• Substance Use Disorder
• Medical Legal Partnership
• Immigration Assistance
• Hospital Based Violence Intervention Program and Trauma Recovery Center
• Coumadin clinic
• Expedited workup clinic
• Law Enforcement Discharge Escort

Admission

• Admission and consultation guidelines
• Admitting a patient
• Who Goes to Family Medicine
• Right level of care
• Internal Medicine Admission Template
• Post-admission management/Orders on Admitted Patients
• Direct Admission after Hours

OBS & CORE

• Observation placement
• CORE placement
• Observation Patients Direct from UCC
  • Do not need an ED MSE - can go direct to OBS
  • If no OBS beds available in GOLD - should be made Direct Admits to the Hospital

Peterson 8/2019

Other Disposition

• Death Packet Checklist
• Deceased patients
• Transferring a patient
  • Transferring to psych ER
  • XRT transfers
  • Replantation patient transfer

Documentation

• PC Cheat Sheet
  • Macros and Autotext
• Attending Documentation
• Resident documentation
• Consenting a Patient
  • File:Harbor-Photo-Consent.pdf

Disaster & Surge

• Disaster plan
• Surge plan
• ORCHID Downtime
• Infectious Disease Threats
  • Suspected Ebola protocol

Resident Education

• Teaching Rounds Topics
• VA MICU rotation
• How to get started in research at Harbor

See Also

• Harbor:RME Manual